The paradox of Zeno in bariatric surgery weight loss: Superobese patients run faster than morbidly obese patients, but can't overtake them

Autor: Fabio Medas, Enrico Moroni, Simona Deidda, Luigi Zorcolo, Angelo Restivo, Gian Luigi Canu, Federico Cappellacci, Pietro Giorgio Calò, Stefano Pintus, Giovanni Fantola
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Surgery, Vol 10 (2023)
Druh dokumentu: article
ISSN: 2296-875X
DOI: 10.3389/fsurg.2023.1100483
Popis: IntroductionSuperobesity (SO) is defined as a BMI > 50 Kg/m2, and represents the extreme severity of the disease, resulting in a challenge for the surgeons.MethodsIn this retrospective study we aimed to compare the outcomes of SO patients compared to morbidly obese (MO) patients.ResultsWe included in this study 154 MO patients, with a median preoperative BMI of 40.8 kg/m2, and 19 SO patients with median preoperative BMI of 54.9 kg/m2. The MO patients underwent sleeve gastrectomy (SG) in 62 (40.3%) cases, laparoscopic Roux-and-Y gastric bypass (LRYGBP) in 85 (55.2%) cases and One-Anastomosis Gastric Bypass (OAGB) in 7 (4.5%) cases. underwent OAGB. The patients in the SO group were submitted to SG in 11 (57.9%) cases, LRYGBP in 5 (26.3%) cases, and OAGB in 3 (15.8%). At 24-month follow-up, an excess weight loss (EWL) >50% was achieved in 129 (83.8%) patients in the MO group and in 15 (78.9%) in the SO group (p = 0.53). A BMI
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