腹腔镜袖状胃切除术前胃容量与体重减轻之间的相关性
Correlation Between Preoperative Gastric Volume and Weight Loss After Laparoscopic Sleeve Gastrectomy.
作者信息
Salman Mohamed AbdAlla, Elshazli Mostafa, Shaaban Mohamed, Esmat Mohamed Moustafa, Salman Ahmed, Ibrahim Heba Mahmoud Mohamed, Tourky Mohamed, Helal Alaa, Mahmoud Ahmed Abdelrahman, Aljarad Feras, Saadawy Amr M Ismaeel, Shaaban Hossam El-Din, Mansour Doaa
机构信息
General Surgery Department, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt.
Damietta General Hospital, General Surgery Department, Damietta, Egypt.
出版信息
Int J Gen Med. 2021 Nov 12;14:8135-8140. doi: 10.2147/IJGM.S335368. eCollection 2021.
PURPOSE
Long-term studies reported inadequate weight loss or weight regain after laparoscopic sleeve gastrectomy (LSG). This study investigated a possible relationship between preoperative gastric volume (GV) measured by CT volumetry and weight loss one year after LSG.
METHODS
This prospective study included 120 patients scheduled for LSG. 3D CT gastric volumetry was done before surgery. The weight loss in the first year was serially recorded. The primary outcome measure was the correlation between preoperative GV and postoperative weight loss after one year. The secondary outcomes were the correlation between preoperative GV and other patients' characteristics as age and body mass index (BMI).
RESULTS
Weight and BMI decreased significantly up to 12 months. The percentage of excess weight loss (%EWL) at 6 and 12 months was significantly higher than at three months. Preoperative GV was 1021 ± 253, ranging from 397 to 1543 mL. GV was not related to sex, age, weight, height, postoperative weight, and BMI.
CONCLUSION
Preoperative gastric volume cannot predict weight loss one year after LSG. It is not correlated with age, sex, or preoperative weight, and BMI.
目的
长期研究报告称，腹腔镜袖状胃切除术（LSG）后体重减轻不足或体重反弹。本研究调查了通过CT容积测量法测得的术前胃容积（GV）与LSG术后一年体重减轻之间的可能关系。
方法
这项前瞻性研究纳入了120例计划接受LSG的患者。术前进行了三维CT胃容积测量。连续记录第一年的体重减轻情况。主要结局指标是术前GV与术后一年体重减轻之间的相关性。次要结局指标是术前GV与其他患者特征（如年龄和体重指数（BMI））之间的相关性。
结果
体重和BMI在12个月内显著下降。6个月和12个月时的超重减轻百分比（%EWL）显著高于3个月时。术前GV为1021±253，范围为397至1543 mL。GV与性别、年龄、体重、身高、术后体重和BMI无关。
结论
术前胃容积无法预测LSG术后一年的体重减轻情况。它与年龄、性别、术前体重和BMI均无相关性。
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