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FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is currently the most frequently performed bariatric procedure in Turkey. The goal of weight reduction surgery is not only to decrease excess weight, but also to improve obesity related comorbidities and quality of life (QoL). AIM: To evaluate the im...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Colégio Brasileiro de Cirurgia Digestiva
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097028/ https://www.ncbi.nlm.nih.gov/pubmed/30133678 http://dx.doi.org/10.1590/0102-672020180001e1386 |
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author | WADA, André M. HASHIBA, Kiyoshi OTOCH, Jose P. BRASIL, Horus MARSON, Fernando P. CASSAB, Jorge ABDALLA, Ricardo ARTIFON, Everson L. A. |
author_facet | WADA, André M. HASHIBA, Kiyoshi OTOCH, Jose P. BRASIL, Horus MARSON, Fernando P. CASSAB, Jorge ABDALLA, Ricardo ARTIFON, Everson L. A. |
author_sort | WADA, André M. |
collection | PubMed |
description | BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is currently the most frequently performed bariatric procedure in Turkey. The goal of weight reduction surgery is not only to decrease excess weight, but also to improve obesity related comorbidities and quality of life (QoL). AIM: To evaluate the impact of LSG on patient quality of life, weight loss, and comorbidities associated with morbid obesity according to the updated BAROS criteria. METHODS: Eleven hundred thirty-eight adult patients were undergone to LSG by our bariatric surgery team between January 2013 and January 2016. A questionnaire (The Bariatric Analysis and Reporting Outcome System - BAROS) was published on social media. The data on postoperative complications were collected from hospital database. RESULTS: Number of respondants was 562 (49.4%). Six of 1138 patients(0.5%) had leakage. All patients who had leakage were respondants. The overall complication rate was 7.7%. After a mean period of 7.4±5.3 months(1-30), mean excess weight loss was 71.3±27.1% (10.2-155.4). The respondants reported 772 comorbidities. Of these, 162 (30%) were improved, and 420 (54.4%) were resolved. The mean scores for QoL were significantly increased after LSG (range, p<0.05 to <0.001). Of the 562 patients, 26 (4.6%) were classified as failures; 86 (15.3%) fair; 196 (34.9%) good; 144 (25.6%) very good, and 110 (19.6%) excellent results according to the updated BAROS scoring system. CONCLUSION: LSG is a highly effective bariatric procedure in the manner of weight control, improvement in comorbidities and increasing of QoL in short- and mid-term. |
format | Online Article Text |
id | pubmed-6097028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Colégio Brasileiro de Cirurgia Digestiva |
record_format | MEDLINE/PubMed |
spelling | pubmed-60970282018-08-23 FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY WADA, André M. HASHIBA, Kiyoshi OTOCH, Jose P. BRASIL, Horus MARSON, Fernando P. CASSAB, Jorge ABDALLA, Ricardo ARTIFON, Everson L. A. Arq Bras Cir Dig Original Article - Technique BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is currently the most frequently performed bariatric procedure in Turkey. The goal of weight reduction surgery is not only to decrease excess weight, but also to improve obesity related comorbidities and quality of life (QoL). AIM: To evaluate the impact of LSG on patient quality of life, weight loss, and comorbidities associated with morbid obesity according to the updated BAROS criteria. METHODS: Eleven hundred thirty-eight adult patients were undergone to LSG by our bariatric surgery team between January 2013 and January 2016. A questionnaire (The Bariatric Analysis and Reporting Outcome System - BAROS) was published on social media. The data on postoperative complications were collected from hospital database. RESULTS: Number of respondants was 562 (49.4%). Six of 1138 patients(0.5%) had leakage. All patients who had leakage were respondants. The overall complication rate was 7.7%. After a mean period of 7.4±5.3 months(1-30), mean excess weight loss was 71.3±27.1% (10.2-155.4). The respondants reported 772 comorbidities. Of these, 162 (30%) were improved, and 420 (54.4%) were resolved. The mean scores for QoL were significantly increased after LSG (range, p<0.05 to <0.001). Of the 562 patients, 26 (4.6%) were classified as failures; 86 (15.3%) fair; 196 (34.9%) good; 144 (25.6%) very good, and 110 (19.6%) excellent results according to the updated BAROS scoring system. CONCLUSION: LSG is a highly effective bariatric procedure in the manner of weight control, improvement in comorbidities and increasing of QoL in short- and mid-term. Colégio Brasileiro de Cirurgia Digestiva 2018-08-16 /pmc/articles/PMC6097028/ /pubmed/30133678 http://dx.doi.org/10.1590/0102-672020180001e1386 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article - Technique WADA, André M. HASHIBA, Kiyoshi OTOCH, Jose P. BRASIL, Horus MARSON, Fernando P. CASSAB, Jorge ABDALLA, Ricardo ARTIFON, Everson L. A. FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY |
title | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND
GASTROSTOMY: A FEASIBILITY STUDY |
title_full | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND
GASTROSTOMY: A FEASIBILITY STUDY |
title_fullStr | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND
GASTROSTOMY: A FEASIBILITY STUDY |
title_full_unstemmed | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND
GASTROSTOMY: A FEASIBILITY STUDY |
title_short | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND
GASTROSTOMY: A FEASIBILITY STUDY |
title_sort | full-thickness endoscopic gastric resection using a stapler and
gastrostomy: a feasibility study |
topic | Original Article - Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097028/ https://www.ncbi.nlm.nih.gov/pubmed/30133678 http://dx.doi.org/10.1590/0102-672020180001e1386 |
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