Haci Murat Cayci1, Umut Eren Erdogdu2, Kerem Karaman3, Ersin Budak2, İbrahim Taymur2, Cagatay Buyukuysal2. 1. Bursa Sevket Yilmaz Teaching and Research Hospital, Bursa, Turkey. hmurat.cayci@gmail.com. 2. Bursa Sevket Yilmaz Teaching and Research Hospital, Bursa, Turkey. 3. Sakarya University Faculty of Medicine, Department of General Surgery, Adapazari, Sakarya, Turkey.
Abstract
BACKGROUND: The effect of preoperative weight changes on postoperative outcomes after bariatric surgery remains inconclusive. The aim of the present study was to evaluate the effect of preoperative weight gain on postoperative weight loss outcomes after laparoscopic sleeve gastrectomy (SG). METHODS: Ninety-two morbidly obese patients undergoing SG from January 2014 to April 2016 were separated into two groups according to whether they gained weight or not during the waiting time prior to surgery. RESULTS: Thirty-nine patients (42.4 %) gained weight during the waiting time and 53 patients (57.6 %) did not. The median body mass index (BMI; kg/m2) at surgery was significantly higher in weight-gained patients (47.8 (min-max, 40-62)) compared to patients who had not gained weight (45.10 (min-max, 41-67)), (P = 0.034). No significant difference was found between the two groups regarding the distribution of age, gender, family history of obesity, existence of comorbidity, smoking, weight gain during childhood or adulthood, preoperative Beck depression and Beck anxiety scores, waiting time period, and body weight at the initial visit (P > 0.05). The ASA I score was higher in weight-gained patients whereas ASA II score was higher in those who did not gain, and the difference was significant (P = 0.046). Postoperative % BMI loss and % weight loss were not significantly different between the two groups at the first, third, sixth months, and the end of the first year (P > 0.05). CONCLUSION: Weight gain during waiting time has no negative impact on % weight loss and % BMI loss after SG.
BACKGROUND: The effect of preoperative weight changes on postoperative outcomes after bariatric surgery remains inconclusive. The aim of the present study was to evaluate the effect of preoperative weight gain on postoperative weight loss outcomes after laparoscopic sleeve gastrectomy (SG). METHODS: Ninety-two morbidly obesepatients undergoing SG from January 2014 to April 2016 were separated into two groups according to whether they gained weight or not during the waiting time prior to surgery. RESULTS: Thirty-nine patients (42.4 %) gained weight during the waiting time and 53 patients (57.6 %) did not. The median body mass index (BMI; kg/m2) at surgery was significantly higher in weight-gainedpatients (47.8 (min-max, 40-62)) compared to patients who had not gained weight (45.10 (min-max, 41-67)), (P = 0.034). No significant difference was found between the two groups regarding the distribution of age, gender, family history of obesity, existence of comorbidity, smoking, weight gain during childhood or adulthood, preoperative Beck depression and Beck anxiety scores, waiting time period, and body weight at the initial visit (P > 0.05). The ASA I score was higher in weight-gainedpatients whereas ASA II score was higher in those who did not gain, and the difference was significant (P = 0.046). Postoperative % BMI loss and % weight loss were not significantly different between the two groups at the first, third, sixth months, and the end of the first year (P > 0.05). CONCLUSION:Weight gain during waiting time has no negative impact on % weight loss and % BMI loss after SG.
Entities:
Keywords:
Morbid obesity; Sleeve gastrectomy; Weight loss
Authors: William E Sherman; Aaron E Lane; Christopher W Mangieri; Yong U Choi; Byron J Faler Journal: Bariatr Surg Pract Patient Care Date: 2015-09-01 Impact factor: 0.607
Authors: Ramzi S Alami; John M Morton; Rob Schuster; Jie Lie; Barry R Sanchez; Anna Peters; Myriam J Curet Journal: Surg Obes Relat Dis Date: 2007-02-27 Impact factor: 4.734