Department of Surgery, Madigan Army Medical Center, Tacoma, Washington, USA.
Surg Obes Relat Dis. 2009 Nov-Dec;5(6):657-61. doi: 10.1016/j.soard.2009.05.012. Epub 2009 Jun 11.
As in civilian life, some active duty service members have developed severe obesity that is refractory to diet alteration and exercise. In addition to controlling obesity, surgical weight control measures in an active duty population must consider the effect of the postbariatric state on a service member's ability to continue to be deployable to a war zone or other austere military assignment. We report our experience with such patients undergoing open resectional gastric bypass.
We retrospectively reviewed the perioperative and long-term outcomes of 33 active duty service members who had undergone open gastric bypass by the same surgical team at a single institution during a 30-month period. Data were collected by chart review and questionnaires. Descriptive and inferential analyses were performed using Statistical Package for Social Sciences, version 14.0.
The questionnaires were returned by 27 patients (13 women and 14 men). The mean age at surgery was 34.2 years (range 24-51). The mean follow-up was 218 weeks (range 162-369). The mean preoperative body mass index was 40.6 kg/m(2) (range 34.0-49.4). The mean postoperative BMI was 25.6 kg/m(2) (range 19-34.7). Using the Bariatric Analysis and Reporting Outcome System outcome criteria for these 27 patients, the results were fair for 4 patients (15%), good for 9 (33%), very good for 12 (44%), and excellent for 2 (7%). No patients had treatment failure according to the Bariatric Analysis and Reporting Outcome System criteria. Also, 5 patients who had previously been nonpromotable because of their weight were reclassified as promotable after the results of the bariatric intervention. Of the 27 patients, all but 3 maintained or achieved deployable status after surgical recovery.
As in civilian populations, bariatric surgery improves the quality of life of active duty service members who have failed nonoperative means of obesity control. Most service members who undergo bariatric intervention are able to successfully deploy to war zones without adverse effects on their military performance and retain or improve their competitiveness for career promotion.
与平民生活一样，一些现役军人患有严重肥胖症，这种肥胖症无法通过改变饮食和锻炼来控制。除了控制肥胖症之外，现役人群的手术体重控制措施还必须考虑到减重后的状态对军人继续部署到战区或其他艰苦军事任务区的能力的影响。我们报告了我们在同一机构的一个单一机构中由同一手术团队对 33 名现役军人进行开放式减肥胃旁路手术的经验。通过病历回顾和问卷调查收集数据。使用社会科学统计软件包 14.0 进行描述性和推理分析。
我们通过问卷调查的方式对在 30 个月期间在同一机构接受开放式胃旁路手术的 33 名现役军人的围手术期和长期结果进行了回顾。通过图表回顾和问卷调查收集数据。使用社会科学统计软件包 14.0 进行描述性和推理分析。
与平民人群一样，减重手术改善了因肥胖而未能通过非手术手段控制体重的现役军人的生活质量。大多数接受减重干预的军人都能够成功部署到战区，而不会对其军事表现产生不利影响，并保留或提高其职业晋升的竞争力。
