Froylich Dvir, Corcelles Ricard, Daigle Christopher R, Aminian Ali, Isakov Raymond, Schauer Philip R, Brethauer Stacy A
Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio.
Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio; Fundació Clínic per la Recerca Biomèdica. Hospital Clínic of Barcelona, Universitat de Barcelona, Barcelona, Spain.
Surg Obes Relat Dis. 2016 Nov;12(9):1731-1736. doi: 10.1016/j.soard.2015.09.009. Epub 2015 Sep 21.
As the number of patients who have undergone bariatric surgery increases, it is expected that more patients will present for body contouring procedures after weight loss. It has been reported that abdominoplasty can improve mobility, reduce skin fold complications, and improve psychosocial functioning. No previous studies have evaluated weight loss in patients who pursue plastic surgery after bariatric surgery.
The aim of this study is to evaluate weight loss outcomes in patients who choose to undergo body contouring procedures after bariatric surgery.
Academic center, United States.
Patients who underwent body contouring procedures after bariatric surgery between 2002 and 2014 were included. A comparison was made to a matched cohort based on age, gender, type of bariatric procedure, preoperative body mass index (BMI), and length of follow-up.
In total, 186 patients had documentation of a body contouring procedure after bariatric surgery. There were 158 (84.9%) female participants in the body countering group. Mean age was 48.5±12.7 years and mean BMI was 49.8±10.4 kg/m. Roux-en-Y gastric bypass, sleeve gastrectomy, and adjustable gastric banding were performed in 157 (84.4%), 17 (9.1%), and 11 (5.9%) patients, respectively. After a matched follow-up period of 61 months, total weight loss was 43.0±22.6 kg in the body contouring group versus 33.5±21.7 kg in the control group (P<.001), percentage of total weight loss was 30.8±11.4% versus 24.0±13.2% (P<.001), percentage excess weight loss was 66.4±25% versus 52.5±30.5% (P<.001), and BMI dropped by 15.7±7.8 kg/m versus 12.1±7.3 kg/m (P<.001) in the body contouring group compared with the bariatric surgery-only group, respectively. Multivariate analysis indicated that body contouring after bariatric surgery is significantly associated with increase and durable weight loss (odds ratio 3.59, 95% confidence interval 2.04-5.14, P< .001).
Patients who underwent body contouring procedures after bariatric surgery had significantly better long-term weight loss than a matched cohort of patients. This finding likely has many contributing factors, and the association between long-term weight loss and body contouring procedures after bariatric surgery requires more detailed study.
随着接受减肥手术的患者数量增加，预计会有更多患者在体重减轻后进行身体塑形手术。据报道，腹壁成形术可改善活动能力、减少皮肤褶皱并发症并改善心理社会功能。此前尚无研究评估减肥手术后接受整形手术患者的体重减轻情况。
本研究的目的是评估减肥手术后选择进行身体塑形手术患者的体重减轻结果。
美国学术中心。
纳入2002年至2014年间接受减肥手术后进行身体塑形手术的患者。根据年龄、性别、减肥手术类型、术前体重指数（BMI）和随访时间，与匹配队列进行比较。
共有186例患者有减肥手术后身体塑形手术的记录。身体塑形组中有158例（84.9%）女性参与者。平均年龄为48.5±12.7岁，平均BMI为49.8±10.4kg/m²。分别有157例（84.4%）、17例（9.1%）和11例（5.9%）患者接受了Roux-en-Y胃旁路术、袖状胃切除术和可调节胃束带术。在61个月的匹配随访期后，身体塑形组的总体重减轻为43.0±22.6kg，而对照组为33.5±21.7kg（P<0.001）；总体重减轻百分比为30.8±11.4%，而对照组为24.0±13.2%（P<0.001）；超重减轻百分比为66.4±25%，而对照组为52.5±30.5%（P<0.001）；与仅接受减肥手术的组相比，身体塑形组的BMI下降了15.7±7.8kg/m²，而对照组为12.1±7.3kg/m²（P<0.001）。多因素分析表明，减肥手术后的身体塑形与体重增加和持久减轻显著相关（优势比3.59，95%置信区间2.04-5.14，P<0.001）。
减肥手术后进行身体塑形手术的患者长期体重减轻情况明显优于匹配的患者队列。这一发现可能有许多促成因素，减肥手术后长期体重减轻与身体塑形手术之间的关联需要更详细的研究。
