Predicted weight loss result of laparoscopic sleeve gastrectomy: Review of the first 82 consecutive patients in an Asian bariatric unit
Summary: Background: Obesity is a great concern in developed countries such as Taiwan. Laparoscopic sleeve gastrectomy (LSG) is becoming a popular and stand-alone bariatric procedure. The aim of this study is to analyze the factors that affect the weight loss outcome in our patients after LSG. Meth...
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doaj-f86bd78a33e947febe388147f91cfac72020-11-24T22:52:40ZengElsevierAsian Journal of Surgery1015-95842019-01-01421373378Predicted weight loss result of laparoscopic sleeve gastrectomy: Review of the first 82 consecutive patients in an Asian bariatric unitChun-Wei Huang0Wei Jiun Tang1Yu-Yin Liu2Chun-Yi Tsai3Ta-Sen Yeh4Keng-Hao Liu5Department of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, TaiwanSchool of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of General Surgery, Chang Gung Memorial Hospital at Kaohsiung, Chang Gung University, Kaohsiung, TaiwanDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, TaiwanDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, TaiwanDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, Taiwan; Corresponding author. 5, Fu-Hsing Street, Kwei-Shan, Taoyuan, Taiwan.Summary: Background: Obesity is a great concern in developed countries such as Taiwan. Laparoscopic sleeve gastrectomy (LSG) is becoming a popular and stand-alone bariatric procedure. The aim of this study is to analyze the factors that affect the weight loss outcome in our patients after LSG. Methods: Eighty-two consecutive patients who underwent LSG between Oct. 2012 and Sept. 2015 were included. Patients were asked to fill out questionnaires during first visit. The endpoint of this review was the factors affecting excess weight loss (%EWL) ≧ 50% at post-operative 12-months. Results: Sixty-seven patients (81.7%) completed 12 months of post-operative follow-up. The pre-operative mean weight and height were 109.7 kg and 165.7 cm (BMI of 40.4 kg/m2). There was no surgical mortality, but 2 (2.4%) patients suffered from severe complications. The mean post-operative body weights in post-operative months 1, 3, 6 and 12 were 100.4 kg, 90.5 kg, 88.0 kg, 83.6 kg, with 18.8%, 37.1%, 57.1% and 51.2% EWL. The percentage of total weight loss (%TWL) after 12 months follow-up was 23.2%. In univariate analysis, younger patients achieved better than 50% EWL (p = 0.013). Patients who reported pre-operative alcohol consumption, without psychiatric history and without osteoarthritis showed a better trend of achieving 50% EWL. In multi-variate analysis, younger patients (p = 0.042), with pre-operative alcohol consumption (p = 0.036) and without psychiatric history (p = 0.040) significantly achieved more than 50% EWL. Conclusion: Younger age, pre-operative alcohol consumption and absence of psychiatric disease were positive predictor factors for successful weight loss after LSG. Keywords: Laparoscopic sleeve gastrectomy, Age, Alcohol, Psychiatrichttp://www.sciencedirect.com/science/article/pii/S1015958418302525 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chun-Wei Huang Wei Jiun Tang Yu-Yin Liu Chun-Yi Tsai Ta-Sen Yeh Keng-Hao Liu |
spellingShingle |
Chun-Wei Huang Wei Jiun Tang Yu-Yin Liu Chun-Yi Tsai Ta-Sen Yeh Keng-Hao Liu Predicted weight loss result of laparoscopic sleeve gastrectomy: Review of the first 82 consecutive patients in an Asian bariatric unit Asian Journal of Surgery |
author_facet |
Chun-Wei Huang Wei Jiun Tang Yu-Yin Liu Chun-Yi Tsai Ta-Sen Yeh Keng-Hao Liu |
author_sort |
Chun-Wei Huang |
title |
Predicted weight loss result of laparoscopic sleeve gastrectomy: Review of the first 82 consecutive patients in an Asian bariatric unit |
title_short |
Predicted weight loss result of laparoscopic sleeve gastrectomy: Review of the first 82 consecutive patients in an Asian bariatric unit |
title_full |
Predicted weight loss result of laparoscopic sleeve gastrectomy: Review of the first 82 consecutive patients in an Asian bariatric unit |
title_fullStr |
Predicted weight loss result of laparoscopic sleeve gastrectomy: Review of the first 82 consecutive patients in an Asian bariatric unit |
title_full_unstemmed |
Predicted weight loss result of laparoscopic sleeve gastrectomy: Review of the first 82 consecutive patients in an Asian bariatric unit |
title_sort |
predicted weight loss result of laparoscopic sleeve gastrectomy: review of the first 82 consecutive patients in an asian bariatric unit |
publisher |
Elsevier |
series |
Asian Journal of Surgery |
issn |
1015-9584 |
publishDate |
2019-01-01 |
description |
Summary: Background: Obesity is a great concern in developed countries such as Taiwan. Laparoscopic sleeve gastrectomy (LSG) is becoming a popular and stand-alone bariatric procedure. The aim of this study is to analyze the factors that affect the weight loss outcome in our patients after LSG. Methods: Eighty-two consecutive patients who underwent LSG between Oct. 2012 and Sept. 2015 were included. Patients were asked to fill out questionnaires during first visit. The endpoint of this review was the factors affecting excess weight loss (%EWL) ≧ 50% at post-operative 12-months. Results: Sixty-seven patients (81.7%) completed 12 months of post-operative follow-up. The pre-operative mean weight and height were 109.7 kg and 165.7 cm (BMI of 40.4 kg/m2). There was no surgical mortality, but 2 (2.4%) patients suffered from severe complications. The mean post-operative body weights in post-operative months 1, 3, 6 and 12 were 100.4 kg, 90.5 kg, 88.0 kg, 83.6 kg, with 18.8%, 37.1%, 57.1% and 51.2% EWL. The percentage of total weight loss (%TWL) after 12 months follow-up was 23.2%. In univariate analysis, younger patients achieved better than 50% EWL (p = 0.013). Patients who reported pre-operative alcohol consumption, without psychiatric history and without osteoarthritis showed a better trend of achieving 50% EWL. In multi-variate analysis, younger patients (p = 0.042), with pre-operative alcohol consumption (p = 0.036) and without psychiatric history (p = 0.040) significantly achieved more than 50% EWL. Conclusion: Younger age, pre-operative alcohol consumption and absence of psychiatric disease were positive predictor factors for successful weight loss after LSG. Keywords: Laparoscopic sleeve gastrectomy, Age, Alcohol, Psychiatric |
url |
http://www.sciencedirect.com/science/article/pii/S1015958418302525 |
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