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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 956 - 962 (7page)
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초록· 키워드
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Purpose: Bariatric surgery is relatively new in Korea, and studies comparing different bariatric procedures in Koreans are lacking. This study aimed to compare the clinical outcomes of laparoscopic adjustable gastric banding (LAGB), Roux-en-Y gastric bypass (RYGB), and sleeve gastrectomy (SG) for treating morbidly obese Korean adults.
Materials and Methods: In this multicenter retrospective cohort study, we reviewed the medical records of 261 obese patients who underwent different bariatric procedures. Clinical outcomes were measured in terms of weight loss and resolution of comorbidities,such as diabetes, hypertension, and dyslipidemia. Safety profiles for the procedures were also evaluated.
Results: In terms of weight loss, the three procedures showed similar results at 18 months (weight loss in 52.1% for SG, 61.0% for LAGB, and 69.2% for RYGB). Remission of diabetes, hypertension, and dyslipidemia was more frequent in patients who underwentRYGB (65.9%, 63.6%, and 100% of patients, respectively). Safety profiles were similar among groups. Early complications occurredin 26 patients (9.9%) and late complications in 32 (12.3%). In the LAGB group, five bands (6.9%) were removed. Among all patients, one death (1/261=0.38%) occurred in the RYGB group due to aspiration pneumonia.
Conclusion: The three bariatric procedures were comparable in regards to weight-loss outcomes; nevertheless, RYGB showed a higher rate of comorbidity resolution. Bariatric surgery is effective and relatively safe; however, due to complications, some bands had to be removed in the LAGB group and a relatively high rate of reoperations was observed in the RYGB group.
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등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Ministry of Health and Welfare / 2013 / Ministry of Health and Welfare statistical year book / Ministry of Health and Welfare :10~11
Sjöström L / 2004 / Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery / N Engl J Med 351:2683~2693
Sjöström L / 2014 / Association of bariatric surgery with longterm remission of type 2 diabetes and with microvascular and macrovascular complications / JAMA 311:2297~2304
Buchwald H / 2013 / Metabolic/bariatric surgery worldwide 2011 / Obes Surg 23:427~436
Hutter MM / 2011 / First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass / Ann Surg 254:410~420
Sjöström L / 2004 / Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery / N Engl J Med 351:2683~2693
Sjöström L / 2014 / Association of bariatric surgery with longterm remission of type 2 diabetes and with microvascular and macrovascular complications / JAMA 311:2297~2304
Buchwald H / 2013 / Metabolic/bariatric surgery worldwide 2011 / Obes Surg 23:427~436
Hutter MM / 2011 / First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass / Ann Surg 254:410~420
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