In:
Annals of Gastroenterological Surgery, Wiley, Vol. 3, No. 6 ( 2019-11), p. 638-647
Abstract:
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/m 2 and 7.1%, respectively. Prevalence of mental disorders was 26.3%. Mean BMI declined to 30.3 kg/m 2 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 〈 20%, and less calorie restriction and higher prevalence of mental disorders (46.9%) in patients with % TWL 〈 15% were observed. Frequencies of % TWL 〈 15% and 〈 20% were 6.5% and 18.5%, respectively. Conclusion % 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.
Type of Medium:
Online Resource
ISSN:
2475-0328
,
2475-0328
Language:
English
Publisher:
Wiley
Publication Date:
2019
detail.hit.zdb_id:
2895706-4
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