Bariatric surgery outcomes in black patients with super morbid obesity: a 1-year postoperative review

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• 作者：Samuel C. Onyewu ; M.B.Ch.B.^a ; Ololade O. Ogundimu ; B.S.^b ; Gezzer Ortega ; M.D. ; M.P.H.^a ; Edward S. Bauer ; B.S.^b ; Chijindu C. Emenari ; B.S.^b ; Neh D. Molyneaux ; M.P.H.^b ; Sylvonne A. Layne ; M.P.H.^b ; Navin R. Changoor ; M.D.^a ; Denia Tapscott ; M.D.^a ; Daniel D. Tran ; M.D.^a ; Terrence M. Fullum ; M.D.^a ; ^{tfullum@howard.edu}
• 关键词：Super morbid obesity ; Bariatric surgery ; Black patients ; Comorbidities
• 刊名：The American Journal of Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：213
• 期：1
• 页码：64-68
• 全文大小：176 K
• 卷排序：213

文摘

Super morbid obesity (body mass index [BMI] > 50 kg/m2) is associated with significant comorbidities and is disparagingly prevalent among the black population. There is paucity of data regarding bariatric surgery outcomes among super morbid obese (SMO) blacks. Our aim is to evaluate the reduction in weight and resolution of comorbidities after bariatric surgery among SMO black patients at an urban academic institution.MethodsA retrospective review of SMO black patients who underwent bariatric surgery from August 2008 to June 2013 at Howard University Hospital. Outcomes of interest include weight loss, improvement or resolution of hypertension, type 2 diabetes, and hyperlipidemia at 12 months.ResultsEighty-seven patients met our inclusion criteria. Mean preoperative weight and BMI were 347.2 lbs and 56.8 kg/m2, respectively. At 12 months, mean weight and BMI were 245.3 lbs and 40.1 kg/m2, respectively. There was also significant improvement or resolution of hypertension, type 2 diabetes, and hyperlipidemia.ConclusionsBariatric surgery may result in significant weight loss and improvement or resolution of comorbidities in SMO black patients.