Biliopancreatic Diversion (BPD), Long Common Limb Revisional Biliopancreatic Diversion (BPD + LCL–R), Roux-en-Y Gastric Bypass [RYGB] and Sleeve Gastrectomy (SG) mediate differential quantitative changes in body weight and qualitative modifications in body composition: a 5-year study
| Autor: | Franco Folli, Roberto Manfrini, Ahmed S. Zakaria, Valerio Ceriani, Antonio E. Pontiroli, Ferdinando Pinna, Antonio Galantino |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Sleeve gastrectomy
medicine.medical_specialty Gastric bypass Endocrinology Diabetes and Metabolism medicine.medical_treatment Body water Revised biliary pancreatic diversion Gastroenterology Body composition Endocrinology Weight loss Gastrectomy Diabetes mellitus Internal medicine Internal Medicine medicine Humans Obesity Biliary pancreatic diversion Biliopancreatic Diversion Retrospective Studies Bariatric surgery Fat mass business.industry nutritional and metabolic diseases General Medicine medicine.disease Roux-en-Y anastomosis Obesity Morbid Fat-free mass Treatment Outcome Total body water Original Article medicine.symptom business Body mass index Follow-Up Studies |
| Zdroj: | Acta Diabetologica |
| ISSN: | 1432-5233 0940-5429 |
| Popis: | Aims Bariatric surgeries induce profound weight loss (decrease in body mass index, BMI), through a decrease in fat mass (FM) and to a much lesser degree of fat-free mass (FFM). Some reports indicate that the weight which is lost after gastric bypass (RYGB) and sleeve gastrectomy (SG) is at least partially regained 2 years after surgery. Here we compare changes in BMI and body composition induced by four bariatric procedures in a 5 years follow-up study. Methods We analyzed retrospectively modifications in BMI, FM and FFM obtained through Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), biliopancreatic diversion (BPD) and a long common limb revisional biliopancreatic diversion (reduction of the gastric pouch and long common limb; BPD + LCL−R). Patients were evaluated at baseline and yearly for 5 years. Of the whole cohort of 565 patients, a subset of 180 patients had all yearly evaluations, while the remaining had incomplete evaluations. Setting University Hospital. Results In a total of 180 patients evaluated yearly for 5 years, decrease in BMI and FM up to 2 years was more rapid with RYGB and SG than BPD and BPD + LCL−R; with RYGB and SG both BMI and FM slightly increased in the years 3–5. At 5 years, the differences were not significant. When analysing the differences between 2 and 5 years, BPD + LCL−R showed a somewhat greater effect on BMI and FM than RYGB, BPD and SG. Superimposable results were obtained when the whole cohort of 565 patients with incomplete evaluation was considered. Conclusions All surgeries were highly effective in reducing BMI and fat mass at around 2 years; with RYGB and SG both BMI and FM slightly increased in the years 3–5, while BPD and BPD + LCL−R showed a slight further decreases in the same time interval. |
| Databáze: | OpenAIRE |
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