Bariatric surgery: a retrospective study on recovery according to surgery method
| Autor: | Michele Lee Kozimor-King, Jane F. Cavender, Sarah Pelletier |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Sleeve gastrectomy business.industry medicine.medical_treatment Gastric bypass General Engineering nutritional and metabolic diseases Retrospective cohort study 010501 environmental sciences Positive correlation 01 natural sciences Surgical methods Surgery 03 medical and health sciences 0302 clinical medicine Weight loss medicine 030212 general & internal medicine medicine.symptom business Laparoscopic adjustable gastric banding 0105 earth and related environmental sciences |
| Zdroj: | BIOS. 90:199 |
| ISSN: | 0005-3155 |
| Popis: | Roux-en-Y gastric bypass (RYGB) surgery has historically been the bariatric procedure of choice by many surgeons. However, sleeve gastrectomy (SG) and laparoscopic adjustable gastric banding (LAGB) procedures may be preferred for certain patient populations. This study analyzed recovery time and effectiveness of three bariatric surgery types to determine the surgical method associated with the most weight loss and the shortest amount of hospitalized recovery time. Two hundred consecutive bariatric surgery patients were divided into three cohorts: RYGB, LAGB, and SG. Patient records were analyzed for weight loss, complications, and length of stay postoperatively. Of 200 patients, 17 did not present to the office for recommended follow-up appointments; thus, there was insufficient follow-up documentation (n = 183). RYGB was the most common operation (51.0%) followed by SG. Bivariate analysis showed a positive correlation between increased BMI and surgeon choice of RYGB or SG (χ2 = 27.646; p = 0.002). In this study, RYGB was associated with longer hospitalization (χ2 = 168.786; p < 0.001). RYGB and SG resulted in more weight loss than LAGB (p < 0.001; p < 0.001, respectively). Thus, it can be concluded that SG would be the most effective method with the least amount of recovery time. |
| Databáze: | OpenAIRE |
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