Effect of preoperative eating patterns and preoperative weight loss on the short- and mid-term weight loss results of sleeve gastrectomy.

Autor:	Ruiz-Tovar J; Servicio de Cirugía General, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España. Electronic address: jruiztovar@gmail.com., Boix E; Servicio de Endocrinología, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España., Bonete JM; Servicio de Psiquiatría, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España., Martínez R; Servicio de Psiquiatría, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España., Zubiaga L; Servicio de Cirugía General, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España., Díez M; Servicio de Cirugía General, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España., Calpena R; Servicio de Cirugía General, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Cirugia espanola [Cir Esp] 2015 Apr; Vol. 93 (4), pp. 241-7. Date of Electronic Publication: 2014 Oct 22.
DOI:	10.1016/j.ciresp.2014.04.010
Abstrakt:	Introduction: Weight loss depends directly on the adhesion to the postoperative diet in patients undergoing a sleeve gastrectomy. The aim of this study is to evaluate the effect of different preoperative feeding patterns and the adhesion to a preoperative diet on short and mid- term postoperative weight loss. Material and Methods: A prospective study of all morbidly obese patients undergoing a laparoscopic sleeve gastrectomy as a bariatric procedure between 2008 and 2012 was performed. Preoperative feeding patterns and weight loss, preoperatively and postoperatively at 12 and 24 months, were evaluated. Results: A total of 50 patients were included, with a mean preoperative BMI of 51,2+7,9 kg/m(2). All the patients presented a feeding pattern of big eaters, 44% of snackers, 40% of sweet eaters and 48% reported regular ingestion of «light» soft drinks. Mean preoperative excess weight loss (EWL) was 13,4% (range 10-31,4%). At 12 months mean EWL was 83,7% and at 24 months 82,4%. Pre and postoperative EWL showed a direct correlation at 12 and 24 months. Mean EWL was significantly lower in snackers, sweet eaters and those drinking «light» soft drinks regularly. Conclusion: Preoperative weight loss correlates directly with postoperative weight loss at 1 and 2 years. Snackers, sweet eaters and «light» soft drink consumers, associated with a big eater pattern, achieve a significantly lower postoperative weight loss. (Copyright © 2014 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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