Bang Guy Aristide, Oumarou Blondel Nana, Savom Eric Patrick, Nketcha Johanna Joyce Mbianda, Essomba Arthur
Service de Chirurgie Viscérale et Laparoscopique, Département de Chirurgie et Spécialités, Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Yaoundé, Cameroun.
Département de Chirurgie et Spécialités, Faculté de Médecine et des Sciences Biomédicales de l'Université de Yaoundé I, Yaoundé, Cameroun.
Pan Afr Med J. 2024 Oct 22;49:49. doi: 10.11604/pamj.2024.49.49.32728. eCollection 2024.
While the prevalence of overweight and obesity is rising in Africa, the practice of bariatric surgery remains limited in our country, Cameroon. Weight loss outcomes following sleeve gastrectomy (SG), the most widely used bariatric surgery technique worldwide, have not yet been studied in our context. The medical records of all patients who underwent SG in our surgery department between January 1, 2016, and September 30, 2020, were reviewed retrospectively. The primary outcome studied was medium-term weight loss, one year after surgery. Weight loss was calculated using the postoperative body mass index (BMI) and the percentage of excess weight loss (%EWL). Reinhold criteria were used to assess the %EWL. We collected data from the medical records of 21 patients, of whom 19 (90.5%) were female. The average age of patients was 40.3±10.8 years, with a mean BMI of 44.9±7.4 kg/m. All patients had at least one obesity-related comorbidity. All procedures were performed laparoscopically, without conversion, with a mean duration of 192.2±52.8 min. One year after surgery, the mean BMI was 32.51±3.7 kg/m and the mean %EWL was 63.35±6.5%. According to Reinhold's criteria, the %EWL was considered satisfactory. In our context, SG provides satisfactory results for medium-term weight loss.
虽然非洲超重和肥胖的患病率在上升,但在我国喀麦隆,减肥手术的开展仍然有限。袖状胃切除术(SG)是全球使用最广泛的减肥手术技术,在我国尚未对其减肥效果进行研究。我们回顾性分析了2016年1月1日至2020年9月30日期间在我院外科接受SG手术的所有患者的病历。主要研究结果是术后一年的中期体重减轻情况。体重减轻通过术后体重指数(BMI)和超重减轻百分比(%EWL)来计算。采用莱因霍尔德标准评估%EWL。我们从21例患者的病历中收集了数据,其中19例(90.5%)为女性。患者的平均年龄为40.3±10.8岁,平均BMI为44.9±7.4kg/m²。所有患者至少有一种与肥胖相关的合并症。所有手术均通过腹腔镜进行,无中转开腹,平均手术时间为192.2±52.8分钟。术后一年,平均BMI为32.51±3.7kg/m²,平均%EWL为63.35±6.5%。根据莱因霍尔德标准,%EWL被认为是令人满意的。在我国,SG在中期体重减轻方面提供了令人满意的结果。