Tags

Type your tag names separated by a space and hit enter

Bariatric surgery in 1119 patients with preoperative body mass index<35 (kg/m(2)): results at 1 year.
Surg Obes Relat Dis. 2015 Sep-Oct; 11(5):1127-32.SO

Abstract

BACKGROUND

The use of body mass index (BMI) as the only criterion to indicate bariatric surgery is currently under discussion. There is growing evidence that supports bariatric surgery in carefully selected patients with lower BMI.

OBJECTIVES

To report our experience in bariatric surgery in>1000 patients with BMI<35 kg/m(2) and their results at 1 year.

SETTING

University hospital (censored).

METHODS

A retrospective analysis was performed in patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (SG) with preoperative BMI<35 kg/m(2) from January 2008 to December 2011. Demographic and anthropometric data, preoperative co-morbidities, and perioperative variables were retrieved. Weight loss and co-morbidities progression were analyzed 1 year after surgery and compared among procedures. A P value<.05 was considered significant.

RESULTS

We identified 1119 patients: mean age 38.8±11.4, 951 (85%) women, preoperative weight 87.5±9.3 kg and BMI 33.1 (31.9-34.1) kg/m(2). Preoperatively, 11.7% had type 2 diabetes mellitus, 25.9% arterial hypertension, 55.6% insulin resistance, and 53.2% dyslipidemia. In total, 283 patients (25.2%) underwent LRYGB and 836 (74.8%) SG. One year after surgery (follow-up: 66.67%) patients reached 24.5 (22.8-26.4) BMI and the percentage of excess of weight loss (%EWL) was 107.9±36.6%. Diabetes, hypertension, insulin resistance, and dyslipidemia remission/improvement rates were 54/39%, 58/29%, 72/17%, and 54/30%, respectively.

CONCLUSIONS

Bariatric surgery in selected class I obesity patients can safely be performed. We have observed good results in terms of weight loss and co-morbidity improvement/remission. Long-term follow-up is required.

Authors+Show Affiliations

Department of Digestive Surgery, Bariatric Surgery Unit, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, Bariatric Surgery Unit, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, Bariatric Surgery Unit, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, Bariatric Surgery Unit, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, Bariatric Surgery Unit, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, Bariatric Surgery Unit, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile. Electronic address: bozauc@mac.com.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

26645489

Citation

Maiz, Cristóbal, et al. "Bariatric Surgery in 1119 Patients With Preoperative Body Mass Index<35 (kg/m(2)): Results at 1 Year." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 11, no. 5, 2015, pp. 1127-32.
Maiz C, Alvarado J, Quezada N, et al. Bariatric surgery in 1119 patients with preoperative body mass index<35 (kg/m(2)): results at 1 year. Surg Obes Relat Dis. 2015;11(5):1127-32.
Maiz, C., Alvarado, J., Quezada, N., Salinas, J., Funke, R., & Boza, C. (2015). Bariatric surgery in 1119 patients with preoperative body mass index<35 (kg/m(2)): results at 1 year. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 11(5), 1127-32. https://doi.org/10.1016/j.soard.2015.03.012
Maiz C, et al. Bariatric Surgery in 1119 Patients With Preoperative Body Mass Index<35 (kg/m(2)): Results at 1 Year. Surg Obes Relat Dis. 2015 Sep-Oct;11(5):1127-32. PubMed PMID: 26645489.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bariatric surgery in 1119 patients with preoperative body mass index<35 (kg/m(2)): results at 1 year. AU - Maiz,Cristóbal, AU - Alvarado,Juan, AU - Quezada,Nicolás, AU - Salinas,José, AU - Funke,Ricardo, AU - Boza,Camilo, Y1 - 2015/03/27/ PY - 2014/10/04/received PY - 2015/03/11/revised PY - 2015/03/23/accepted PY - 2015/12/10/entrez PY - 2015/12/10/pubmed PY - 2016/9/20/medline KW - Bariatric surgery KW - Body mass index KW - Class I obesity KW - Laparoscopic Roux-en-Y gastric bypass KW - Sleeve gastrectomy SP - 1127 EP - 32 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 11 IS - 5 N2 - BACKGROUND: The use of body mass index (BMI) as the only criterion to indicate bariatric surgery is currently under discussion. There is growing evidence that supports bariatric surgery in carefully selected patients with lower BMI. OBJECTIVES: To report our experience in bariatric surgery in>1000 patients with BMI<35 kg/m(2) and their results at 1 year. SETTING: University hospital (censored). METHODS: A retrospective analysis was performed in patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) or sleeve gastrectomy (SG) with preoperative BMI<35 kg/m(2) from January 2008 to December 2011. Demographic and anthropometric data, preoperative co-morbidities, and perioperative variables were retrieved. Weight loss and co-morbidities progression were analyzed 1 year after surgery and compared among procedures. A P value<.05 was considered significant. RESULTS: We identified 1119 patients: mean age 38.8±11.4, 951 (85%) women, preoperative weight 87.5±9.3 kg and BMI 33.1 (31.9-34.1) kg/m(2). Preoperatively, 11.7% had type 2 diabetes mellitus, 25.9% arterial hypertension, 55.6% insulin resistance, and 53.2% dyslipidemia. In total, 283 patients (25.2%) underwent LRYGB and 836 (74.8%) SG. One year after surgery (follow-up: 66.67%) patients reached 24.5 (22.8-26.4) BMI and the percentage of excess of weight loss (%EWL) was 107.9±36.6%. Diabetes, hypertension, insulin resistance, and dyslipidemia remission/improvement rates were 54/39%, 58/29%, 72/17%, and 54/30%, respectively. CONCLUSIONS: Bariatric surgery in selected class I obesity patients can safely be performed. We have observed good results in terms of weight loss and co-morbidity improvement/remission. Long-term follow-up is required. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/26645489/Bariatric_surgery_in_1119_patients_with_preoperative_body_mass_index<35__kg/m_2__:_results_at_1_year_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(15)00082-9 DB - PRIME DP - Unbound Medicine ER -