التفاصيل البيبلوغرافية
| العنوان: |
Long-Term Effect of Gastric Bypass and Sleeve Gastrectomy on Severe Obesity: Do Preoperative Weight Loss and Binge Eating Behavior Predict the Outcome of Bariatric Surgery? |
| المؤلفون: |
Pekkarinen, Tuula, Mustonen, Harri, Sane, Timo, Jaser, Nabil, Juuti, Anne, Leivonen, Marja |
| المصدر: |
Obesity Surgery; Sep2016, Vol. 26 Issue 9, p2161-2167, 7p |
| مصطلحات موضوعية: |
GASTRIC bypass, COMPULSIVE eating, WEIGHT loss, OVERWEIGHT persons, LOW-calorie cooking |
| مستخلص: |
Background: Few studies have examined weight loss sustainability after sleeve gastrectomy (SG). The purpose of this study was to determine long-term outcome after SG and gastric bypass (GBP) and learn whether preoperative weight loss and binge eating behavior can be used to predict outcome. Materials and Methods: Together, 257 patients (64 % women) were operated, 163 by GBP and 94 by SG. Binge eating was assessed by binge eating scale (BES) and preoperative weight loss was advised to all, including very low-calorie diet for 5 weeks. Postoperative visits took place at 1 and 2 years, and long-term outcome was at median 5 years (range 2.29-6.85). Multivariate linear regression analysis was used to predict outcome at 2-year and long-term control. Results: Median age was 48 years, weight 141.1 kg, and BMI 48.2 kg/m. Preoperative weight loss was median 4.9 % before GBP and 3.8 % before SG, P = 0.04. Total weight loss at year one was 24.1 % in GBP and 23.7 % in SG ( P = 0.40), at year two 24.4 and 23.4 % ( P = 0.26), and at long-term control 23.0 and 20.2 % ( P = 0.006), respectively. Weight was analyzed in 93, 88, and 89 % of those alive, respectively. BES did not predict weight outcome, but larger preoperative weight loss predicted less postoperative weight loss at 2 years. Conclusion: On long term, weight loss was better maintained after GBP compared with SG. Binge eating behavior was not a significant predictor, but larger preoperative weight loss predicted less postoperative weight loss for the next 2 years. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
