Kayali M S, Arslan H K, Yilmaz E, Eti S, Özdenkaya Y, Omer A
Department of Gynecology and Obstetrics, School of Medicine, Istanbul, Turkey.
International School of Medicine, Istanbul, Turkey.
Acta Endocrinol (Buchar). 2023 Jul-Sep;19(3):326-332. doi: 10.4183/aeb.2023.326. Epub 2024 Feb 1.
Sleeve gastrectomy is an effective method for management of obesity. The Bariatric Analysis and Reporting Outcome System (BAROS) is a comprehensive and standard system for the assessment of outcomes of weight loss surgery. It is consisted of weight loss, changes in obesity-related comorbidities and quality of life measurements. We investigated results of the sleeve gastrectomy based on the BAROS.
Outcomes of laparoscopic sleeve gastrectomy surgery was studied in 45 patients with obesity (11 male, 34 female), after 45 months in Turkey.
Total weight loss was 26.4±0.1% of body weight at 45 months. Weight regain was seen in 97.8% of the patients with an average 14.5 kg and 13.7% body mass index points. The surgery caused 76% decrease in incidence of obstructive sleep apnea, 73% decrease in type 2 diabetes, 63% decrease in hyperlipidemia and 62% decrease in hypertension. Significant improvement is observed in all quality-of-life parameters. The final score of the BAROS was 4.23±1.02.
Based on BAROS, sleeve gastrectomy provides significant improvements in weight loss, incidence of medical comorbidities and quality of life after surgery. Future studies should address prevention of weight regain after the surgery.
袖状胃切除术是治疗肥胖症的一种有效方法。肥胖症分析与报告结果系统（BAROS）是一种用于评估减肥手术效果的全面且标准化的系统。它由体重减轻、肥胖相关合并症的变化以及生活质量测量组成。我们基于BAROS对袖状胃切除术的结果进行了调查。
对土耳其45例肥胖患者（11例男性，34例女性）进行了腹腔镜袖状胃切除术后45个月的手术效果研究。
45个月时总体重减轻为体重的26.4±0.1%。97.8%的患者出现体重反弹，平均反弹14.5千克，体重指数增加13.7个百分点。该手术使阻塞性睡眠呼吸暂停的发生率降低了76%，2型糖尿病的发生率降低了73%，高脂血症的发生率降低了63%，高血压的发生率降低了62%。所有生活质量参数均有显著改善。BAROS的最终评分为4.23±1.02。
基于BAROS，袖状胃切除术在术后体重减轻、内科合并症发生率及生活质量方面均有显著改善。未来的研究应关注术后体重反弹的预防。
