Does preoperative weight loss predict success following surgery for morbid obesity?
| Autor: | Carlene Johnson Stoklossa, Bushr A. Mrad, Daniel W. Birch |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastroplasty Gastric Bypass Bariatric Surgery Comorbidity Preoperative care Weight loss Diabetes mellitus Preoperative Care Weight Loss medicine Humans Life Style Retrospective Studies business.industry Weight change Retrospective cohort study General Medicine medicine.disease Obesity Obesity Morbid Surgery Treatment Outcome Female medicine.symptom business Body mass index |
| Zdroj: | The American Journal of Surgery. 195:570-574 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2007.12.043 |
| Popis: | We analyzed preoperative weight loss as a predictor of postoperative success in patients after bariatric surgery.Data were obtained from a retrospective chart review of 562 patients in a multidisciplinary obesity clinic.One hundred forty-six patients met the inclusion criteria (23 men and 123 women). The mean age was 39.5 years, and the mean body mass index (BMI) was 52.6 kg/m(2). Comorbid disease includes diabetes (15.7%), hypertension (30.8%), mental illness (38.4%), and musculoskeletal disease (56.8%). Procedures performed were 16 vertical band gastroplasties, 43 open gastric bypasses, 52 laparoscopic gastric bypasses, and 35 laparoscopic adjustable gastric bands. Preoperative weight change was as follows: 31 patients gained weight (21.2%), 56 patients lost weight (38.3%), and 59 patients maintained their weight (40.4%). Postoperative weight loss was not influenced by preoperative weight change among women. However, men who gained weight preoperatively had significantly worse outcomes.Patients may achieve satisfactory early postoperative outcomes despite inconsistent or marginal preoperative weight change. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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