Ethnic variation in XXXX , but not co-morbidity remission, after laparoscopic gastric banding and Roux-en-Y gastric bypass.

@entity1 @entity407 @entity101 @entity353 @entity6 @entity386
BACKGROUND: Demographic factors such as ethnicity may affect bariatric surgery outcomes. We examined @entity353 and co-morbidities outcomes in African American, Caucasian, and Hispanic @entity1 who underwent laparoscopic gastric banding (LAGB) and Roux-en-Y gastric bypass (RYGB). The primary aim was to investigate demographic differences in @entity353 and co-morbidities outcomes. METHODS: We retrospectively examined weight change and co-morbidities outcomes in our prospective database. A total of 1,903 @entity1 underwent LAGB or RYGB between January 1, 2005 and March 31, 2012. Of those, 1828 completed their 1-year follow-up visit (9-15 mo) and had complete data. We excluded @entity1 who were missing ethnicity information, resulting in a final cohort of 1,684 @entity1 . Multivariate analyses and   (2) tests were used to examine demographic variables in body mass index (BMI) change, percent excess @entity353 (%EWL), and remission of co-morbidities. We also examined @entity353 outcomes at 2- and 3-year follow-up. RESULTS: Overall, those who underwent RYGB had a lower BMI and greater %EWL at 1, 2, and 3 years compared to those who had undergone LAGB. Overall, African American @entity1 had a higher postoperative BMI than either Caucasian or Hispanic @entity1 . African American @entity1 also showed less %EWL than Caucasian and Hispanic @entity1 . When we examined within surgery type, ethnic differences between African American and Caucasian @entity1 were present across all 3 years in RYGB, but there were no ethnic differences by year 3 in LAGB. Additionally, African American and Hispanic @entity1 no longer differed by year 3 in RYGB and by year 2 in LAGB. There were no significant ethnic differences in remission of @entity6 , @entity407 , @entity101 , and sleep @entity386 at 1 year. CONCLUSION: Our study found significant ethnic differences in the postoperative BMI and %EWL, which were more pronounced in @entity1 undergoing RYGB than LAGB at the 3-year time point. These @entity353 differences did not translate to a lower rate of co-morbidities remission.
