Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity

GHNNAM, Wagih; NEGM, Ahmed; EMİLE, Sameh; METWALLY, Tito El; ELALFY, Khaled; YOUSSEF, Tamer; ELBANNA, Hosam

Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity

Hosam ELBANNA, (Department of General Surgery, Mansoura University School of Medicine, Mansoura, Egypt)

Wagih GHNNAM, (Department of General Surgery, Mansoura University School of Medicine, Mansoura, Egypt)

Ahmed NEGM, (Department of General Surgery, Mansoura University School of Medicine, Mansoura, Egypt)

Tamer YOUSSEF, (Department of General Surgery, Mansoura University School of Medicine, Mansoura, Egypt)

Sameh EMİLE, (Department of General Surgery, Mansoura University School of Medicine, Mansoura, Egypt)

Tito El METWALLY, (Department of General Surgery, Mansoura University School of Medicine, Mansoura, Egypt)

Khaled ELALFY (Department of General Surgery, Mansoura University School of Medicine, Mansoura, Egypt)

Ulusal Cerrahi Dergisi

1 1

Yıl: 2016 Cilt: 32 Sayı: 4 Sayfa Aralığı: 238 - 243 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity

Öz:

Amaç: Laparoskopik sleeve gastrektomi (LSG) mükemmel sonuçları ve kısıtlı morbiditesi nedeniyle yaygın olarak uygulanan bir bariatrik cerrahi yöntemidir. Çalışmamız kilo kaybı ve ko-morbiditede düzelme açısından LSG'nin etkinliğini ölçmeyi ve ameliyat öncesi vücut kitle indeksinin (VKİ) sonuçlar üzerine etkisini değerlendirmeyi amaçlamaktadır.Gereç ve Yöntemler: Laparoskopik sleeve gastrektomi uygulanan 173 hastanın verileri incelendi. Laparoskopik sleeve gastrektomi, sadece VKİ> 40 olan hastalar için endike kabul edildi. Ameliyat sonrası ortalama VKİ, komorbiditede düzelme, ameliyat verileri ve komplikasyonları, hastanede kalış süresi ve fazla kilo kaybı değerlendirildi ve kaydedildi.Bulgular: Bu çalışmaya ortalama yaşları 37,6 yıl olan 151 kadın ve 22 erkek dahil edildi. Hastalar VKİ'ne göre iki gruba ayrıldı (<50 grup I, >50 grup II). Ameliyat öncesi ortalama VKİ 53,8 kg/m2 idi. Ortalama ameliyat süresi 120 dakika, ortalama hastanede kalış süresi 3,2 gün idi. Ortalama ameliyat sonrası VKİ 1. yılda 47,3 kg/m2'ye düştü. Fazla kilo kaybı 6 ayda %43,1, 1 yılda %71,1 ve 5 yılda %87,5 idi. Grup I'de grup II'ye kıyasla hastanede kalış süresinin anlamlı derecede daha kısa olduğu, laboratuvar parametrelerinin daha fazla düzeldiği ve VKİ'de daha fazla düşüş olduğu saptandı. Bir olgu mortal seyirli idi ve altı olguda gastrik stapler hattında kaçak gelişti.Sonuç: Laparoskopik sleeve gastrektomi 5 yıllık takipte sonuçların korunduğu belirgin kilo kaybı sağlayan etkili bir tedavi yöntemidir, aynı zamanda obezite ile ilişkili ko-morbiditelerin bazılarında düzelme sağlar. Laparoskopik sleeve gastrektominin bu yararlı etkisinin VKİ <50 olan hastalarda anlamlı olarak daha fazla olduğu görülmektedir.

Anahtar Kelime:

Konular: Cerrahi

Ameliyat öncesi vücut kitle indeksinin morbid obezitede laparoskopik sleeve gastrektomi sonuçları üzerine etkisi

Öz:

Objective: Laparoscopic sleeve gastrectomy (LSG) is a popular bariatric surgery due to its excellent results and limited morbidity. Our study aims to assess the efficacy of LSG in terms of loss of weight and co-morbidity improvement and to evaluate the impact of preoperative body mass index (BMI) on the final outcome.Material and Methods: The data of 173 patients who underwent LSG were analyzed. Laparoscopic sleeve gastrectomy was indicated only for patients with BMI >40. Mean postoperative BMI, co-morbidity improvement, operative data and complications, length of hospital stay and excess weight loss were evaluated and recorded.Results: This study included 151 females and 22 males with a mean age of 37.6 years. Patients were divided into two groups according to their BMI (group I <50, group II >50). Mean preoperative BMI was 53.8 kg/m2. Mean operative time was 120 minutes. Mean duration of hospital stay was 3.2 days. Mean postoperative BMI decreased to 47.3 kg/m2at 1 year. Excess weight loss was 43.1% at 6 months, 71.1% at 1 year, and 87.5% at 5 years. Group I showed a significantly shorter length of hospital stay, more improvement of laboratory parameters and more reduction in BMI as compared to group II. There was one mortality and six cases had gastric staple line leakage.Conclusion: Laparoscopic sleeve gastrectomy is an efficient treatment to achieve significant weight loss that is maintained up to 5 years of follow up, also it improves some of the obesity related co-morbidities. This beneficial impact of LSG appears to be significantly higher in patients with BMI <50.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ELBANNA H, GHNNAM W, NEGM A, YOUSSEF T, EMİLE S, METWALLY T, ELALFY K (2016). Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. , 238 - 243.
Chicago	ELBANNA Hosam,GHNNAM Wagih,NEGM Ahmed,YOUSSEF Tamer,EMİLE Sameh,METWALLY Tito El,ELALFY Khaled Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. (2016): 238 - 243.
MLA	ELBANNA Hosam,GHNNAM Wagih,NEGM Ahmed,YOUSSEF Tamer,EMİLE Sameh,METWALLY Tito El,ELALFY Khaled Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. , 2016, ss.238 - 243.
AMA	ELBANNA H,GHNNAM W,NEGM A,YOUSSEF T,EMİLE S,METWALLY T,ELALFY K Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. . 2016; 238 - 243.
Vancouver	ELBANNA H,GHNNAM W,NEGM A,YOUSSEF T,EMİLE S,METWALLY T,ELALFY K Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. . 2016; 238 - 243.
IEEE	ELBANNA H,GHNNAM W,NEGM A,YOUSSEF T,EMİLE S,METWALLY T,ELALFY K "Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity." , ss.238 - 243, 2016.
ISNAD	ELBANNA, Hosam vd. "Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity". (2016), 238-243.

APA	ELBANNA H, GHNNAM W, NEGM A, YOUSSEF T, EMİLE S, METWALLY T, ELALFY K (2016). Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. Ulusal Cerrahi Dergisi, 32(4), 238 - 243.
Chicago	ELBANNA Hosam,GHNNAM Wagih,NEGM Ahmed,YOUSSEF Tamer,EMİLE Sameh,METWALLY Tito El,ELALFY Khaled Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. Ulusal Cerrahi Dergisi 32, no.4 (2016): 238 - 243.
MLA	ELBANNA Hosam,GHNNAM Wagih,NEGM Ahmed,YOUSSEF Tamer,EMİLE Sameh,METWALLY Tito El,ELALFY Khaled Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. Ulusal Cerrahi Dergisi, vol.32, no.4, 2016, ss.238 - 243.
AMA	ELBANNA H,GHNNAM W,NEGM A,YOUSSEF T,EMİLE S,METWALLY T,ELALFY K Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. Ulusal Cerrahi Dergisi. 2016; 32(4): 238 - 243.
Vancouver	ELBANNA H,GHNNAM W,NEGM A,YOUSSEF T,EMİLE S,METWALLY T,ELALFY K Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. Ulusal Cerrahi Dergisi. 2016; 32(4): 238 - 243.
IEEE	ELBANNA H,GHNNAM W,NEGM A,YOUSSEF T,EMİLE S,METWALLY T,ELALFY K "Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity." Ulusal Cerrahi Dergisi, 32, ss.238 - 243, 2016.
ISNAD	ELBANNA, Hosam vd. "Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity". Ulusal Cerrahi Dergisi 32/4 (2016), 238-243.