A Comparison of the Bariatric Procedures that Are Performed in the Treatment of Super Morbid Obesity
Background We have experienced numerous cases of super morbid obesity (SMO), defined by a BMI of ≥50 kg/m 2 , in which laparoscopic sleeve gastrectomy (LSG) was not able to achieve a sufficient weight loss effect. However, the most appropriate procedure for the treatment of SMO has not yet been esta...
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| Veröffentlicht in: | Obesity surgery 2017-10, Vol.27 (10), p.2537-2545 |
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| container_title | Obesity surgery |
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| creator | Uno, Kohei Seki, Yosuke Kasama, Kazunori Wakamatsu, Kotaro Umezawa, Akiko Yanaga, Katsuhiko Kurokawa, Yoshimochi |
| description | Background
We have experienced numerous cases of super morbid obesity (SMO), defined by a BMI of ≥50 kg/m
2
, in which laparoscopic sleeve gastrectomy (LSG) was not able to achieve a sufficient weight loss effect. However, the most appropriate procedure for the treatment of SMO has not yet been established.
Methods
The subjects included 248 successive patients who underwent surgery at our hospital from June 2006 to December 2012. We divided the subjects into an SMO group (BMI, 50 to |
| doi_str_mv | 10.1007/s11695-017-2685-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1893553850</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1940821864</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a7df644a101f0c38234979b9f4940254b96a9583387779ab5a753e9d0dfcd1883</originalsourceid><addsrcrecordid>eNp1kU9r20AQxZeSUjtuP0AuYSGXXNTuX-3u0TFpWnBJoOl5WUmjRMbSOrPSId--69oJIdDTMMzvvRnmEXLG2VfOmPmWOC-dLhg3hSitLswHMueG2YIpYU_InLmSFdYJOSOnKW0YE7wU4hOZCas0d8LOSbOkq9jvAnYpDjS2dHwEepXbMGJX0zuMNTQTQsqDMNIlAr0DbCP20NBu-IffI4Sxh2Hc639PO0D6K2LVNfS2gtSNz5_JxzZsE3w51gX58_36fvWjWN_e_Fwt10UtjRiLYJq2VCpwxltWSyukcsZVrlVOMaFV5crgtJXSGmNcqHQwWoJrWNPWDbdWLsjlwXeH8WmCNPq-SzVst2GAOCXPrZNaS6tZRi_eoZs44ZCv8zxvs4LbUmWKH6gaY0oIrd9h1wd89pz5fQT-EIHPEfh9BN5kzfnRearyk14VLz_PgDgAKY-GB8A3q__r-heI649u</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1940821864</pqid></control><display><type>article</type><title>A Comparison of the Bariatric Procedures that Are Performed in the Treatment of Super Morbid Obesity</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Uno, Kohei ; Seki, Yosuke ; Kasama, Kazunori ; Wakamatsu, Kotaro ; Umezawa, Akiko ; Yanaga, Katsuhiko ; Kurokawa, Yoshimochi</creator><creatorcontrib>Uno, Kohei ; Seki, Yosuke ; Kasama, Kazunori ; Wakamatsu, Kotaro ; Umezawa, Akiko ; Yanaga, Katsuhiko ; Kurokawa, Yoshimochi</creatorcontrib><description>Background
We have experienced numerous cases of super morbid obesity (SMO), defined by a BMI of ≥50 kg/m
2
, in which laparoscopic sleeve gastrectomy (LSG) was not able to achieve a sufficient weight loss effect. However, the most appropriate procedure for the treatment of SMO has not yet been established.
Methods
The subjects included 248 successive patients who underwent surgery at our hospital from June 2006 to December 2012. We divided the subjects into an SMO group (BMI, 50 to <70 kg/m
2
) and a morbid obesity (MO) group (BMI, 35 to <50 kg/m
2
). The subjects underwent LSG, LSG with duodenojejunal bypass (LSG/DJB), or laparoscopic Roux-en-Y gastric bypass (LRYGB). The weight loss effects, safety of surgery, and metabolic profile changes were compared.
Results
Sixty-two subjects were classified into the SMO group (25%). The percent excess weight loss (%EWL) after LSG among the patients in the SMO group was not significantly different from that of patients who underwent other procedures. LSG was associated with a significantly lower success rate in terms of weight loss (%EWL ≥ 50%), in comparison to the weight loss at 1 year after LRYGB and at 2 years after LSG/DJB and LRYGB. Among the patients in the MO group, the %EWL and the rate of successful weight loss did not differ to a statistically significant extent.
Conclusion
This study demonstrated that in patients with SMO, LSG/DJB and LRYGB can achieve superior weight loss effects in comparison to LSG.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-017-2685-7</identifier><identifier>PMID: 28451928</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Body Mass Index ; Comparative studies ; Female ; Gastrectomy - adverse effects ; Gastrectomy - methods ; Gastric Bypass - adverse effects ; Gastric Bypass - methods ; Gastroplasty - adverse effects ; Gastroplasty - methods ; Humans ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Male ; Medicine ; Medicine & Public Health ; Metabolome ; Middle Aged ; Obesity ; Obesity, Morbid - metabolism ; Obesity, Morbid - surgery ; Original Contributions ; Retrospective Studies ; Surgery ; Surgical outcomes ; Treatment Outcome ; Weight control ; Weight Loss</subject><ispartof>Obesity surgery, 2017-10, Vol.27 (10), p.2537-2545</ispartof><rights>Springer Science+Business Media New York 2017</rights><rights>Obesity Surgery is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a7df644a101f0c38234979b9f4940254b96a9583387779ab5a753e9d0dfcd1883</citedby><cites>FETCH-LOGICAL-c372t-a7df644a101f0c38234979b9f4940254b96a9583387779ab5a753e9d0dfcd1883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-017-2685-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-017-2685-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28451928$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uno, Kohei</creatorcontrib><creatorcontrib>Seki, Yosuke</creatorcontrib><creatorcontrib>Kasama, Kazunori</creatorcontrib><creatorcontrib>Wakamatsu, Kotaro</creatorcontrib><creatorcontrib>Umezawa, Akiko</creatorcontrib><creatorcontrib>Yanaga, Katsuhiko</creatorcontrib><creatorcontrib>Kurokawa, Yoshimochi</creatorcontrib><title>A Comparison of the Bariatric Procedures that Are Performed in the Treatment of Super Morbid Obesity</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
We have experienced numerous cases of super morbid obesity (SMO), defined by a BMI of ≥50 kg/m
2
, in which laparoscopic sleeve gastrectomy (LSG) was not able to achieve a sufficient weight loss effect. However, the most appropriate procedure for the treatment of SMO has not yet been established.
Methods
The subjects included 248 successive patients who underwent surgery at our hospital from June 2006 to December 2012. We divided the subjects into an SMO group (BMI, 50 to <70 kg/m
2
) and a morbid obesity (MO) group (BMI, 35 to <50 kg/m
2
). The subjects underwent LSG, LSG with duodenojejunal bypass (LSG/DJB), or laparoscopic Roux-en-Y gastric bypass (LRYGB). The weight loss effects, safety of surgery, and metabolic profile changes were compared.
Results
Sixty-two subjects were classified into the SMO group (25%). The percent excess weight loss (%EWL) after LSG among the patients in the SMO group was not significantly different from that of patients who underwent other procedures. LSG was associated with a significantly lower success rate in terms of weight loss (%EWL ≥ 50%), in comparison to the weight loss at 1 year after LRYGB and at 2 years after LSG/DJB and LRYGB. Among the patients in the MO group, the %EWL and the rate of successful weight loss did not differ to a statistically significant extent.
Conclusion
This study demonstrated that in patients with SMO, LSG/DJB and LRYGB can achieve superior weight loss effects in comparison to LSG.</description><subject>Adult</subject><subject>Body Mass Index</subject><subject>Comparative studies</subject><subject>Female</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - methods</subject><subject>Gastric Bypass - adverse effects</subject><subject>Gastric Bypass - methods</subject><subject>Gastroplasty - adverse effects</subject><subject>Gastroplasty - methods</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolome</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - metabolism</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU9r20AQxZeSUjtuP0AuYSGXXNTuX-3u0TFpWnBJoOl5WUmjRMbSOrPSId--69oJIdDTMMzvvRnmEXLG2VfOmPmWOC-dLhg3hSitLswHMueG2YIpYU_InLmSFdYJOSOnKW0YE7wU4hOZCas0d8LOSbOkq9jvAnYpDjS2dHwEepXbMGJX0zuMNTQTQsqDMNIlAr0DbCP20NBu-IffI4Sxh2Hc639PO0D6K2LVNfS2gtSNz5_JxzZsE3w51gX58_36fvWjWN_e_Fwt10UtjRiLYJq2VCpwxltWSyukcsZVrlVOMaFV5crgtJXSGmNcqHQwWoJrWNPWDbdWLsjlwXeH8WmCNPq-SzVst2GAOCXPrZNaS6tZRi_eoZs44ZCv8zxvs4LbUmWKH6gaY0oIrd9h1wd89pz5fQT-EIHPEfh9BN5kzfnRearyk14VLz_PgDgAKY-GB8A3q__r-heI649u</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Uno, Kohei</creator><creator>Seki, Yosuke</creator><creator>Kasama, Kazunori</creator><creator>Wakamatsu, Kotaro</creator><creator>Umezawa, Akiko</creator><creator>Yanaga, Katsuhiko</creator><creator>Kurokawa, Yoshimochi</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20171001</creationdate><title>A Comparison of the Bariatric Procedures that Are Performed in the Treatment of Super Morbid Obesity</title><author>Uno, Kohei ; Seki, Yosuke ; Kasama, Kazunori ; Wakamatsu, Kotaro ; Umezawa, Akiko ; Yanaga, Katsuhiko ; Kurokawa, Yoshimochi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a7df644a101f0c38234979b9f4940254b96a9583387779ab5a753e9d0dfcd1883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Body Mass Index</topic><topic>Comparative studies</topic><topic>Female</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastrectomy - methods</topic><topic>Gastric Bypass - adverse effects</topic><topic>Gastric Bypass - methods</topic><topic>Gastroplasty - adverse effects</topic><topic>Gastroplasty - methods</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolome</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - metabolism</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uno, Kohei</creatorcontrib><creatorcontrib>Seki, Yosuke</creatorcontrib><creatorcontrib>Kasama, Kazunori</creatorcontrib><creatorcontrib>Wakamatsu, Kotaro</creatorcontrib><creatorcontrib>Umezawa, Akiko</creatorcontrib><creatorcontrib>Yanaga, Katsuhiko</creatorcontrib><creatorcontrib>Kurokawa, Yoshimochi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Uno, Kohei</au><au>Seki, Yosuke</au><au>Kasama, Kazunori</au><au>Wakamatsu, Kotaro</au><au>Umezawa, Akiko</au><au>Yanaga, Katsuhiko</au><au>Kurokawa, Yoshimochi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Comparison of the Bariatric Procedures that Are Performed in the Treatment of Super Morbid Obesity</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>27</volume><issue>10</issue><spage>2537</spage><epage>2545</epage><pages>2537-2545</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
We have experienced numerous cases of super morbid obesity (SMO), defined by a BMI of ≥50 kg/m
2
, in which laparoscopic sleeve gastrectomy (LSG) was not able to achieve a sufficient weight loss effect. However, the most appropriate procedure for the treatment of SMO has not yet been established.
Methods
The subjects included 248 successive patients who underwent surgery at our hospital from June 2006 to December 2012. We divided the subjects into an SMO group (BMI, 50 to <70 kg/m
2
) and a morbid obesity (MO) group (BMI, 35 to <50 kg/m
2
). The subjects underwent LSG, LSG with duodenojejunal bypass (LSG/DJB), or laparoscopic Roux-en-Y gastric bypass (LRYGB). The weight loss effects, safety of surgery, and metabolic profile changes were compared.
Results
Sixty-two subjects were classified into the SMO group (25%). The percent excess weight loss (%EWL) after LSG among the patients in the SMO group was not significantly different from that of patients who underwent other procedures. LSG was associated with a significantly lower success rate in terms of weight loss (%EWL ≥ 50%), in comparison to the weight loss at 1 year after LRYGB and at 2 years after LSG/DJB and LRYGB. Among the patients in the MO group, the %EWL and the rate of successful weight loss did not differ to a statistically significant extent.
Conclusion
This study demonstrated that in patients with SMO, LSG/DJB and LRYGB can achieve superior weight loss effects in comparison to LSG.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28451928</pmid><doi>10.1007/s11695-017-2685-7</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2017-10, Vol.27 (10), p.2537-2545 |
| issn | 0960-8923 1708-0428 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1893553850 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Body Mass Index Comparative studies Female Gastrectomy - adverse effects Gastrectomy - methods Gastric Bypass - adverse effects Gastric Bypass - methods Gastroplasty - adverse effects Gastroplasty - methods Humans Laparoscopy Laparoscopy - adverse effects Laparoscopy - methods Male Medicine Medicine & Public Health Metabolome Middle Aged Obesity Obesity, Morbid - metabolism Obesity, Morbid - surgery Original Contributions Retrospective Studies Surgery Surgical outcomes Treatment Outcome Weight control Weight Loss |
| title | A Comparison of the Bariatric Procedures that Are Performed in the Treatment of Super Morbid Obesity |
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