KMID : 1039620220120030185
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Korean Journal of Family Practice 2022 Volume.12 No. 3 p.185 ~ p.192
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Longitudinal Changes of Body Weight According to Sex?Age and Metabolic Parameters in Korean Morbid Obese Patients after Sleeve Gastrectomy: 12-Month Retrospective Cohort Study
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Park Hae-Ran
Huh Youn Kim Seung-Hee Yoo Moon-Won Ko Chang-Seok Park Hye-Soon
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Abstract
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Background: Bariatric surgery has beneficial effects on weight loss and metabolic profiles in morbidly obese patients. A 12-month retrospective cohortstudy was performed to investigate changes in body weight according to sex, age, and metabolic parameters among Korean morbidly obesepatients after undergoing sleeve gastrectomy.
Methods: We included 58 patients with an initial body mass index (BMI) of 35 kg/m2or more, or a BMI of 30 kg/m2with metabolic comorbidities, whounderwent laparoscopic sleeve gastrectomy. We collected body weight and biochemistry data pre- and post-surgery and analyzed longitudinalchanges of body weight and metabolic parameters.
Results: The mean preoperative and postoperative weights were 124.77 kg and 92.77 kg (pre- and at 12 months, respectively) in males and 99.21 kgand 75.29 kg in females, respectively (P<0.0001). The mean preoperative and postoperative BMIs were 39.57 kg/m2and 29.39 kg/m2in males, and38.20 kg/m2and 29.02 kg/m2in females, respectively (P<0.0001). There was no difference in percent (%) BMI change between males and females.
However, younger patients aged <40 years showed a higher % BMI change post-op at 2 weeks, 3 months, 6 months, 9 months, and 12 months thanthose aged ¡Ã40 years. Metabolic parameters were significantly improved after sleeve gastrectomy.
Conclusion: In Korean morbidly obese patients, approximately 25% weight reduction and metabolic improvement were achieved at 12 months aftersleeve gastrectomy. Increased percentages of weight change were observed in younger patients. Large-scaled, prospective studies are needed toverify the long-term effectiveness of bariatric surgery in Korean morbidly obese patients.
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KEYWORD
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Morbid Obesity, Sleeve Gastrectomy, Body Weight, Metabolic Parameters
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