Weight loss before bariatric surgery and its impact on poor versus excellent outcomes at 2 years.
Bariatric surgery
Excess weight loss
Insufficient weight loss
Laparoscopic gastric bypass
Obesity surgery
Weight regain
Journal
Langenbeck's archives of surgery
ISSN: 1435-2451
Titre abrégé: Langenbecks Arch Surg
Pays: Germany
ID NLM: 9808285
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
26
04
2021
accepted:
06
12
2021
pubmed:
12
1
2022
medline:
3
6
2022
entrez:
11
1
2022
Statut:
ppublish
Résumé
To identify preoperative factors that influence the outcomes of gastric bypass surgery, in terms of excess weight loss at 24 months. This retrospective study included two groups of patients who underwent laparoscopic gastric bypass surgery. Group A (poor outcomes) had ≤ 50%EWL or BMI ≥ 30 kg/m A total of 202 patients completed follow-up; 71 (35.1%) and 78 (38%) had poor and excellent outcomes (%EWL 44.1 ± 9.4% vs. 92 ± 10.9%), respectively. Mean age was 40.4 ± 8.9 years. Patients with poor outcomes had higher weight and BMI, lesser preoperative %EWL, higher dyslipidemia and diabetes rates with longer periods of evolution, and increased HbA1c% levels. In the linear regression analysis, preoperative %EWL and initial and preoperative BMI were statistically significant determinants of %EWL at 24 months Diabetes remission was 46.2% (group A) vs. 66.6% (group B). Group A had higher non-attendance rates after surgery. The factors independently associated with greater %EWL at 24 months between groups were higher preoperative %EWL, and lower initial and preoperative BMI.
Identifiants
pubmed: 35013797
doi: 10.1007/s00423-021-02399-z
pii: 10.1007/s00423-021-02399-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1047-1053Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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