Abstract：
BACKGROUND:Bariatric surgery is being recognized increasingly as an effective treatment for obesity and related comorbidities. In Japan, the cost of laparoscopic sleeve gastrectomy (LSG) is covered by the national health insurance for adults with a body mass index (BMI) ≥ 35 kg/m2 and specific comorbidities (type 2 diabetes mellitus (T2DM), hypertension (HT), dyslipidemia (DL), and obstructive sleep apnea syndrome (OSAS)). However, only 0.6% of the adult population have a BMI ≥ 35 kg/m2. In contrast, 4.3% have class I obesity (a BMI of 30-34.9 kg/m2). The BMI of Asians with central obesity-induced diabetes and other metabolic disorders is much lower than that of Westerners. OBJECTIVES:To evaluate the medium-term (up to 5 years) outcomes of LSG performed in Japanese patients with class I obesity. METHODS:One hundred eighteen consecutive patients with class I obesity treated by LSG at our center between August 2007 and December 2018 were included in a retrospective study. Mean preoperative body weight (BW) and BMI were 88.6 ± 10.3 kg and 32.8 ± 1.6 kg/m2, respectively. Weight loss, comorbidity status, and adverse events were assessed. RESULTS:Mean BW/BMI at 1, 3, and 5 years after LSG decreased significantly to 66.6 ± 11.2 kg/24.6 ± 2.8 kg/m2, 68.0 ± 14.0 kg/25.4 ± 4.0 kg/m2, and 69.1 ± 12.9 kg/26.5 ± 3.0 kg/m2, respectively. Mean total weight loss at 1, 3, and 5 years was 24.7 ± 8.2%, 21.8 ± 12.1%, and 18.5 ± 9.7%, respectively. Metabolic disorders such as T2DM, HT, and DL improved significantly. There was no mortality. CONCLUSION:LSG is safe, yields excellent weight loss, and improves obesity-related comorbidities in Japanese patients with class I obesity.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Seki Y,Kasama K,Kikkawa E,Yokoyama R,Nabekura T,Sano A,Amiki M,Kurokawa Ydoi
10.1007/s11695-020-04789-6subject
Has Abstractpub_date
2020-11-01 00:00:00pages
4366-4374issue
11eissn
0960-8923issn
1708-0428pii
10.1007/s11695-020-04789-6journal_volume
30pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract：:In order to avoid a stagnant loop syndrome in intestinal bypass operations for morbid obesity, we have tried a jejunoileal bypass with a side-to-side anastomosis in a pilot study. Seven patients were operated on with this method, which resulted in a very high incidence of liver damage. The study puts a question mark t...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089291765561187
更新日期：1991-06-01 00:00:00
abstract：BACKGROUND:The Bioenterics Intragastric Balloon (BIB) is effective for weight loss. However, comparisons of its effectiveness between groups with different body mass index (BMI) are rare. This study compared the effectiveness of BIB treatment in patients with BMI <32 kg/m(2) and those with BMI ≥ 32 kg/m(2) at the time ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-013-1027-7
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Depression levels generally decrease substantially following bariatric surgery; however, little is known about bariatric patients who might experience increases in depression following surgery. We examined the frequency of bariatric patients who experienced discernible increases in depression levels followin...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-014-1402-z
更新日期：2015-03-01 00:00:00
abstract：:It has been suggested that a shift in food choices leading to a diet with a lower energy density plays an important role in successful weight loss after Roux-en-Y gastric bypass (RYGB) surgery. A decreased hedonic drive to consume highly palatable foods may explain these changes in eating behavior. Here, we review the...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-016-2217-x
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:A König's syndrome is referred to abdominal pain in relation to meals with constipation alternated with diarrhea, meteorism, and abdominal distension. A postoperative long-term complication after Roux-en-Y gastric bypass could be the appearance of chronic abdominal pain associated with vomiting, dysphagia, a...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04563-8
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Operations for morbid obesity that are effective in inducing weight loss improve blood pressure, glycemic control and dyslipidemia. Our purpose was to study the effectiveness of VBG in improving hypertension, diabetes and dyslipidemias in morbidly obese patients. METHODS:Retrospective analysis of a cohort o...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089202321088075
更新日期：2002-06-01 00:00:00
abstract：INTRODUCTION:Bariatric surgery is considered the most effective treatment for obesity. A recent worldwide survey demonstrated that Laparoscopic Sleeve Gastrectomy (LSG) is the most commonly performed bariatric procedure, while Laparoscopic Adjustable Gastric Banding (LAGB) has been almost abandoned. OBJECTIVES:The aim...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-3161-8
更新日期：2018-08-01 00:00:00
abstract：BACKGROUND:The study aim was to retrospectively assess whether patients were able to maintain their weight after gastric band removal or deflation and how they felt about gastric banding. METHODS:A total of 41 patients (93% female, mean age 34.1 (SD 10.5) years) were included in this study: patients who had their band...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-009-9936-1
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:Before bariatric surgery, the necessity of routine upper gastrointestinal endoscopy is controversial, and guidelines recommend endoscopy in symptomatic cases. However, impaired visceral sensation occurring in obese patients may be misleading. The purpose of the study is to evaluate prospectively the prevalen...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-015-1861-x
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:Obese patients have a propensity to desaturate during induction of general anesthesia secondary to their reduced functional residual capacity and increased oxygen consumption. Apneic oxygenation can provide supplemental oxygen to the alveoli, even in the absence of ventilation, during attempts to secure the ...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-019-04077-y
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Esophageal reflux is common in obese patients. Hiatal hernia is considered a potential contraindication to placement of a Lap-Band. METHODS:Esophageal investigation in patients who were candidates for a Lap-Band included clinical evaluation of symptoms (scoring system), endoscopic and radiologic evaluation,...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089299765553007
更新日期：1999-08-01 00:00:00
abstract：BACKGROUND:Gastric banding is today a common restrictive procedure to treat morbid obesity. After operation, adjustment of the band is required to adequately restrict food intake, allowing better results. The aim of this study was to evaluate the results of a unique method of adjustment using dynamic radioisotope scint...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1381/096089204323013532
更新日期：2004-04-01 00:00:00
abstract：:A 33-year-old, morbidity obese woman underwent a laparoscopic Roux-en-Y gastric bypass in November 2004. She presented 18 months later with a history of recurrent pain in the upper region of the abdomen and severe vomiting. Radiologic and endoscopic evaluations revealed wall thickening in the transverse colon and a so...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9189-9
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVES:The study aimed to evaluate the changes in thyroid function and the risk of thyroid tumors after Roux-en-Y gastric bypass (RYGB) surgery. MATERIALS AND METHODS:This was a retrospective study of 117 patients with type 2 diabetes (T2D) and obesity who underwent laparoscopic RYGB (LRYGB) and were followed up f...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2684-8
更新日期：2017-10-01 00:00:00
abstract：:Adolescents seeking bariatric surgery may present with pre-existing psychiatric diagnoses for which they use chronic medications. To heighten awareness concerning perioperative polypharmacy in adolescents with extreme obesity, we conducted a retrospective review of patients undergoing laparoscopic sleeve gastrectomy b...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04456-w
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Intragastric balloon placement in association with diet for weight reduction is steadily gaining popularity. However, long-term follow-up studies on the effect of this method in maintaining weight loss are lacking. This study evaluated the long-term outcome following balloon removal in morbidly obese patient...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089206777822188
更新日期：2006-07-01 00:00:00
abstract：PURPOSE:Missing data is common in electronic health records (EHR)-based obesity research. To avoid bias, it is critical to understand mechanisms that underpin missingness. We conducted a survey among bariatric surgery patients in three integrated health systems to (i) investigate predictors of disenrollment and (ii) ex...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-021-05226-y
更新日期：2021-01-19 00:00:00
abstract：:This review examines the energetics and metabolic parameters which influence the effectiveness of gastric restrictive surgery in achieving weight loss in the clinically severely obese patient. Among the subjects discussed are the metabolic determinants and consequences of obesity, energy expenditure and its components...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089294765558700
更新日期：1994-05-01 00:00:00
abstract：BACKGROUND:Observational studies based on quality-of-life and endoscopy relate sleeve gastrectomy (SG) to gastroesophageal reflux disease (GERD), while some functional studies have demonstrated a decrease in esophageal exposure to gastric acid after SG. Currently, it is recommended to treat hiatal hernia along with the...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-016-2076-5
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:Postprandial hypoglycaemia is a severe complication of Roux-en-Y gastric bypass (RYGBP). Acarbose, an α-glucosidase inhibitor (AGI), is employed in its treatment. Several studies have shown that AGIs increase the postprandial levels of glucagon-like peptide 1 (GLP-1). However, an excessive level of GLP-1 is ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-011-0581-0
更新日期：2012-04-01 00:00:00
abstract：:The prevalence of obesity continues to escalate in the USA; however, there is no consensus regarding the optimal therapy for obesity. For the vast majority of severely obese patients, conventional medical therapies (i.e., diet, exercise, behavioral counseling) often fail over the long term. Existing pharmacotherapy ad...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-012-0634-z
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:The effect of bariatric surgery on thyroid hormone changes yielded inconsistent results. The aim of the present study was to assess the change of thyroid hormone levels following laparoscopic sleeve gastrectomy (LSG), with or without antral preservation (AP). METHODS:Thyroid hormones (TSH, FT3, FT4) were ex...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04896-4
更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:The efficacy of antiretroviral therapy has made HIV a chronic condition. The prevalence of obesity in HIV positive patients has subsequently risen and is present in 6-34% of men and 21-30% of women (Keithley et al. J Assoc Nurses AIDS Care 20(4):260-74, 2009). Sleeve gastrectomy is a safe and effective proce...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2865-5
更新日期：2018-02-01 00:00:00
abstract：PURPOSE:The aim of this study was to investigate the effect of chest physiotherapy (CP) applied to patients undergoing bariatric surgery on pulmonary functions, dyspnea levels, functional capacity, and quality of life. METHODS:The patients were randomized and divided into two groups each comprising 74 patients. CP and...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-019-04165-z
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are performed in patients with obesity and type 2 diabetes mellitus (T2DM). The aim of this study is to evaluate retrospectively the clinical efficacy of RYGB and SG in two groups of obese T2DM patients. METHODS:From the hospital database, we extra...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0657-5
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:The purpose of the present study is to evaluate the impact of a health psychology-led bariatric rehabilitation service (BRS) on patient weight loss following bariatric surgery at 1 year. METHODS:A single-site open-randomised parallel group control trial based at St. Richard's Hospital in Chichester in the U...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-014-1428-2
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:One of the most important outcomes following bariatric surgery is an improvement in health-related quality of life (QOL). This study aimed to explore what degree of weight loss is required after bariatric surgery in order to achieve a clinically significant change in QOL from pre-surgery to 4 to 5 years afte...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2568-y
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Laparoscopic adjustable gastric banding is a safe and effective treatment method for morbid obesity. Injection port dislocation, tube perforation and access port infection are generally classified among the minor complications, although they can require a reoperation at the port-site or even at the level of ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089202762552791
更新日期：2002-04-01 00:00:00
abstract：BACKGROUND:The VBG was originally performed with a Marlex band and characterized by a satisfactory weight loss and low morbidity. The effect of the material used for the banding procedure (Marlex vs Dacron) in vertical banded gastroplasty (VBG) is evaluated. METHODS:In 49 consecutive obese patients treated with a VBG,...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089297765556015
更新日期：1997-04-01 00:00:00
abstract：BACKGROUND:The present weight stigma study examined whether attitudes toward and employability of a normal weight person can change after learning that the person had been obese. METHODS:Participants (N = 154) viewed an image of a normal weight woman and rated their impression of her. Next, participants rated their im...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-014-1522-5
更新日期：2015-03-01 00:00:00
