Is Laparoscopic Sleeve Gastrectomy for Asian Super Obese a Safe and Effective Procedure?
Annals of the Academy of Medicine, Singapore
; : 177-184, 2018.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-690053
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>INTRODUCTION</b>Outcomes of bariatric surgery for super obese Asians are not well reported. We aimed to compare short-term outcomes of laparoscopic sleeve gastrectomy (LSG) in Asian patients with body mass index (BMI) <47.5 kg/m to those with BMI ≥47.5 kg/m.</p><p><b>MATERIALS AND METHODS</b>A total of 272 patients from Singapore university hospital who underwent LSG from 2008 to 2015 with a follow-up of at least 6 months were included in the study. Primary endpoint was weight loss at 1-year and 3-years. Morbid obesity (Group 1, G1) was defined as BMI <47.5 kg/m and super obesity (Group2, G2) was defined as BMI ≥47.5 kg/m.</p><p><b>RESULTS</b>There were 215 patients in G1 and 57 patients in G2 (mean preoperative weight 107.3 kg and 146.8 kg; mean follow-up 27.9 and 26.8 months, respectively). Mean total weight loss at 3-year of 41.9 kg for G2 was significantly higher ( = 0.003) than 27.2 kg for G1. Mean percentage excess weight loss (EWL) did not differ at 3-years. There was no difference in operating time, blood loss, length of stay, 30-day morbidity and readmission. There were no conversions and mortality in both groups. Remission of herpertension ( - 0.001) and dyslipidaemia ( = 0.038) were significantly associated with achieving EWL percentage (%EWL) >50 in G1.</p><p><b>CONCLUSION</b>LSG is an equally safe and effective operation in Asians with BMI ≥47.5 kg/m2 when compare to patients with BMI <47.5 kg/m in achieving significant weight loss and improvement in comorbidities. Super obese lose more weight but have lower %EWL.</p>
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doenças do Sistema Endócrino
/
Obesidade
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Singapura
/
Cirurgia Geral
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Obesidade Mórbida
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Estudos Retrospectivos
/
Avaliação de Resultados em Cuidados de Saúde
/
Laparoscopia
/
Povo Asiático
/
Segurança do Paciente
/
Gastrectomia
/
Métodos
Tipo de estudo:
Estudo observacional
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Annals of the Academy of Medicine, Singapore
Ano de publicação:
2018
Tipo de documento:
Artigo