Liraglutide effectiveness in preoperative weight-loss for patients with severe obesity undergoing bariatric-metabolic surgery

Preoperative management of patients living with severe obesity can be challenging; in this context, the preoperative weight loss may help to obtain better outcomes and less morbidity for bariatric surgery. Therefore, we evaluated the effectiveness of GLP-1 analogue Liraglutide in preoperative weight...

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Veröffentlicht in:Updates in surgery 2024-10, Vol.76 (6), p.2277-2283
Hauptverfasser: Muñoz, Martha Patricia Sánchez, Blandón, José Daniel Reyes, Gutierrez, Ileana Susana Camba, Mendoza, Carlos Manuel Moreno, Aguiñaga, Ma. Soledad Aldana, Orozco, César Alberto Ortiz
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container_issue 6
container_start_page 2277
container_title Updates in surgery
container_volume 76
creator Muñoz, Martha Patricia Sánchez
Blandón, José Daniel Reyes
Gutierrez, Ileana Susana Camba
Mendoza, Carlos Manuel Moreno
Aguiñaga, Ma. Soledad Aldana
Orozco, César Alberto Ortiz
description Preoperative management of patients living with severe obesity can be challenging; in this context, the preoperative weight loss may help to obtain better outcomes and less morbidity for bariatric surgery. Therefore, we evaluated the effectiveness of GLP-1 analogue Liraglutide in preoperative weight loss. We performed a single-center, quasi-experimental prospective study. Eligible participants were adults in preoperative management for bariatric-metabolic surgery with body-mass index ≥ 48 kg/m 2 . All patients were assigned liraglutide treatment, with an initial dose of 0.6 mg subcutaneous per day, the dose was increased each week until reaching 3.0 mg for 12 weeks. Weight loss and body composition were evaluated monthly using bioelectric impedance (BIA) (InBody 770 Scale®). We analyzed data using descriptive statistics, central tendency measures and dispersion for quantitative variables and absolute and relative frequencies for qualitative variables. A total of 37 individuals were included in this study, 28 (76%) were female and 9 (24%) were males, with an average age of 44 years. About the BMI, 19 patients (51%) had a BMI > 50 kg/m 2 , 10 (27%) > 40 kg/m 2 and 8 (22%) > 60 kg/m 2 ; with a total average BMI of 56.04 kg/m 2 . The initial weight was 147.4 ± 14.9 kg which decreased to 139.3 ± 16.8 kg; after 3 months of liraglutide administration. A total of 35 patients had some degree of weight loss (94.6%), while 2 (5.40%) had no weight changes. The total weight loss was 5.50% at 3 months of liraglutide treatment. Liraglutide could be an effective adjuvant therapy for preoperative weight loss in patients living with severe obesity.
doi_str_mv 10.1007/s13304-024-01828-0
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subjects Adult
Bariatric Surgery - methods
Body Composition
Body Mass Index
Female
Humans
Liraglutide - administration & dosage
Liraglutide - therapeutic use
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity, Morbid - complications
Obesity, Morbid - surgery
Original Article
Preoperative Care - methods
Preoperative Period
Prospective Studies
Surgery
Treatment Outcome
Weight Loss
title Liraglutide effectiveness in preoperative weight-loss for patients with severe obesity undergoing bariatric-metabolic surgery
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