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KMID : 1033120120010010049
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대한비만대사외과학회지
2012 Volume.1 No. 1 p.49 ~ p.54
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Early Postoperative Effects of Long-term Using Anorexiants before Laparoscopic Adjustable Gastric Banding Surgery for Morbid Obesity: A Pilot Study
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Cho Min-Young
Son Bodri
Eoh Kyoung-Nam
Kim Jeong-Eun
Chae Kyu-Hee
Kim Ha-Jin
So Jae-Yong
Lee Sun-Ho
Kim Nam-Chul
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Abstract
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Purpose: Morbidly obese patients have experienced various anorexiants before bariatric surgery. The long-term using anorexiants can emotionally distort hunger sensation for those who have drug dependency or for those whom the drugs no longer have affected. This study was to evaluate the effects of them on hunger and weight loss after laparoscopic adjustable gastric banding (LAGB).
Materials and Methods: The patients with LAGB were divided into the anorexiant group who had taken anorexiants during more than 2 months within 2 months before the surgery and the non-anorexiant group who did not take anorexiants. The data of body weight were collected in clinics and telephone survey at postoperative 1 week, 4 weeks and every 2 weeks interval until 16 weeks. The effects of preoperative anorexiants were evaluated with the Hunger score and % excessive weight loss (%EWL). The hunger score was evaluated with Hunger Scale at MIT medical at postoperative 4 hours, 1 week, 4 weeks, 8 weeks, 12 weeks and 16 weeks.
Results: 36 and 31 patients were respectively enrolled into the anorexiant group and non-anorexiant group. Mean hunger score was significantly lower in the anorexiant group at postoperative 4 hours, 1 week and 1 month (P<0.0001). Average %EWL at postoperative 16 weeks was reached significantly higher in the non-anorexiant group (11.7% vs. 32.6%, P<0.0001). The change of %EWL was significantly higher in the non-anorexiant group with serial measurement (P<0.0001).
Conclusion: The long-term using sympathomimetic anorexiants are recommended to quit as soon as possible before the LAGB for controlling postoperative hunger sensation and adequate weight loss.
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KEYWORD
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Anorexiant, Gastric banding, Hunger, Obesity, %EWL
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