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Short-term outcomes of laparoscopic sleeve gastrectomy among obesity patients in the Northern West Bank: a retrospective records review.

Al Zabadi H, Daqour A, Hawari A, Hasouni J - BMC Res Notes (2014)

Bottom Line: For the clinically diagnosed hypertensive patients, there was a mean (SD) reduction of 27.50 (9.87) mm Hg in systolic pressure (P < 0.026) and 18.33 (13.66) of the diastolic blood pressure (P < 0.042).For diabetics, there were clinically and biologically clear mean (SD) reductions in fasting blood sugar and glycated hemoglobin A1c of about 82.00 (22.70) mg/dl and 1.90 (0.78) %; respectively.Only practicing sports or exercise (no/yes) remained significant with post-operative BMI (regression coefficient B = -7.33; P-value and 95% CI for B; 0.009 and -12.68- -1.98).

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Medicine and Health Sciences-Public Health and Community Medicine Department, An-Najah National University, Nablus, Palestine. halzabadi@gmail.com.

ABSTRACT

Background: Conservative methods for weight loss are usually disappointing. Therefore, surgeries such as Laparoscopic Sleeve Gastrectomy (LSG) should be considered. We aimed to evaluate the outcomes (body mass index; BMI) of LSG among obesity patients in the Northern West Bank.

Methods: Hospital records were reviewed for all patients who had undergone LSG since 2010 in Arab specialized hospital in Nablus and Palestinian Red Crescent society hospital in Tulkarem. Then, patients have been invited again to participate in the study and asked to self-report further pre-/post-operative measures. The primary study outcome was the change in BMI while secondary outcomes included obesity associated co-morbidities' measures; hypertension (HTN) and diabetes mellitus (DM).

Results: The mean age (standard deviation; SD) of the study participants (n = 30; 20 women and 10 men) was 34.06 (10.71) years. The mean (SD) follow-up time was 7.16 (5.05) months. The mean ± SD of the pre-operative BMI was 47.23 ± 7.89 kg/m2 while 36.74 ± 7.74 kg/m2 post-operatively (95% CI for mean differences and P-value; 8.83-12.14 and 0.001). For the clinically diagnosed hypertensive patients, there was a mean (SD) reduction of 27.50 (9.87) mm Hg in systolic pressure (P < 0.026) and 18.33 (13.66) of the diastolic blood pressure (P < 0.042). For diabetics, there were clinically and biologically clear mean (SD) reductions in fasting blood sugar and glycated hemoglobin A1c of about 82.00 (22.70) mg/dl and 1.90 (0.78) %; respectively. Only practicing sports or exercise (no/yes) remained significant with post-operative BMI (regression coefficient B = -7.33; P-value and 95% CI for B; 0.009 and -12.68- -1.98).

Conclusions: LSG can significantly improve BMI and could improve or resolve obesity associated co-morbidities like HTN and DM. LSG could be recommended for co-morbid obesity patients who fail to reach beneficial results from a structured weight loss programs.

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Related in: MedlinePlus

The relationship between the post-operative BMI (main study outcome) and the participants’ post-operative follow-up time. Scatter-plot and regression line with 95% confidence intervals of the mean are shown. BMI, body mass index [(weight (kilogram) divided by the square of height (meter)].
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Figure 2: The relationship between the post-operative BMI (main study outcome) and the participants’ post-operative follow-up time. Scatter-plot and regression line with 95% confidence intervals of the mean are shown. BMI, body mass index [(weight (kilogram) divided by the square of height (meter)].

Mentions: Figure 1 represents the relationship between the post-operative BMI and age while Figure 2 shows the relationship with the post-operative follow-up time. As shown in Figure 1, the age was positively statistically-significant with post-operative BMI (P = 0.033; R2 linear = 15.2%). On the other hand, post-operative follow-up time failed to reach a statistically-significant correlation with the post-operative BMI (although a general negative correlation was observed, P = 0.33; R2 linear = 3.4%; Figure 2).


Short-term outcomes of laparoscopic sleeve gastrectomy among obesity patients in the Northern West Bank: a retrospective records review.

Al Zabadi H, Daqour A, Hawari A, Hasouni J - BMC Res Notes (2014)

The relationship between the post-operative BMI (main study outcome) and the participants’ post-operative follow-up time. Scatter-plot and regression line with 95% confidence intervals of the mean are shown. BMI, body mass index [(weight (kilogram) divided by the square of height (meter)].
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921992&req=5

Figure 2: The relationship between the post-operative BMI (main study outcome) and the participants’ post-operative follow-up time. Scatter-plot and regression line with 95% confidence intervals of the mean are shown. BMI, body mass index [(weight (kilogram) divided by the square of height (meter)].
Mentions: Figure 1 represents the relationship between the post-operative BMI and age while Figure 2 shows the relationship with the post-operative follow-up time. As shown in Figure 1, the age was positively statistically-significant with post-operative BMI (P = 0.033; R2 linear = 15.2%). On the other hand, post-operative follow-up time failed to reach a statistically-significant correlation with the post-operative BMI (although a general negative correlation was observed, P = 0.33; R2 linear = 3.4%; Figure 2).

Bottom Line: For the clinically diagnosed hypertensive patients, there was a mean (SD) reduction of 27.50 (9.87) mm Hg in systolic pressure (P < 0.026) and 18.33 (13.66) of the diastolic blood pressure (P < 0.042).For diabetics, there were clinically and biologically clear mean (SD) reductions in fasting blood sugar and glycated hemoglobin A1c of about 82.00 (22.70) mg/dl and 1.90 (0.78) %; respectively.Only practicing sports or exercise (no/yes) remained significant with post-operative BMI (regression coefficient B = -7.33; P-value and 95% CI for B; 0.009 and -12.68- -1.98).

View Article: PubMed Central - HTML - PubMed

Affiliation: School of Medicine and Health Sciences-Public Health and Community Medicine Department, An-Najah National University, Nablus, Palestine. halzabadi@gmail.com.

ABSTRACT

Background: Conservative methods for weight loss are usually disappointing. Therefore, surgeries such as Laparoscopic Sleeve Gastrectomy (LSG) should be considered. We aimed to evaluate the outcomes (body mass index; BMI) of LSG among obesity patients in the Northern West Bank.

Methods: Hospital records were reviewed for all patients who had undergone LSG since 2010 in Arab specialized hospital in Nablus and Palestinian Red Crescent society hospital in Tulkarem. Then, patients have been invited again to participate in the study and asked to self-report further pre-/post-operative measures. The primary study outcome was the change in BMI while secondary outcomes included obesity associated co-morbidities' measures; hypertension (HTN) and diabetes mellitus (DM).

Results: The mean age (standard deviation; SD) of the study participants (n = 30; 20 women and 10 men) was 34.06 (10.71) years. The mean (SD) follow-up time was 7.16 (5.05) months. The mean ± SD of the pre-operative BMI was 47.23 ± 7.89 kg/m2 while 36.74 ± 7.74 kg/m2 post-operatively (95% CI for mean differences and P-value; 8.83-12.14 and 0.001). For the clinically diagnosed hypertensive patients, there was a mean (SD) reduction of 27.50 (9.87) mm Hg in systolic pressure (P < 0.026) and 18.33 (13.66) of the diastolic blood pressure (P < 0.042). For diabetics, there were clinically and biologically clear mean (SD) reductions in fasting blood sugar and glycated hemoglobin A1c of about 82.00 (22.70) mg/dl and 1.90 (0.78) %; respectively. Only practicing sports or exercise (no/yes) remained significant with post-operative BMI (regression coefficient B = -7.33; P-value and 95% CI for B; 0.009 and -12.68- -1.98).

Conclusions: LSG can significantly improve BMI and could improve or resolve obesity associated co-morbidities like HTN and DM. LSG could be recommended for co-morbid obesity patients who fail to reach beneficial results from a structured weight loss programs.

Show MeSH
Related in: MedlinePlus