Bariatric Surgery Candidate Clinical Trial
Official title:
Homocysteine After Laparoscopic Roux-enY Gastric Bypass: a Comprehensive Evalutation in 708 Patients
Changes in homocysteine values after bariatric surgery remain controversially discussed. This is the first comprehensive summary to depict timeline changes in homocysteine levels following laparoscopic roux-en-Y gastric bypass.
Homocysteine is an independent risk factor for cardiovascular disease. Changes in
homocysteine levels following bariatric surgery remain controversially discussed.
708 consecutive patients underwent laparoscopic roux-en-Y gastric bypass over a 6 year
period. Throughout their routine follow-up, demographic data as well as homocysteine, folate
and vitamin B12 were retrospectively collected at the timepoints: preoperatively, at 3, 6, 9,
12, 18, 24, 36, 48, 60, 72, 84, and 96 months postoperatively.
In order to reveal clinical relevance of the results, patients were sent a special
questionnaire accompanied by an informed consent form for participation and asked for
cardiovascular disease events (myocardial infarction, stroke, deep venous thrombosis) or any
other hospital stay after the surgery and cross checked with two region wide databases which
account for approx. 80% of all hospital contacts in the region. Additionally, the database
was networked with the statewide death registry in order to reveal deceased subjects and data
about their demise through the beforementioned databases was collected.
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