Long-term effect of bariatric surgery versus conventional therapy in obese Korean patients: a multicenter retrospective cohort study
| Autor: | Joong-Min Park, Ja Youn Lee, Sang Moon Han, Jin-Won Kwon, Sang Kuon Lee, Do Joong Park, Ji Yeon Park, Yong Jin Kim, Yoonseok Heo, Kyung Won Shim, Seong Min Kim, Yeon Ji Lee |
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| Rok vydání: | 2019 |
| Předmět: |
Sleeve gastrectomy
medicine.medical_specialty Gastric bypass medicine.medical_treatment 01 natural sciences Morbid obesity 03 medical and health sciences 0302 clinical medicine Gastrectomy Weight loss Diabetes mellitus Medicine Term effect 030212 general & internal medicine 0101 mathematics Bariatric surgery business.industry 010102 general mathematics Retrospective cohort study medicine.disease Surgery Original Article medicine.symptom business Body mass index |
| Zdroj: | Annals of Surgical Treatment and Research |
| ISSN: | 2288-6796 2288-6575 |
| Popis: | Purpose Long-term results following bariatric surgery compared to conventional treatments has never been reported in morbidly obese Korean patients. This study aimed to evaluate the long-term efficacy of bariatric surgery in morbidly obese Korean patients compared to conventional medical treatments. Methods In this multicenter retrospective cohort study, we reviewed 137 obese subjects between January 2008 and February 2011 with a body mass index (BMI) > 30 kg/m2 who had more than 5 years of follow-up clinical data after bariatric surgery (surgery group, n = 49) or conventional treatment (conventional treatment group, n = 88). Anthropometric data and the status of comorbidities were compared between the 2 groups. Results The median follow-up period was 72.1 months (range 19.3–109.7 months). At the last follow-up, the surgery group showed a greater amount of total weight loss than the conventional treatment group (24.9% vs. 2.8%, P < 0.001). The prevalence of diabetes and hypertension significantly decreased in the surgery group, while the conventional treatment group showed a marked increase in these comorbidities. In the surgery group, Roux-en-Y gastric bypass and sleeve gastrectomy achieved comparable long-term weight loss (26.5% vs. 22.4%, respectively; P = 0.087). Conclusion In the long-term, bariatric surgery achieved and maintained significantly greater weight reduction, as well as a decrease in obesity-related comorbidities, than did conventional medical therapy in morbidly obese Korean patients. |
| Databáze: | OpenAIRE |
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