Comparative Effectiveness of Laparoscopic Sleeve Gastrectomy on Morbidly Obese, Super-Obese, and Super-Super Obese Patients for the Treatment of Morbid Obesity
Backgrounds The management of super-super obese patients is challenging for bariatric surgeons. Laparoscopic sleeve gastrectomy (LSG) is feasible as two-stage treatment for high-risk patients. However, its efficacy as a stand-alone procedure in super-super obese (SSO) patients is controversial. The...
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| Veröffentlicht in: | Obesity surgery 2018-06, Vol.28 (6), p.1484-1491 |
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| creator | Ece, Ilhan Yilmaz, Huseyin Alptekin, Husnu Yormaz, Serdar Colak, Bayram Yilmaz, Farise Sahin, Mustafa |
| description | Backgrounds
The management of super-super obese patients is challenging for bariatric surgeons. Laparoscopic sleeve gastrectomy (LSG) is feasible as two-stage treatment for high-risk patients. However, its efficacy as a stand-alone procedure in super-super obese (SSO) patients is controversial. The study objective was to demonstrate the safety and efficacy of LSG in super-obese (SO) and SSO patients.
Methods
A retrospective analysis was performed of consecutive patients undergoing LSG. The patients were classified into three groups: morbidly obese (MO), SO, and SSO. The patients’ data, including each patient’s characteristics, body mass index (BMI), preoperative comorbidities, postoperative complications, the resolution of comorbidities, percentage of excess weight loss (%EWL), and total weight loss (%TWL) were compared between groups.
Results
Of the 186 patients, 163 (87.6%) were followed up for 41.2 ± 7.3 months (range 33–54 months). The mean BMI was 52.6 kg/m
2
. Eighty-three patients (50.9%) were MO, 52 (31.9%) were SO, and 28 (17.2%) were SSO. The groups were similar in terms of preoperative characteristics and postoperative complications. The mean %TWL were lower for the SSO group with no significant difference. The mean %TWL at 12, 24, 36, and 41.2 months postoperatively was 34.7, 34.4, 31.4, and 29.6% in SSO group, respectively. Also, the %EWL for the SSO group was significantly lower (48.3%) at the end of the follow-up period. However, the rate of significant improvement or complete resolution of comorbidities was similar in all groups.
Conclusion
Although %EWL was lower in the SSO group, LSG was a feasible and safe stand-alone bariatric surgical procedure for the resolution of comorbidities in MO, SO, and SSO patients. |
| doi_str_mv | 10.1007/s11695-017-3053-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1976442554</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1976442554</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-4b845c840ac61f0fcf7ee1f284b6233cebca384df74f41362c3ef02a093df6713</originalsourceid><addsrcrecordid>eNp1kc1u1TAQhS0EoreFB2CDLLFhgWH8EydZoqvSIl1UpJa15ThjSJXEwU6Q7tPwqjjNBSEkNv6Z-eYcy4eQFxzecoDyXeJc1wUDXjIJhWTyEdnxEioGSlSPyQ5qDayqhTwj5yndAwiuhXhKzkSuFcD5jvzch2Gy0c7dD6SX3qNbTyOmRIOnB5t7IbkwdY7e9ogZurJpjhkLw5GGkX4Ksena_khvGkz4ht4uE0Z2utixPRUe1o2hn7MbjnOiPkQ6f0N6F9HOQy6tnpvgA9rNx2fkibd9wuen_YJ8-XB5t79mh5urj_v3B-ZkKWammkoVrlJgneYevPMlIveiUo0WUjpsnJWVan2pvOJSCyfRg7BQy9brkssL8nrTnWL4vmCazdAlh31vRwxLMrwutVKiKFRGX_2D3ocljvl1K1VUUmpVZ4pvlMsfmCJ6M8VusPFoOJg1PbOlZ3J6Zk3PyDzz8qS8NAO2fyZ-x5UBsQEpt8avGP-y_q_qLzlSppk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1975833649</pqid></control><display><type>article</type><title>Comparative Effectiveness of Laparoscopic Sleeve Gastrectomy on Morbidly Obese, Super-Obese, and Super-Super Obese Patients for the Treatment of Morbid Obesity</title><source>Springer Nature - Complete Springer Journals</source><creator>Ece, Ilhan ; Yilmaz, Huseyin ; Alptekin, Husnu ; Yormaz, Serdar ; Colak, Bayram ; Yilmaz, Farise ; Sahin, Mustafa</creator><creatorcontrib>Ece, Ilhan ; Yilmaz, Huseyin ; Alptekin, Husnu ; Yormaz, Serdar ; Colak, Bayram ; Yilmaz, Farise ; Sahin, Mustafa</creatorcontrib><description>Backgrounds
The management of super-super obese patients is challenging for bariatric surgeons. Laparoscopic sleeve gastrectomy (LSG) is feasible as two-stage treatment for high-risk patients. However, its efficacy as a stand-alone procedure in super-super obese (SSO) patients is controversial. The study objective was to demonstrate the safety and efficacy of LSG in super-obese (SO) and SSO patients.
Methods
A retrospective analysis was performed of consecutive patients undergoing LSG. The patients were classified into three groups: morbidly obese (MO), SO, and SSO. The patients’ data, including each patient’s characteristics, body mass index (BMI), preoperative comorbidities, postoperative complications, the resolution of comorbidities, percentage of excess weight loss (%EWL), and total weight loss (%TWL) were compared between groups.
Results
Of the 186 patients, 163 (87.6%) were followed up for 41.2 ± 7.3 months (range 33–54 months). The mean BMI was 52.6 kg/m
2
. Eighty-three patients (50.9%) were MO, 52 (31.9%) were SO, and 28 (17.2%) were SSO. The groups were similar in terms of preoperative characteristics and postoperative complications. The mean %TWL were lower for the SSO group with no significant difference. The mean %TWL at 12, 24, 36, and 41.2 months postoperatively was 34.7, 34.4, 31.4, and 29.6% in SSO group, respectively. Also, the %EWL for the SSO group was significantly lower (48.3%) at the end of the follow-up period. However, the rate of significant improvement or complete resolution of comorbidities was similar in all groups.
Conclusion
Although %EWL was lower in the SSO group, LSG was a feasible and safe stand-alone bariatric surgical procedure for the resolution of comorbidities in MO, SO, and SSO patients.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-017-3053-3</identifier><identifier>PMID: 29235011</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Comparative studies ; Gastrointestinal surgery ; Laparoscopy ; Medicine ; Medicine & Public Health ; Obesity ; Original Contributions ; Surgery ; Surgical outcomes ; Surgical techniques ; Weight control</subject><ispartof>Obesity surgery, 2018-06, Vol.28 (6), p.1484-1491</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2017</rights><rights>Obesity Surgery is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-4b845c840ac61f0fcf7ee1f284b6233cebca384df74f41362c3ef02a093df6713</citedby><cites>FETCH-LOGICAL-c372t-4b845c840ac61f0fcf7ee1f284b6233cebca384df74f41362c3ef02a093df6713</cites><orcidid>0000-0002-6966-7036</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-017-3053-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-017-3053-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29235011$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ece, Ilhan</creatorcontrib><creatorcontrib>Yilmaz, Huseyin</creatorcontrib><creatorcontrib>Alptekin, Husnu</creatorcontrib><creatorcontrib>Yormaz, Serdar</creatorcontrib><creatorcontrib>Colak, Bayram</creatorcontrib><creatorcontrib>Yilmaz, Farise</creatorcontrib><creatorcontrib>Sahin, Mustafa</creatorcontrib><title>Comparative Effectiveness of Laparoscopic Sleeve Gastrectomy on Morbidly Obese, Super-Obese, and Super-Super Obese Patients for the Treatment of Morbid Obesity</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Backgrounds
The management of super-super obese patients is challenging for bariatric surgeons. Laparoscopic sleeve gastrectomy (LSG) is feasible as two-stage treatment for high-risk patients. However, its efficacy as a stand-alone procedure in super-super obese (SSO) patients is controversial. The study objective was to demonstrate the safety and efficacy of LSG in super-obese (SO) and SSO patients.
Methods
A retrospective analysis was performed of consecutive patients undergoing LSG. The patients were classified into three groups: morbidly obese (MO), SO, and SSO. The patients’ data, including each patient’s characteristics, body mass index (BMI), preoperative comorbidities, postoperative complications, the resolution of comorbidities, percentage of excess weight loss (%EWL), and total weight loss (%TWL) were compared between groups.
Results
Of the 186 patients, 163 (87.6%) were followed up for 41.2 ± 7.3 months (range 33–54 months). The mean BMI was 52.6 kg/m
2
. Eighty-three patients (50.9%) were MO, 52 (31.9%) were SO, and 28 (17.2%) were SSO. The groups were similar in terms of preoperative characteristics and postoperative complications. The mean %TWL were lower for the SSO group with no significant difference. The mean %TWL at 12, 24, 36, and 41.2 months postoperatively was 34.7, 34.4, 31.4, and 29.6% in SSO group, respectively. Also, the %EWL for the SSO group was significantly lower (48.3%) at the end of the follow-up period. However, the rate of significant improvement or complete resolution of comorbidities was similar in all groups.
Conclusion
Although %EWL was lower in the SSO group, LSG was a feasible and safe stand-alone bariatric surgical procedure for the resolution of comorbidities in MO, SO, and SSO patients.</description><subject>Comparative studies</subject><subject>Gastrointestinal surgery</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Original Contributions</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Weight control</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1kc1u1TAQhS0EoreFB2CDLLFhgWH8EydZoqvSIl1UpJa15ThjSJXEwU6Q7tPwqjjNBSEkNv6Z-eYcy4eQFxzecoDyXeJc1wUDXjIJhWTyEdnxEioGSlSPyQ5qDayqhTwj5yndAwiuhXhKzkSuFcD5jvzch2Gy0c7dD6SX3qNbTyOmRIOnB5t7IbkwdY7e9ogZurJpjhkLw5GGkX4Ksena_khvGkz4ht4uE0Z2utixPRUe1o2hn7MbjnOiPkQ6f0N6F9HOQy6tnpvgA9rNx2fkibd9wuen_YJ8-XB5t79mh5urj_v3B-ZkKWammkoVrlJgneYevPMlIveiUo0WUjpsnJWVan2pvOJSCyfRg7BQy9brkssL8nrTnWL4vmCazdAlh31vRwxLMrwutVKiKFRGX_2D3ocljvl1K1VUUmpVZ4pvlMsfmCJ6M8VusPFoOJg1PbOlZ3J6Zk3PyDzz8qS8NAO2fyZ-x5UBsQEpt8avGP-y_q_qLzlSppk</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Ece, Ilhan</creator><creator>Yilmaz, Huseyin</creator><creator>Alptekin, Husnu</creator><creator>Yormaz, Serdar</creator><creator>Colak, Bayram</creator><creator>Yilmaz, Farise</creator><creator>Sahin, Mustafa</creator><general>Springer US</general><general>Springer Nature B.V</general><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>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6966-7036</orcidid></search><sort><creationdate>20180601</creationdate><title>Comparative Effectiveness of Laparoscopic Sleeve Gastrectomy on Morbidly Obese, Super-Obese, and Super-Super Obese Patients for the Treatment of Morbid Obesity</title><author>Ece, Ilhan ; Yilmaz, Huseyin ; Alptekin, Husnu ; Yormaz, Serdar ; Colak, Bayram ; Yilmaz, Farise ; Sahin, Mustafa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-4b845c840ac61f0fcf7ee1f284b6233cebca384df74f41362c3ef02a093df6713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Comparative studies</topic><topic>Gastrointestinal surgery</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Original Contributions</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Weight control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ece, Ilhan</creatorcontrib><creatorcontrib>Yilmaz, Huseyin</creatorcontrib><creatorcontrib>Alptekin, Husnu</creatorcontrib><creatorcontrib>Yormaz, Serdar</creatorcontrib><creatorcontrib>Colak, Bayram</creatorcontrib><creatorcontrib>Yilmaz, Farise</creatorcontrib><creatorcontrib>Sahin, Mustafa</creatorcontrib><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 Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</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>Ece, Ilhan</au><au>Yilmaz, Huseyin</au><au>Alptekin, Husnu</au><au>Yormaz, Serdar</au><au>Colak, Bayram</au><au>Yilmaz, Farise</au><au>Sahin, Mustafa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative Effectiveness of Laparoscopic Sleeve Gastrectomy on Morbidly Obese, Super-Obese, and Super-Super Obese Patients for the Treatment of Morbid Obesity</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>28</volume><issue>6</issue><spage>1484</spage><epage>1491</epage><pages>1484-1491</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Backgrounds
The management of super-super obese patients is challenging for bariatric surgeons. Laparoscopic sleeve gastrectomy (LSG) is feasible as two-stage treatment for high-risk patients. However, its efficacy as a stand-alone procedure in super-super obese (SSO) patients is controversial. The study objective was to demonstrate the safety and efficacy of LSG in super-obese (SO) and SSO patients.
Methods
A retrospective analysis was performed of consecutive patients undergoing LSG. The patients were classified into three groups: morbidly obese (MO), SO, and SSO. The patients’ data, including each patient’s characteristics, body mass index (BMI), preoperative comorbidities, postoperative complications, the resolution of comorbidities, percentage of excess weight loss (%EWL), and total weight loss (%TWL) were compared between groups.
Results
Of the 186 patients, 163 (87.6%) were followed up for 41.2 ± 7.3 months (range 33–54 months). The mean BMI was 52.6 kg/m
2
. Eighty-three patients (50.9%) were MO, 52 (31.9%) were SO, and 28 (17.2%) were SSO. The groups were similar in terms of preoperative characteristics and postoperative complications. The mean %TWL were lower for the SSO group with no significant difference. The mean %TWL at 12, 24, 36, and 41.2 months postoperatively was 34.7, 34.4, 31.4, and 29.6% in SSO group, respectively. Also, the %EWL for the SSO group was significantly lower (48.3%) at the end of the follow-up period. However, the rate of significant improvement or complete resolution of comorbidities was similar in all groups.
Conclusion
Although %EWL was lower in the SSO group, LSG was a feasible and safe stand-alone bariatric surgical procedure for the resolution of comorbidities in MO, SO, and SSO patients.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29235011</pmid><doi>10.1007/s11695-017-3053-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6966-7036</orcidid></addata></record> |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Comparative studies Gastrointestinal surgery Laparoscopy Medicine Medicine & Public Health Obesity Original Contributions Surgery Surgical outcomes Surgical techniques Weight control |
| title | Comparative Effectiveness of Laparoscopic Sleeve Gastrectomy on Morbidly Obese, Super-Obese, and Super-Super Obese Patients for the Treatment of Morbid Obesity |
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