Efficacy of laparoscopic sleeve gastrectomy on morbidly obese patients
INTRODUCTION: Obesity is a modern-day epidemic that places a significant and growing burden on the health systems of societies and their financial resources.
OBJECTIVE: Our prospective, descriptive clinical study aimed to investigate the effect of laparoscopic gastric sleeve surgery in morbidly obese patients through a one-year follow-up.
METHOD: In our study, we included 151 patients who underwent laparoscopic gastric sleeve surgery. We performed cardiac ultrasound, respiratory function and laboratory tests for pre-operative examination, possible co-morbidities were assessed, and the parameters of morbid obesity were also recorded, before surgery, half a year and one year after.
RESULTS: Patients' body mass index decreased by 26.9% in the first six months and by 35.4% overall at one year, and body fat percentage decreased by 26.2% and 35%, respectively, over the same time intervals. The average age of patients was 41 years. Pre-operative cardiac ultrasound, respiratory function and laboratory tests showed no significant pathological abnormalities and a low rate of co-morbidities were associated with obesity (hypertension 51.7%, type two diabetes mellitus 13.8%).
DISCUSSION: Based on the one-year follow-up data, the surgery was effective in weight loss, but long-term results can be expected at the five-year assessment, as there is a risk of repeated weight gain. Based on our study, in the case of failure of conservative treatment, it is recommended to perform the surgery at a young age, achieving the appropriate weight loss before the appearance or further aggravation of co-morbidities. Thus, the perioperative risk (and the probability of the subsequent development or further deterioration of co-morbidities) will decrease; conversely, the number of years spent in a better quality of life will increase.
CONCLUSION: Laparoscopic sleeve gastrectomy is an effective weight loss procedure in the short term. If conservative treatment is ineffective, it is worthwhile to steer the patient towards invasive procedures as soon as possible to reduce the perioperative risk and the number of years spent in poor quality of life. Orv Hetil. 2023; 164(44): 1749-1754.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:164 |
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| Enthalten in: |
Orvosi hetilap - 164(2023), 44 vom: 05. Nov., Seite 1749-1754 |
| Sprache: |
Ungarisch |
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| Weiterer Titel: |
Kórosan elhízott betegeken végzett laparoszkópos csőgyomorképzés eredményességének vizsgálata |
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| Beteiligte Personen: |
Siptár, Miklós [VerfasserIn] |
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| Links: |
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| Themen: |
Bariátriai sebészet |
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| Anmerkungen: |
Date Completed 07.11.2023 Date Revised 07.11.2023 published: Electronic-Print Citation Status MEDLINE |
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| doi: |
10.1556/650.2023.32918 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Efficacy of laparoscopic sleeve gastrectomy on morbidly obese patients |
| 246 | 3 | 3 | |a Kórosan elhízott betegeken végzett laparoszkópos csőgyomorképzés eredményességének vizsgálata |
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| 500 | |a Date Revised 07.11.2023 | ||
| 500 | |a published: Electronic-Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a INTRODUCTION: Obesity is a modern-day epidemic that places a significant and growing burden on the health systems of societies and their financial resources | ||
| 520 | |a OBJECTIVE: Our prospective, descriptive clinical study aimed to investigate the effect of laparoscopic gastric sleeve surgery in morbidly obese patients through a one-year follow-up | ||
| 520 | |a METHOD: In our study, we included 151 patients who underwent laparoscopic gastric sleeve surgery. We performed cardiac ultrasound, respiratory function and laboratory tests for pre-operative examination, possible co-morbidities were assessed, and the parameters of morbid obesity were also recorded, before surgery, half a year and one year after | ||
| 520 | |a RESULTS: Patients' body mass index decreased by 26.9% in the first six months and by 35.4% overall at one year, and body fat percentage decreased by 26.2% and 35%, respectively, over the same time intervals. The average age of patients was 41 years. Pre-operative cardiac ultrasound, respiratory function and laboratory tests showed no significant pathological abnormalities and a low rate of co-morbidities were associated with obesity (hypertension 51.7%, type two diabetes mellitus 13.8%) | ||
| 520 | |a DISCUSSION: Based on the one-year follow-up data, the surgery was effective in weight loss, but long-term results can be expected at the five-year assessment, as there is a risk of repeated weight gain. Based on our study, in the case of failure of conservative treatment, it is recommended to perform the surgery at a young age, achieving the appropriate weight loss before the appearance or further aggravation of co-morbidities. Thus, the perioperative risk (and the probability of the subsequent development or further deterioration of co-morbidities) will decrease; conversely, the number of years spent in a better quality of life will increase | ||
| 520 | |a CONCLUSION: Laparoscopic sleeve gastrectomy is an effective weight loss procedure in the short term. If conservative treatment is ineffective, it is worthwhile to steer the patient towards invasive procedures as soon as possible to reduce the perioperative risk and the number of years spent in poor quality of life. Orv Hetil. 2023; 164(44): 1749-1754 | ||
| 650 | 4 | |a English Abstract | |
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| 650 | 4 | |a hypertension | |
| 650 | 4 | |a magasvérnyomás-betegség | |
| 650 | 4 | |a sleeve gastrectomy | |
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