A02 - BS Ethnic and Social Deprivation Influence Weight Regain Following Roux En-Y Gastric Bypass
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Authors
Askar, L
Karim , S
AlFagih, O
Niaz, O
Yuen Hua Loh , A
Razzaq, A
Ahmar, M
SesbyBanjoh, O
Adil, T
Munasinghe, A
Issue Date
2024
Type
Published Abstract
Language
Keywords
Research Subject Categories::MEDICINE::Dermatology and venerology,clinical genetics, internal medicine::Internal medicine::Gastroenterology
Alternative Title
Abstract
Abstract
Background
Weight regain is a prevalent issue following Roux-En-Y Gastric Bypass (RYGB) surgery for obesity. This study aims to assess the impact of ethnicity and social deprivation on the likelihood of weight regain post-RYGB.
Method
We analysed data from Luton & Dunstable Hospital. Key variables included patient demographics such as sex, age, ethnicity, social deprivation (Indices of Multiple Deprivation – IMD), American Society of Anesthesiologists (ASA) classification, and weight and Body Mass Index (BMI) at the time of surgery. Weight regain was defined as the regaining of more than 25% of the Total Body Weight Loss (TBWL) achieved after RYGB.
Results
Out of 1,346 patients who underwent RYGB, 80% were female. The median age was 48 years (IQR: 39-55), and the median BMI was 44.7 kg/m^2 (IQR: 40.6-50.1). At a median follow-up of 39 months, 20.7% experienced weight regain. Multivariable analysis showed that patients from Black (HR: 1.63, 95% CI: 1.33-1.81, p=0.009) and Asian (HR: 1.40, 95% CI: 1.23-1.71, p=0.011) ethnic groups, as well as those from more socially deprived backgrounds (HR: 2.39, 95% CI: 1.99 – 3.13, p<0.001), were more likely to experience weight regain compared to their White and more affluent counterparts.
Conclusion
Ethnicity and social deprivation significantly influence the likelihood of weight regain following RYGB. The factors contributing to these disparities are likely multifaceted, encompassing genetic, social, and educational elements. Early identification of patients at increased risk of weight regain and the provision of tailored resources can help mitigate this risk and enhance surgical outcomes.
Topic: obesitybody mass index procedureweight reductiondemographyethnic groupfollow-upgastric bypasssurgical procedures, operativeknowledge acquisitiongeneticssurgery specialtygastric bypass, roux-en-yhealth disparityasianamerican society of anesthesiologistsearly diagnosissurgical outcomesocial deprivation
Issue Section: Abstract > Prize Free Paper Session
Collection: BJS Foundation Journals
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Citation
Lina Askar, Seiver Karim, Othman Al-Fagih, Osamah Niaz, Alex Yuen Hua Loh, Ahsen Razzaq, Moaz Ahmar, Oluwatofunmi Sesby-Banjoh, Md Tanveer Adil, Aruna Munasinghe, Farhan Rashid, Periyathambi Jambulingam, Douglas Whitelaw, Vigyan Jain, Omer Al-Taan, Alan Askari, A02 - BS Ethnic and Social Deprivation Influence Weight Regain Following Roux En-Y Gastric Bypass, BJS, Volume 111, Issue Supplement_9, November 2024, znae271.002, https://doi.org/10.1093/bjs/znae271.002