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Journal of Obesity
Volume 2012, Article ID 195251, 5 pages
http://dx.doi.org/10.1155/2012/195251
Research Article

A Simpler Method for Predicting Weight Loss in the First Year after Roux-en-Y Gastric Bypass

1Coastal Center for Obesity, Orange, CA 92869, USA
2John Sczepaniak Medical Enterprises, San Diego, CA 92115, USA
3Long Beach Veterans Affairs Medical Center, Long Beach, CA 90822, USA

Received 12 July 2011; Revised 6 October 2011; Accepted 7 October 2011

Academic Editor: Pietro Forestieri

Copyright © 2012 John P. Sczepaniak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Factors postulated to predict weight loss after gastric bypass surgery, include race, age, gender, technique, height, and initial weight. This paper contained 1551 gastric bypass patients (85.9% female). Operations were performed by one surgeon (MLO) at community hospitals in Southern California from 1989 to 2008 with 314 being laparoscopic and 1237 open. We created the following equation: In[percent weight] = 𝐴 𝑡 2 𝐵 𝑡 , where 𝑡 was the time after operation (days) and 𝐴 and 𝐵 are constants. Analysis was completed on R-software. The model fits with 𝑅 2 value 0.93 and gives patients a realistic mean target weight with a confidence interval of 95% for the first year. Conclusion. We created a curve predicting weight loss after surgery as a percentage of initial weight. Initial weight was the single most important predictor of weight loss after surgery. Other recorded variables accounted for less than 1% of variability. Unknown factors account for the remaining 6-7%.