Background characteristics and postoperative outcomes of insufficient weight loss after laparoscopic sleeve gastrectomy in Japanese patients

Autor: Atsuhito Saiki, Takashi Yamaguchi, Sho Tanaka, Akira Sasaki, Takeshi Naitoh, Yasuyuki Seto, Hisahiro Matsubara, Koutaro Yokote, Shinichi Okazumi, Satoshi Ugi, Hiroshi Yamamoto, Masayuki Ohta, Yasushi Ishigaki, Kazunori Kasama, Yosuke Seki, Junichiro Irie, Toru Kusakabe, Motoyoshi Tsujino, Hideharu Shimizu, Kohji Shirai, Akira Onozaki, Aya Kitahara, Karin Hayashi, Yasuhiro Miyazaki, Takayuki Masaki, Daiji Nagayama, Shigeo Yamamura, Ichiro Tatsuno, Japanese Survey of Morbid and Treatment‐Resistant Obesity Group (J‐SMART Group)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Annals of Gastroenterological Surgery, Vol 3, Iss 6, Pp 638-647 (2019)
Druh dokumentu: article
ISSN: 2475-0328
DOI: 10.1002/ags3.12285
Popis: Abstract Aim Laparoscopic sleeve gastrectomy (LSG) is becoming popular in Japan, but insufficient weight loss is often observed in patients after LSG. We investigated the effect of LSG on obesity‐related comorbidities and identified the background characteristics of Japanese patients with insufficient weight loss after LSG. Methods In this multi‐institutional retrospective study at 10 certified bariatric institutions, 322 Japanese patients who underwent LSG with a follow‐up period of more than 2 years were analyzed. Anthropometry, obesity‐related comorbidities and psychosocial background data were collected. Weight loss was expressed as 2‐year percent total weight loss (%TWL). Results Mean age, body weight, body mass index (BMI) and glycated hemoglobin were 46.9 years, 119.2 kg, 43.7 kg/m2 and 7.1%, respectively. Prevalence of mental disorders was 26.3%. Mean BMI declined to 30.3 kg/m2 at 2 years and %TWL was 29.9%. Improvements in the markers and prevalence of obesity‐related comorbidities were observed. Remission rates of diabetes, dyslipidemia and hypertension were 75.6%, 59.7% and 41.8%, respectively. %TWL at the respective cut‐off level of diabetes remission was 20.8%. Lower remission rates of diabetes in patients with %TWL
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