Open Roux-en-Y gastric bypass (ORYGB) is performed primarily on patients with complicated intra-abdominal pathology, massive obesity not conducive to laparoscopy, or prohibitive medical conditions. Gomez et al1 reported significant variation in weight loss and resolution of medical problems in superobese patients after biliopancreatic diversion/duodenal switch. However, to our knowledge, whether health insurance status similarly influences the results of patients undergoing ORYGB is unknown. Therefore, the objective of this study was to identify variation in ORYGB outcomes by health insurance status.
Davis M, Gomez J, Sheck C, Slotman G. Variation in Weight and Obesity Comorbidities After Open Roux-en-Y Gastric Bypass by Health InsuranceMedicaid vs Medicare vs Private vs Self-Pay in 4225 Bariatric Outcomes Longitudinal Database Patients. JAMA Surg. 2017;152(1):105-109. doi:10.1001/jamasurg.2016.2932