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Background characteristics and postoperative outcomes of insufficient weight loss after laparoscopic sleeve gastrectomy in Japanese patients
- Source :
- Annals of Gastroenterological Surgery, Vol 3, Iss 6, Pp 638-647 (2019), Annals of Gastroenterological Surgery
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Aim Laparoscopic sleeve gastrectomy (LSG) is becoming popular in Japan, but insufficient weight loss is often observed in patients after LSG. We investigated the effect of LSG on obesity‐related comorbidities and identified the background characteristics of Japanese patients with insufficient weight loss after LSG. Methods In this multi‐institutional retrospective study at 10 certified bariatric institutions, 322 Japanese patients who underwent LSG with a follow‐up period of more than 2 years were analyzed. Anthropometry, obesity‐related comorbidities and psychosocial background data were collected. Weight loss was expressed as 2‐year percent total weight loss (%TWL). Results Mean age, body weight, body mass index (BMI) and glycated hemoglobin were 46.9 years, 119.2 kg, 43.7 kg/m2 and 7.1%, respectively. Prevalence of mental disorders was 26.3%. Mean BMI declined to 30.3 kg/m2 at 2 years and %TWL was 29.9%. Improvements in the markers and prevalence of obesity‐related comorbidities were observed. Remission rates of diabetes, dyslipidemia and hypertension were 75.6%, 59.7% and 41.8%, respectively. %TWL at the respective cut‐off level of diabetes remission was 20.8%. Lower remission rates of diabetes in patients with %TWL<br />We investigate the effect of LSG on obesity‐related comorbidities and identify the background characteristics of Japanese patients with insufficient weight loss after LSG. This is the first nationwide survey in Japan to clarify the relationship between insufficient weight loss after LSG, metabolic remissions and psychosocial background. %TWL 20% was a candidate cut‐off point of insufficient weight loss for diabetes remission after LSG, and mental disorders might be relevant to intractable obesity in Japanese patients.
- Subjects :
- Sleeve gastrectomy
medicine.medical_specialty
mental disorder
RD1-811
medicine.medical_treatment
RC799-869
chemistry.chemical_compound
Weight loss
Diabetes mellitus
Internal medicine
medicine
business.industry
Gastroenterology
Original Articles
Diseases of the digestive system. Gastroenterology
Anthropometry
medicine.disease
Obesity
diabetes remission
chemistry
insufficient weight loss
Japanese
Original Article
Surgery
Glycated hemoglobin
medicine.symptom
business
Body mass index
sleeve gastrectomy
Dyslipidemia
Subjects
Details
- ISSN :
- 24750328
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Annals of Gastroenterological Surgery
- Accession number :
- edsair.doi.dedup.....421edfee8789c16146c46cf2ec0ab173