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病态肥胖患者减肥手术的临床特征和短期结果:一家乡村医院的机构经验

Clinical Features and Short-Term Outcomes of Bariatric Surgery in Morbidly Obese Patients: Institutional Experience at a Rural Hospital.

作者信息

Senol Kazim, Ferhatoglu Murat Ferhat, Kocaeli Aysen Akkurt, Dundar Halit Ziya, Kaya Ekrem

机构信息

Department of General Surgery, Faculty of Medicine, Uludag University, Bursa, Turkey.

Department of General Surgery, Faculty of Medicine, Okan University, İstanbul, Turkey.

出版信息

Bariatr Surg Pract Patient Care. 2021 Mar 1;16(1):61-67. doi: 10.1089/bari.2020.0110. Epub 2021 Mar 15.

Abstract

To prospectively evaluate the postoperative morbidity, mortality, and weight loss evolution of patients who underwent a bariatric procedure during 1 year of follow-up. Since July 2016, a total of 101 patients' data have been prospectively registered in a database. Comorbidities, operating time, hospital stay, early and late complications rate, and weight loss evolution after 1 year of follow-up were recorded. The mean age was 38.41 ± 11.05 years with a mean body mass index (BMI) of 49.02 ± 5.89 kg/m (range 38-67). Laparoscopic sleeve gastrectomy (LSG) was performed in 93 patients (92.07%) and Roux-en-Y gastric bypass (RNYGB) in 8 patients (7.92%). Thirty-day morbidity rate was 7.92% (8/101). Within a mean 9.32 ± 2.25 (range 1-19) months follow-up time, mean percent of the excess of weight loss of 1st, 6th, and 12th months were 22.7 ± 6.1, 67.2 ± 11.2, and 81.4 ± 10.5, respectively. Diabetes ( = 38, 37.6%), hypertension ( = 13, 12.9%), and obstructive sleep apnea ( = 5, 4.9%) were resolved in 76%, 68.4%, and 100% of the patients, respectively ( < 0.001). LSG and RNYGB are safe and highly effective, particularly in patients with a BMI >50 kg/m. Both techniques have been presented with better clinical outcomes regarding significant comorbidity resolution in the early evolution of weight loss.

摘要

前瞻性评估接受减重手术患者在1年随访期内的术后发病率、死亡率及体重减轻情况。自2016年7月起,共有101例患者的数据被前瞻性地录入数据库。记录合并症、手术时间、住院时间、早期和晚期并发症发生率以及随访1年后的体重减轻情况。平均年龄为38.41±11.05岁,平均体重指数(BMI)为49.02±5.89kg/m²(范围38 - 67)。93例患者(92.07%)接受了腹腔镜袖状胃切除术(LSG),8例患者(7.92%)接受了Roux - en - Y胃旁路术(RNYGB)。30天发病率为7.92%(8/101)。在平均9.32±2.25(范围1 - 19)个月的随访期内,第1、6和12个月超重减轻的平均百分比分别为22.7±6.1、67.2±11.2和81.4±10.5。糖尿病(n = 38,37.6%)、高血压(n = 13,12.9%)和阻塞性睡眠呼吸暂停(n = 5,4.9%)分别在76%、68.4%和100%的患者中得到缓解(P < 0.001)。LSG和RNYGB安全且高效,尤其对于BMI>50kg/m²的患者。在体重减轻的早期阶段,两种技术在显著缓解合并症方面均呈现出更好的临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc9c/7984649/d0d04940d1fc/bari.2020.0110_figure1.jpg

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