Wockhardt Hospitals, Mumbai Central, Mumbai, India.
Bariatric and Metabolic Surgery, Wockhardt Hospitals, Mumbai, India.
Obes Surg. 2018 Sep;28(9):2712-2719. doi: 10.1007/s11695-018-3218-8.
Bariatric surgery has seen a sharp rise in India in the last decade. India is one of the 10 most obese nations of the world, ranking second in number of type 2 diabetics.
To evaluate clinical outcomes of bariatric surgery after 3 years of follow-up in terms of weight loss, co-morbidity resolution, complaints of gastroesophageal reflux disease and weight regain.
All patients who underwent bariatric surgery from January to December 2013 with a minimum follow-up of 3 years were included in the study. Their demographic, preoperative, and postoperative data were prospectively maintained on Microsoft Office Excel and analyzed statistically.
One hundred seventy-eight patients (157 lap. sleeve gastrectomy and 21 patients lap. RYGB) completed 3 years of follow-up. In the LSG group, patients had a pre-operative BMI 44.8 ± 8.33 kg/sq. m (mean ± S.D.) and excess body weight 52.3 ± 23.0 kg. In the RYGB group, pre-operative BMI was 42.7 ± 8.82 kg/sq. m and excess body weight 45 ± 18.7 kg. In the LSG group, % excess weight loss (EWL) at 1 year was 87.6 ± 24.4% and 3 years was 71.8 ± 26.7%. In the RYGB group, % EWL at 1 year was 97.2 ± 27.3% and at 3 years was 85.8 ± 25.3%. Diabetes resolution was seen in 32 (80%) in LSG group and 11 (91.7%) in RYGB group (Figs. 1, 2, 3, and 4).
Our study reflects that there is no statistically significant difference between outcomes of sleeve gastrectomy and Roux-en-Y gastric bypass surgery in terms of weight loss and diabetes resolution at 3 years.
在过去的十年中，印度的减重手术数量急剧增加。印度是世界上肥胖人数最多的 10 个国家之一，也是 2 型糖尿病患者数量排名第二的国家。
评估 3 年随访时减重手术后的体重减轻、合并症缓解、胃食管反流病症状和体重反弹的临床结果。
本研究纳入了 2013 年 1 月至 12 月期间接受减重手术且随访时间至少 3 年的所有患者。他们的人口统计学、术前和术后数据在 Microsoft Office Excel 中进行了前瞻性维护，并进行了统计学分析。
178 例患者（157 例行腹腔镜袖状胃切除术，21 例行腹腔镜 RYGB 术）完成了 3 年的随访。在 LSG 组中，患者术前 BMI 为 44.8 ± 8.33kg/m²（平均值 ± S.D.），超重 52.3 ± 23.0kg。在 RYGB 组中，术前 BMI 为 42.7 ± 8.82kg/m²，超重 45 ± 18.7kg。在 LSG 组中，术后 1 年的体质量减轻百分比（EWL）为 87.6 ± 24.4%，术后 3 年的 EWL 为 71.8 ± 26.7%。在 RYGB 组中，术后 1 年的 EWL 为 97.2 ± 27.3%，术后 3 年的 EWL 为 85.8 ± 25.3%。LSG 组中有 32 例（80%）糖尿病患者得到缓解，RYGB 组中有 11 例（91.7%）糖尿病患者得到缓解（图 1、2、3 和 4）。
本研究表明，在术后 3 年时，袖状胃切除术和 Roux-en-Y 胃旁路手术在体重减轻和糖尿病缓解方面的结果没有统计学上的显著差异。
