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논문 기본 정보

자료유형
학술저널
저자정보
Amar Vennapusa (Dr. Amar Bariatric & Metabolic Center) Ramakanth Bhargav Panchangam (Endocare Hospital) Charita Kesara (Dr. Amar Bariatric & Metabolic Center) Tejaswi Chivukula (Dr. Amar Bariatric & Metabolic Center)
저널정보
대한비만학회 Journal of Obesity & Metabolic Syndrome Journal of Obesity & Metabolic Syndrome Vol.29 No.3
발행연도
2020.1
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208 - 214 (7page)

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Background: Laparoscopic sleeve gastrectomy with loop duodenojejunal bypass (SG LDJB) is a loop modification of biliopancreatic diversion with duodenal switch. The aim of this study was to analyze weight loss response and factors predicting weight loss outcomes after SG LDJB. Methods: This was a retrospective study analyzing SG LDJB surgeries performed between May 2013 and December 2017 in 126 Indians suffering from obesity. The collected data was analyzed to understand weight loss efficacy and the factors predicting weight loss. Surgery was considered successful when percentage excess weight loss (%EWL) was ≥50% or percentage total weight loss (%TWL) was ≥25%. Results: %EWL was 95.77% and 83.84% and %TWL was 34.64% and 30.32% at the 1-year and 3-year follow-up, respectively. %EWL ≥50% was 99.04% and 96.47% and %TWL ≥25% was 91.35% and 75.29% at the 1-year and 3-year follow-up, respectively. Patient age and sex did not independently predict %EWL or %TWL. Preoperative body mass index (BMI), weight, and excess weight negatively predicted %EWL and positively predicted %TWL at the 1-year and 3-year follow-up. Multiple regression analysis showed that these parameters were independent predictors of %EWL and %TWL at 1 year, while preoperative weight and excess weight also independently predicted %EWL at the 3-year follow-up. In diabetic patients, %EWL was significantly lower at the 3-year follow-up and %TWL was significantly lower at the 1-year and 3-year follow-up. Conclusion: SG LDJB was an effective bariatric surgery to treat obesity. Preoperative BMI, weight, excess weight, and the presence of diabetes were the significant factors associated with the weight loss outcomes.
#Bariatric surgery #Obesity #Weight loss #Diabetes #Metabolic surgery

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참고문헌 (16)

참고문헌 신청
Szczuko M / 2017 / Body weight reduction and biochemical parameters of the patients after RYGB and SG bariatric procedures in 12-month observation / Obes Surg 27:940~947 google schola Ballantyne GH / 2003 / Measuring outcomes following bariatric surgery:weight loss parameters, improvement in co-morbid conditions, change in quality of life and patient satisfaction / Obes Surg 13:954~964 google schola Capristo E / 2018 / Intensive lifestyle modifications with or without liraglutide 3mg vs. sleeve gastrectomy: a three-arm nonrandomised, controlled, pilot study / Diabetes Metab 44:235~242 google schola Copăescu C / 2018 / Laparoscopic biliopancreatic diversion with duodenal switch: the most effective operation for type 2 diabetes mellitus. How I do it? / Chirurgia (Bucur) 113:704~711 google schola Homan J / 2015 / Vitamin and mineral deficiencies after biliopancreatic diversion and biliopancreatic diversion with duodenal switch: the rule rather than the exception / Obes Surg 25:1626~1632 google schola

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