Bariatrics Program
1991 NIH Consensus Conference on Surgery for Obesity For patients with morbid obesity: . Surgical intervention is the only method proven to have a significant long- term impact on the disease. . Medical interventions have failed. Obesity Research 1998; 6 (suppl 2):51S-209S
Risk of Surgery versus No Surgery . McGill University compared five-year survival of their 5,746 morbidly obese patients managed medically with 1,035 patients who underwent surgery, matched by sex, age, and duration of being obese . Five-year mortality 6.17% in the no surgery group . Five-year mortality 0.68% in the surgical group Christou NV, et al.: Ann. Surg., 240: 416-422, 2004 Risk of Surgery National Data - 136 scientific reports totaling surgical results of 22,094 patients . Average operative mortality 0.5%= 1 in 200 patients Diabetes Mellitus: Complete resolution 76.8%, Resolved or improved 86% Hyperlipidemia: Improved 70% Hypertension: Resolved 61.7%; Resolved or improved 78.5% Sleep Apnea: Resolved 85.7% Buchwald H, et al: Bariatric Surgery: A systematic review and meta-analysis. JAMA 292:1724-1737, 2004
Gastric Bypass has stood the test of time .
Average excess weight loss over 4 years was 57% . 93% of 243 patients maintained loss of at least 50% of their excess weight over a 5.5 year follow-up (Ann. Surg. 2000, 231:524-8) . Average excess weight loss in 1,025 patients was 59% after 7 years (Ann. Surg. 2003, 237:751-6) . Mean excess weight loss in 608 patients was 64% at 14 years. (Ann. Surg. 1995, 222:339-50) |
