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논문 기본 정보

자료유형
학술저널
저자정보
Ji Yeon Park (Kyungpook National University) Yoonseok Heo (Inha University School of Medicine) Yong Jin Kim (Soonchunhyang University Seoul Hospital) Joong-Min Park (Chung-Ang University College of Medicine) Seong-Min Kim (Gachon University College of Medicine) Do-Joong Park (Seoul National University Bundang Hospital) Sang Kuon Lee (The Catholic University of Korea) Sang-Moon Han (CHA University School of Medicine) Kyung-Won Shim (Ewha Women’s University School of Medicine) Yeon Ji Lee (Inha University School of Medicine) Ja Youn Lee (National Evidence-based Healthcare Collaborating Agency) Jin-Won Kwon (National Evidence-based Healthcare Collaborating Agency)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.96 No.6
발행연도
2019.6
수록면
283 - 289 (7page)

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Purpose: Long-term results following bariatric surgery compared to conventional treatments has never been reported in morbidly obese Korean patients. This study aimed to evaluate the long-term efficacy of bariatric surgery in morbidly obese Korean patients compared to conventional medical treatments.
Methods: In this multicenter retrospective cohort study, we reviewed 137 obese subjects between January 2008 and February 2011 with a body mass index (BMI) > 30 ㎏/㎡ who had more than 5 years of follow-up clinical data after bariatric surgery (surgery group, n = 49) or conventional treatment (conventional treatment group, n = 88). Anthropometric data and the status of comorbidities were compared between the 2 groups.
Results: The median follow-up period was 72.1 months (range 19.3–109.7 months). At the last follow-up, the surgery group showed a greater amount of total weight loss than the conventional treatment group (24.9% vs. 2.8%, P ＜ 0.001). The prevalence of diabetes and hypertension significantly decreased in the surgery group, while the conventional treatment group showed a marked increase in these comorbidities. In the surgery group, Roux-en-Y gastric bypass and sleeve gastrectomy achieved comparable long-term weight loss (26.5% vs. 22.4%, respectively; P = 0.087).
Conclusion: In the long-term, bariatric surgery achieved and maintained significantly greater weight reduction, as well as a decrease in obesity-related comorbidities, than did conventional medical therapy in morbidly obese Korean patients.
#Morbid obesity #Bariatric surgery #Gastric bypass #Gastrectomy

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (23)

참고문헌 신청
World Health Organization / Obesity and overweight fact sheets google schola National Health Insurance Service / National Health Information Database google schola Shin HY / 2017 / Recent trends in the prevalence of underweight, overweight, and obesity in Korean adults: The Korean National Health and Nutrition Examination Survey from 1998 to 2014 / J Epidemiol 27:413~419 google schola Wittgrove AC / 1994 / Laparoscopic gastric bypass, roux-en-Y : preliminary report of five cases / Obes Surg 4:353~357 google schola Scopinaro N / 1998 / The IFSO and obesity surgery throughout the world. International Federation for the Surgery of Obesity / Obes Surg 8:3~8 google schola

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