Weight loss before bariatric surgery and its impact on poor versus excellent outcomes at 2 years

Autor:	Fernando, Rodríguez, Antonio, Herrera, Elisa M, Sepúlveda, Lizbeth, Guilbert, Louis A, Hernández, Luis F, Peñuñuri, Fátima M, Rodríguez, Carlos, Zerrweck
Rok vydání:	2021
Předmět:	Adult Treatment Outcome Weight Loss Gastric Bypass Bariatric Surgery Humans Laparoscopy Middle Aged Body Mass Index Obesity Morbid Retrospective Studies
Zdroj:	Langenbeck's archives of surgery. 407(3)
ISSN:	1435-2451
Popis:	To identify preoperative factors that influence the outcomes of gastric bypass surgery, in terms of excess weight loss at 24 months.This retrospective study included two groups of patients who underwent laparoscopic gastric bypass surgery. Group A (poor outcomes) had ≤ 50%EWL or BMI ≥ 30 kg/mA total of 202 patients completed follow-up; 71 (35.1%) and 78 (38%) had poor and excellent outcomes (%EWL 44.1 ± 9.4% vs. 92 ± 10.9%), respectively. Mean age was 40.4 ± 8.9 years. Patients with poor outcomes had higher weight and BMI, lesser preoperative %EWL, higher dyslipidemia and diabetes rates with longer periods of evolution, and increased HbA1c% levels. In the linear regression analysis, preoperative %EWL and initial and preoperative BMI were statistically significant determinants of %EWL at 24 months Diabetes remission was 46.2% (group A) vs. 66.6% (group B). Group A had higher non-attendance rates after surgery.The factors independently associated with greater %EWL at 24 months between groups were higher preoperative %EWL, and lower initial and preoperative BMI.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::c0fc3f0a00fd490fe7ec89cf064b2457 https://pubmed.ncbi.nlm.nih.gov/35013797 Zobrazit plný text záznamu Full text from SpringerLink