Omentectomy in Addition to Bariatric Surgery—a 5-Year Follow-up

AIM: Omentectomy in addition to bariatric surgery has been suggested to improve metabolic outcome but short-term (6–24 months) studies have refuted this notion. We investigated whether there was any long-term impact of omentectomy. METHODS: Forty-nine obese women underwent gastric bypass surgery and...

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Detalles Bibliográficos
Autores principales: Andersson, Daniel P, Eriksson-Hogling, Daniel, Bäckdahl, Jesper, Thorell, Anders, Löfgren, Patrik, Rydén, Mikael, Arner, Peter, Hoffstedt, Johan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2017
Materias:
Brief Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339313/
https://www.ncbi.nlm.nih.gov/pubmed/28155057
http://dx.doi.org/10.1007/s11695-017-2576-y
Descripción
Sumario:AIM: Omentectomy in addition to bariatric surgery has been suggested to improve metabolic outcome but short-term (6–24 months) studies have refuted this notion. We investigated whether there was any long-term impact of omentectomy. METHODS: Forty-nine obese women underwent gastric bypass surgery and were randomly assigned to omentectomy (n = 26) or not (n = 23). They were re-examined after 5 years including dual-energy X-ray absorptiometry for body composition, blood pressure and blood sampling. RESULTS: There were no significant differences between the two groups at baseline (p = 0.07–0.93) or 5 years post-operatively (p = 0.15–0.93) regarding weight, BMI, body composition, HOMA-IR, plasma cholesterol, HDL cholesterol, or triglycerides. CONCLUSION: In agreement with previous shorter studies, removal of the greater omentum in addition to GBP is not associated with metabolic benefits after long-term follow-up.

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