Excess Weight Loss and Cardiometabolic Parameter Reduction Diminished among Hispanics Undergoing Bariatric Surgery: Outcomes in More than 2,000 Consecutive Hispanic XXXX at a Single Institution.

@entity1 @entity353 @entity28
BACKGROUND: Bariatric surgery has been established as the most effective long-term treatment for morbid @entity28 and @entity28 -related comorbidities. Despite its success, there is a paucity of data on the outcomes of bariatric surgery on Hispanic @entity1 . STUDY DESIGN: We performed a retrospective review of @entity28 @entity1 treated at our institute between 2008 and 2014. We identified self-reported Hispanic @entity1 who underwent a laparoscopic gastric bypass (LGBP), sleeve gastrectomy (LSG), or gastric band (LGB) procedure. The primary end point was excess @entity353 (EWL) at 6, 12, 24, and 36 months. Secondary end points included improvement of @entity28 -related metabolic parameters at 1 year. We performed a repeated measures analysis of variance to calculate statistical significance throughout our study time period. RESULTS: We identified 2002 Hispanic @entity1 who underwent bariatric surgery (1,235 LGBP, 600 LSG, 167 LGB) at our institute from 2008 to 2014. Follow-ups at 6, 12, 24, and 36 months were 62.2%, 54.5%, 36.2%, and 19.8%, respectively. Mean preoperative BMIs were 47.0    7.2 kg/m(2), 46.1    7.8 kg/m(2), and 44.9    6.0 kg/m(2) for the LGBP, LSG, and LGB cohorts, respectively. Excess @entity353 was significantly more pronounced in the LGBP and the LSG groups than in the LGB group; this difference was accentuated over time (Fig.  1; p  < 0.0001). Obesity-related metabolic parameters and the need for comorbidity medical therapy decreased in all 3 surgical groups. CONCLUSIONS: Bariatric surgery is highly successful in @entity28 @entity1 . In the largest series to date, LGBP and LSG seem to yield more effective EWL and @entity353 parameters than LGB among Hispanics; however, outcomes are still markedly reduced when compared with those in non-Hispanic populations.
