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Gastrointestinal symptoms before and after laparoscopic Roux-en-Y gastric bypass: a longitudinal assessment

Boerlage, Thomas C.C., Westerink, Floris, van de Laar, Arnold W.J.M., Hutten, Barbara A., Brandjes, Desiderius P.M., Gerdes, Victor E.A.·2019·Surgery for Obesity and Related Diseases
DOI 10.1016/j.soard.2019.03.018
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Abstract

Background Roux-en-Y gastric bypass (RYGB) is an effective treatment for morbid obesity, but many patients have increased gastrointestinal symptoms. Objectives To evaluate gastrointestinal symptoms and food intolerance before and after RYGB over time in a large cohort of morbidly obese patients. Setting A high-volume bariatric center of excellence. Methods A prospective cohort study was performed in patients who underwent RYGB between September 2014 and July 2015, with 2-year follow-up. Consecutive patients screened for bariatric surgery answered the Gastrointestinal Symptom Rating Scale (GSRS) and a food intolerance questionnaire before RYGB and 2 years after surgery. The prevalence of gastrointestinal symptoms before and after surgery and the association between patient characteristics and postoperative gastrointestinal symptoms were assessed. Results Follow-up was 86.2% (n = 168) for patients undergoing primary RYGB and 93.3% (n = 28) for revisional RYGB. The total mean GSRS score increased from 1.69 to 2.31 after surgery (P Conclusions Two years after surgery, patients who underwent primary RYGB have increased gastrointestinal symptoms and food intolerance compared with the preoperative state. It is important that clinicians are aware of this and inform patients before surgery.

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Research works printed but not linked: 17

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Metadata

Authors
Boerlage, T. C. C., Westerink, F., van de Laar, A. W. J. M., Hutten, B. A., Brandjes, D. P. M., & Gerdes, V. E. A.
ORCID
Westerink, Floris
Venue
Surgery for Obesity and Related Diseases
Publisher
Elsevier BV
Published
2019-06
Volume
15
Issue
6
Pages
871-877
ISSN
1550-7289
DOI
10.1016/j.soard.2019.03.018
Cited by
26
References
1
Language
en
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