Ruiz-Tovar Jaime, Boix Evangelina, Bonete José María, Martínez Rosana, Zubiaga Lorea, Díez María, Calpena Rafael
Servicio de Cirugía General, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España.
Servicio de Endocrinología, Unidad de Obesidad, Hospital General Universitario de Elche, Alicante, España.
Cir Esp. 2015 Apr;93(4):241-7. doi: 10.1016/j.ciresp.2014.04.010. Epub 2014 Oct 22.
Weight loss depends directly on the adhesion to the postoperative diet in patients undergoing a sleeve gastrectomy. The aim of this study is to evaluate the effect of different preoperative feeding patterns and the adhesion to a preoperative diet on short and mid- term postoperative weight loss.
A prospective study of all morbidly obese patients undergoing a laparoscopic sleeve gastrectomy as a bariatric procedure between 2008 and 2012 was performed. Preoperative feeding patterns and weight loss, preoperatively and postoperatively at 12 and 24 months, were evaluated.
A total of 50 patients were included, with a mean preoperative BMI of 51,2+7,9 kg/m(2). All the patients presented a feeding pattern of big eaters, 44% of snackers, 40% of sweet eaters and 48% reported regular ingestion of «light» soft drinks. Mean preoperative excess weight loss (EWL) was 13,4% (range 10-31,4%). At 12 months mean EWL was 83,7% and at 24 months 82,4%. Pre and postoperative EWL showed a direct correlation at 12 and 24 months. Mean EWL was significantly lower in snackers, sweet eaters and those drinking «light» soft drinks regularly.
Preoperative weight loss correlates directly with postoperative weight loss at 1 and 2 years. Snackers, sweet eaters and «light» soft drink consumers, associated with a big eater pattern, achieve a significantly lower postoperative weight loss.
减肥直接取决于接受袖状胃切除术患者对术后饮食的依从性。本研究的目的是评估不同术前饮食模式以及对术前饮食的依从性对术后短期和中期体重减轻的影响。
对2008年至2012年间所有接受腹腔镜袖状胃切除术作为减肥手术的病态肥胖患者进行了一项前瞻性研究。评估了术前饮食模式以及术前、术后12个月和24个月时的体重减轻情况。
共纳入50例患者，术前平均体重指数为51.2±7.9kg/m²。所有患者均呈现暴饮暴食的饮食模式，44%的人有吃零食的习惯，40%的人爱吃甜食，48%的人报告经常饮用“低糖”软饮料。术前平均超重减轻（EWL）为13.4%（范围为10%-31.4%）。12个月时平均EWL为83.7%，24个月时为82.4%。术前和术后EWL在12个月和24个月时呈直接相关。吃零食者、爱吃甜食者以及经常饮用“低糖”软饮料者的平均EWL显著较低。
术前体重减轻与术后1年和2年的体重减轻直接相关。与暴饮暴食模式相关的吃零食者、爱吃甜食者和“低糖”软饮料消费者术后体重减轻明显较低。
