Weight loss and metabolic benefits of bariatric surgery in China : A multicenter study

© 2023 The Authors. Journal of Diabetes published by Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd..

BACKGROUND: This retrospective multicenter study evaluated the efficacy and safety of bariatric surgery in Chinese patients with obesity.

METHODS: Patients with obesity who underwent laparoscopic sleeve gastrectomy or laparoscopic Roux-en-Y gastric bypass and completed a 12-month follow-up between February 2011 and November 2019 were enrolled. Weight loss, glycemic and metabolic control, insulin resistance, cardiovascular risk, and surgery-related complications at 12 months were analyzed.

RESULTS: We enrolled 356 patients aged 34.3 ± 0.6 years with a mean body mass index of 39.4 ± 0.4 kg/m2 . Successful weight loss occurred in 54.6%, 86.8%, and 92.7% of patients at 3, 6, and 12 months, respectively, with no difference in percent excess weight loss between the laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass surgery groups. The average percentage of total weight loss was 29.5% ± 0.6% at 12 months; 99.4%, 86.8%, and 43.5% of patients achieved at least 10%, 20%, and 30% weight loss, respectively, at 12 months. Significant improvements in metabolic indices, insulin resistance, and inflammation biomarkers were observed at 12 months.

CONCLUSIONS: Bariatric surgery resulted in successful weight loss and improved metabolic control, insulin resistance, and cardiovascular risk in Chinese patients with obesity. Both laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass are suitable approaches for such patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Journal of diabetes - 15(2023), 9 vom: 18. Sept., Seite 787-798

Sprache:

Englisch

Beteiligte Personen:

Feng, Wenhuan [VerfasserIn]
Zhu, Zhiming [VerfasserIn]
Li, Xiaoying [VerfasserIn]
Zhou, Zhiguang [VerfasserIn]
Qu, Shen [VerfasserIn]
Sun, Xitai [VerfasserIn]
Zhu, Dalong [VerfasserIn]

Links:

Volltext

Themen:

中国
减重手术
回顾性研究
肥胖症
Bariatric surgery
China
Journal Article
Multicenter Study
Obesity
Retrospective study

Anmerkungen:

Date Completed 21.09.2023

Date Revised 22.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/1753-0407.13430

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359156886