Two-Year Results on Morbidity, Weight Loss and Quality of Life of Sleeve Gastrectomy as First Procedure, Sleeve Gastrectomy After Failure of Gastric Banding and Gastric Banding
| Autor: | Rachid Badaoui, Pierre Verhaeghe, Jean-Marc Regimbeau, Abdennaceur Dhahri, David Fuks, Charles Sabbagh, Olivier Brehant |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Sleeve gastrectomy Gastric banding Endocrinology Diabetes and Metabolism medicine.medical_treatment Gastric bypass Anesthesia General Body Mass Index Postoperative Complications Quality of life Gastrectomy Weight loss Weight Loss medicine Humans Obesity Prospective Studies Aged Nutrition and Dietetics business.industry General surgery digestive oral and skin physiology Length of Stay Middle Aged digestive system diseases Surgery Treatment Outcome Quality of Life medicine.symptom business Laparoscopic adjustable gastric banding Follow-Up Studies |
| Zdroj: | Obesity Surgery. 20:679-684 |
| ISSN: | 1708-0428 0960-8923 |
| DOI: | 10.1007/s11695-009-0007-4 |
| Popis: | Sleeve gastrectomy (SG) is an alternative to gastric bypass and laparoscopic adjustable gastric banding (GB).From January 2004 to January 2006, 111 patients with a follow-up longer than 24 months were prospectively followed. Three treatment groups were defined. Sleeve gastrectomy as first procedure (SGFP; n = 50), sleeve gastrectomy after failure of GB (SG after GB; n = 9) and GB (n = 52). We compared morbidity, mortality, length of stay, number of procedures under general anaesthesia, excess weight loss (EWL) and quality of life.Mean initial body mass index (BMI) was 50.4 (SG), 50.8 (SG after GB) and 43.8 (GB; p = 0.000001). Mean operating time was 97.1 min (SGFP), 122.2 min (SG after GB) and 69.8 min (GB; p0.0001). The reoperation rate under general anaesthesia was 2% (SGFP), 11% (SG after GB) and 30.76% (GB; p = 0.00001).The fistula rate was 2% (SGFP), 0% (SG after GB) and 0% (GB). BMI at 24 months was 33.8 (SGFP), 35.3 (SG after GB) and 33.2 (GB; NS). EWL at 24 months was 67.4 (SGFP), 60.3 (SG after GB) and 58.6 (GB; NS). In the SGFP group and in the SG after GB group, the mean quality-of-life score was 1.1. In the GB group, the mean score was 0.95 (NS).Initial BMI was significantly higher in the SG group but was no longer significantly different from the BMI of the GB group at 12 and 24 months. Excess BMI loss was higher after SG than after GB. This reduction of BMI was considered to be a success for GB. Thus, results of SG should be considered as a success. Quality of life was not significantly different between the three groups. These results validated SG as first procedure or after failure of GB. |
| Databáze: | OpenAIRE |
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