Early Weight Loss Following Laparoscopic Sleeve Gastrectomy Is Predictive of Long-Term Weight Loss in Morbidly Obese Chinese
Background Laparoscopic sleeve gastrectomy (LSG) is a bariatric surgical approach often used to treat Chinese individuals suffering from morbid obesity. Objectives To verify the long-term safety and efficiency of LSG and to evaluate the predictive effect of initial weight loss on long-term weight ma...
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| Veröffentlicht in: | Obesity surgery 2021-02, Vol.31 (2), p.820-828 |
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| creator | Wang, Liang Sang, Qing Zheng, Xuejing Du, Dexiao Zhang, Nengwei Lian, Dongbo |
| description | Background
Laparoscopic sleeve gastrectomy (LSG) is a bariatric surgical approach often used to treat Chinese individuals suffering from morbid obesity.
Objectives
To verify the long-term safety and efficiency of LSG and to evaluate the predictive effect of initial weight loss on long-term weight maintenance after LSG in morbidly obese Chinese.
Methods
Follow-up was conducted by telephone or in hospital. We measured the body mass index (BMI), percentage of total body weight loss (%TWL), and excess weight loss (%EWL), and assessed patients for the alleviation of co-morbidities. Relationships between initial weight loss and successful weight maintenance were assessed via linear regression analyses, while optimal cutoff values were determined based on receiver operative characteristic (ROC) curves.
Results
We included 384 patients in this study. Before surgery, these patients had median weight and BMI values of 110 (91.00–130.75) kg and 38.49 (32.82–44.12) kg/m
2
, respectively. Successful weight loss of > 50% EWL was accomplished in 91.21%, 82.69%, and 79.37% of patients at 1, 3, and 5 years after surgery. In addition, the %EWL at 6 months was significantly correlated with the %EWL up to 5 years (
P
|
| doi_str_mv | 10.1007/s11695-020-05037-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2451854218</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2451854218</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-a5918cb15b6632e6b6393900ff785970bba56381efb4f4676d4693ca51479abc3</originalsourceid><addsrcrecordid>eNp9kU1rVDEUhoModqz-ARcScOMm9uQ7dylDWwsjLbTiMiSZ3GnKvTdjcqcy4I83OlWpC1dncZ73PSEPQq8pvKcA-qRSqjpJgAEBCVwT_QQtqAZDQDDzFC2gU0BMx_gRelHrHQCjirHn6IhzkNoYsUDfT10Z9vhLTJvbGa9yrfgsD0P-lqYNXrmtK7mGvE0BXw8x3kd87upcYpjzuMcXFV-VuE5hTm2T-5afNuQmlvFRYZrwp1x8WrdDlz7WiJe3aWrzJXrWu6HGVw_zGH0-O71ZfiSry_OL5YcVCVzLmTjZURM8lV4pzqLyine8A-h7bWSnwXsnFTc09l70Qmm1FqrjwUkqdOd84Mfo3aF3W_LXXayzHVMNcRjcFPOuWiYkNVIwahr69h_0Lu_K1F7XKCOoAqFFo9iBCu17aom93ZY0urK3FOxPN_bgxjY39pcbq1vozUP1zo9x_SfyW0YD-AGobTVtYvl7-z-1PwAVI5k4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2484160474</pqid></control><display><type>article</type><title>Early Weight Loss Following Laparoscopic Sleeve Gastrectomy Is Predictive of Long-Term Weight Loss in Morbidly Obese Chinese</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Wang, Liang ; Sang, Qing ; Zheng, Xuejing ; Du, Dexiao ; Zhang, Nengwei ; Lian, Dongbo</creator><creatorcontrib>Wang, Liang ; Sang, Qing ; Zheng, Xuejing ; Du, Dexiao ; Zhang, Nengwei ; Lian, Dongbo</creatorcontrib><description>Background
Laparoscopic sleeve gastrectomy (LSG) is a bariatric surgical approach often used to treat Chinese individuals suffering from morbid obesity.
Objectives
To verify the long-term safety and efficiency of LSG and to evaluate the predictive effect of initial weight loss on long-term weight maintenance after LSG in morbidly obese Chinese.
Methods
Follow-up was conducted by telephone or in hospital. We measured the body mass index (BMI), percentage of total body weight loss (%TWL), and excess weight loss (%EWL), and assessed patients for the alleviation of co-morbidities. Relationships between initial weight loss and successful weight maintenance were assessed via linear regression analyses, while optimal cutoff values were determined based on receiver operative characteristic (ROC) curves.
Results
We included 384 patients in this study. Before surgery, these patients had median weight and BMI values of 110 (91.00–130.75) kg and 38.49 (32.82–44.12) kg/m
2
, respectively. Successful weight loss of > 50% EWL was accomplished in 91.21%, 82.69%, and 79.37% of patients at 1, 3, and 5 years after surgery. In addition, the %EWL at 6 months was significantly correlated with the %EWL up to 5 years (
P
< 0.001) in morbidly obese Chinese. Based on the ROC curve, the EWL of 56.54% at 6 months was the best predictor of successful weight loss at 5 years (sensitivity 72.38%, specificity 82.69%) in morbidly obese Chinese.
Conclusion
LSG has long-term safety and efficacy for morbidly obese Chinese patients. The %EWL at 6 months can be used to predict weight maintenance up to 5 years after LSG.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-020-05037-7</identifier><identifier>PMID: 33057884</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Body Mass Index ; China - epidemiology ; Follow-Up Studies ; Gastrectomy ; Humans ; Laparoscopy ; Medicine ; Medicine & Public Health ; Obesity, Morbid - surgery ; Original Contributions ; Retrospective Studies ; Surgery ; Treatment Outcome ; Weight Loss</subject><ispartof>Obesity surgery, 2021-02, Vol.31 (2), p.820-828</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-a5918cb15b6632e6b6393900ff785970bba56381efb4f4676d4693ca51479abc3</citedby><cites>FETCH-LOGICAL-c375t-a5918cb15b6632e6b6393900ff785970bba56381efb4f4676d4693ca51479abc3</cites><orcidid>0000-0002-9412-2652</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/s11695-020-05037-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-020-05037-7$$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/33057884$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Liang</creatorcontrib><creatorcontrib>Sang, Qing</creatorcontrib><creatorcontrib>Zheng, Xuejing</creatorcontrib><creatorcontrib>Du, Dexiao</creatorcontrib><creatorcontrib>Zhang, Nengwei</creatorcontrib><creatorcontrib>Lian, Dongbo</creatorcontrib><title>Early Weight Loss Following Laparoscopic Sleeve Gastrectomy Is Predictive of Long-Term Weight Loss in Morbidly Obese Chinese</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Laparoscopic sleeve gastrectomy (LSG) is a bariatric surgical approach often used to treat Chinese individuals suffering from morbid obesity.
Objectives
To verify the long-term safety and efficiency of LSG and to evaluate the predictive effect of initial weight loss on long-term weight maintenance after LSG in morbidly obese Chinese.
Methods
Follow-up was conducted by telephone or in hospital. We measured the body mass index (BMI), percentage of total body weight loss (%TWL), and excess weight loss (%EWL), and assessed patients for the alleviation of co-morbidities. Relationships between initial weight loss and successful weight maintenance were assessed via linear regression analyses, while optimal cutoff values were determined based on receiver operative characteristic (ROC) curves.
Results
We included 384 patients in this study. Before surgery, these patients had median weight and BMI values of 110 (91.00–130.75) kg and 38.49 (32.82–44.12) kg/m
2
, respectively. Successful weight loss of > 50% EWL was accomplished in 91.21%, 82.69%, and 79.37% of patients at 1, 3, and 5 years after surgery. In addition, the %EWL at 6 months was significantly correlated with the %EWL up to 5 years (
P
< 0.001) in morbidly obese Chinese. Based on the ROC curve, the EWL of 56.54% at 6 months was the best predictor of successful weight loss at 5 years (sensitivity 72.38%, specificity 82.69%) in morbidly obese Chinese.
Conclusion
LSG has long-term safety and efficacy for morbidly obese Chinese patients. The %EWL at 6 months can be used to predict weight maintenance up to 5 years after LSG.</description><subject>Body Mass Index</subject><subject>China - epidemiology</subject><subject>Follow-Up Studies</subject><subject>Gastrectomy</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1rVDEUhoModqz-ARcScOMm9uQ7dylDWwsjLbTiMiSZ3GnKvTdjcqcy4I83OlWpC1dncZ73PSEPQq8pvKcA-qRSqjpJgAEBCVwT_QQtqAZDQDDzFC2gU0BMx_gRelHrHQCjirHn6IhzkNoYsUDfT10Z9vhLTJvbGa9yrfgsD0P-lqYNXrmtK7mGvE0BXw8x3kd87upcYpjzuMcXFV-VuE5hTm2T-5afNuQmlvFRYZrwp1x8WrdDlz7WiJe3aWrzJXrWu6HGVw_zGH0-O71ZfiSry_OL5YcVCVzLmTjZURM8lV4pzqLyine8A-h7bWSnwXsnFTc09l70Qmm1FqrjwUkqdOd84Mfo3aF3W_LXXayzHVMNcRjcFPOuWiYkNVIwahr69h_0Lu_K1F7XKCOoAqFFo9iBCu17aom93ZY0urK3FOxPN_bgxjY39pcbq1vozUP1zo9x_SfyW0YD-AGobTVtYvl7-z-1PwAVI5k4</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Wang, Liang</creator><creator>Sang, Qing</creator><creator>Zheng, Xuejing</creator><creator>Du, Dexiao</creator><creator>Zhang, Nengwei</creator><creator>Lian, Dongbo</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>7X8</scope><orcidid>https://orcid.org/0000-0002-9412-2652</orcidid></search><sort><creationdate>20210201</creationdate><title>Early Weight Loss Following Laparoscopic Sleeve Gastrectomy Is Predictive of Long-Term Weight Loss in Morbidly Obese Chinese</title><author>Wang, Liang ; Sang, Qing ; Zheng, Xuejing ; Du, Dexiao ; Zhang, Nengwei ; Lian, Dongbo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-a5918cb15b6632e6b6393900ff785970bba56381efb4f4676d4693ca51479abc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Body Mass Index</topic><topic>China - epidemiology</topic><topic>Follow-Up Studies</topic><topic>Gastrectomy</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Liang</creatorcontrib><creatorcontrib>Sang, Qing</creatorcontrib><creatorcontrib>Zheng, Xuejing</creatorcontrib><creatorcontrib>Du, Dexiao</creatorcontrib><creatorcontrib>Zhang, Nengwei</creatorcontrib><creatorcontrib>Lian, Dongbo</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>ProQuest 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>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Liang</au><au>Sang, Qing</au><au>Zheng, Xuejing</au><au>Du, Dexiao</au><au>Zhang, Nengwei</au><au>Lian, Dongbo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Weight Loss Following Laparoscopic Sleeve Gastrectomy Is Predictive of Long-Term Weight Loss in Morbidly Obese Chinese</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>31</volume><issue>2</issue><spage>820</spage><epage>828</epage><pages>820-828</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Laparoscopic sleeve gastrectomy (LSG) is a bariatric surgical approach often used to treat Chinese individuals suffering from morbid obesity.
Objectives
To verify the long-term safety and efficiency of LSG and to evaluate the predictive effect of initial weight loss on long-term weight maintenance after LSG in morbidly obese Chinese.
Methods
Follow-up was conducted by telephone or in hospital. We measured the body mass index (BMI), percentage of total body weight loss (%TWL), and excess weight loss (%EWL), and assessed patients for the alleviation of co-morbidities. Relationships between initial weight loss and successful weight maintenance were assessed via linear regression analyses, while optimal cutoff values were determined based on receiver operative characteristic (ROC) curves.
Results
We included 384 patients in this study. Before surgery, these patients had median weight and BMI values of 110 (91.00–130.75) kg and 38.49 (32.82–44.12) kg/m
2
, respectively. Successful weight loss of > 50% EWL was accomplished in 91.21%, 82.69%, and 79.37% of patients at 1, 3, and 5 years after surgery. In addition, the %EWL at 6 months was significantly correlated with the %EWL up to 5 years (
P
< 0.001) in morbidly obese Chinese. Based on the ROC curve, the EWL of 56.54% at 6 months was the best predictor of successful weight loss at 5 years (sensitivity 72.38%, specificity 82.69%) in morbidly obese Chinese.
Conclusion
LSG has long-term safety and efficacy for morbidly obese Chinese patients. The %EWL at 6 months can be used to predict weight maintenance up to 5 years after LSG.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33057884</pmid><doi>10.1007/s11695-020-05037-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9412-2652</orcidid></addata></record> |
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| ispartof | Obesity surgery, 2021-02, Vol.31 (2), p.820-828 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Body Mass Index China - epidemiology Follow-Up Studies Gastrectomy Humans Laparoscopy Medicine Medicine & Public Health Obesity, Morbid - surgery Original Contributions Retrospective Studies Surgery Treatment Outcome Weight Loss |
| title | Early Weight Loss Following Laparoscopic Sleeve Gastrectomy Is Predictive of Long-Term Weight Loss in Morbidly Obese Chinese |
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