دورية أكاديمية
Total weight loss after laparoscopic Roux-en-Y gastric bypass is influenced by preoperative weight loss: can we predict the outcome?
| العنوان: | Total weight loss after laparoscopic Roux-en-Y gastric bypass is influenced by preoperative weight loss: can we predict the outcome? |
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| المؤلفون: | Reiber BMM; Department of Bariatric Surgery, Red Cross Hospital, Beverwijk, the Netherlands. Electronic address: bmmreiber@gmail.com., Tenhagen M; Department of Bariatric Surgery, Red Cross Hospital, Beverwijk, the Netherlands., Barendregt R; Department of Gastro-Intestinal Surgery, Amsterdam University Medical Center, Amsterdam, the Netherlands., Mekel MP; Department of Gastro-Intestinal Surgery, Amsterdam University Medical Center, Amsterdam, the Netherlands., Cense HA; Department of Bariatric Surgery, Red Cross Hospital, Beverwijk, the Netherlands., Demirkiran A; Department of Bariatric Surgery, Red Cross Hospital, Beverwijk, the Netherlands. |
| المصدر: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2020 Nov; Vol. 16 (11), pp. 1850-1856. Date of Electronic Publication: 2020 May 28. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101233161 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-7533 (Electronic) Linking ISSN: 15507289 NLM ISO Abbreviation: Surg Obes Relat Dis Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, N.Y. : Elsevier, c2005- |
| مواضيع طبية MeSH: | Gastric Bypass* , Laparoscopy* , Obesity, Morbid*/surgery, Body Mass Index ; Follow-Up Studies ; Humans ; Netherlands ; Prospective Studies ; Retrospective Studies ; Treatment Outcome ; Weight Loss |
| مستخلص: | Background: Preoperative weight loss (WL) is associated with higher postoperative WL at 1- to 2-year follow-up in patients who undergo laparoscopic Roux-en-Y gastric bypass (LRYGB). Objective: To evaluate the possible association between preoperative and postoperative WL at 3-year follow-up and identify risk factors for insufficient WL. Setting: A single-center prospective cohort study in the Netherlands. Methods: Patients undergoing primary LRYGB and laparoscopic conversion from band to bypass (redo LRYGB) were instructed to lose weight preoperatively. Follow-up data were collected 1, 2, and 3 years postoperatively. WL was described as percentage total weight loss (%TWL) and percentage excess body mass index (BMI) loss. Patients were divided into 2 groups: group A lost any amount of weight; group B did not lose any weight or gained weight preoperatively. Results: Group A consisted of 230 patients (median preoperative %TWL, 4.8%), and group B consisted of 46 patients (median preoperative %TWL, -1.3%). Median BMI at intake was 44.1 kg/m 2 . Baseline characteristics were similar. The %TWL and BMI for group A and B in the patients who underwent primary LRYGB at 1, 2, and 3 years was 32.2% (BMI, 28.6 kg/m 2 ) versus 23.9% (BMI, 32.2 kg/m 2 ), 31.8% (BMI, 28.9 kg/m 2 ) versus 25.2% (BMI, 31.9 kg/m 2 ), and 33.3% (BMI, 29.7 kg/m 2 ) versus 21.9% (BMI, 34 kg/m 2 ), respectively, all P < .05. In patients who underwent redo LRYGB no clinically significant differences in postoperative BMI were found. Conclusions: Preoperative WL in primary patients who undergo LRYGB can be useful to identify those at risk of inadequate postoperative WL. In patients who undergo redo LRYGB different risk factors should be considered for prediction of inadequate postoperative WL. (Copyright © 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.) |
| التعليقات: | Comment in: Surg Obes Relat Dis. 2020 Oct;16(10):e57-e58. (PMID: 32768297) Comment in: Surg Obes Relat Dis. 2020 Nov;16(11):1856-1857. (PMID: 32819866) |
| فهرسة مساهمة: | Keywords: Laparoscopic Roux-en-Y gastric bypass; Midterm follow-up; Postoperative weight loss; Preoperative weight loss |
| تواريخ الأحداث: | Date Created: 20200730 Date Completed: 20210427 Latest Revision: 20210427 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.soard.2020.05.026 |
| PMID: | 32723600 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1878-7533 |
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| DOI: | 10.1016/j.soard.2020.05.026 |