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FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY.
Wada, André M; Hashiba, Kiyoshi; Otoch, Jose P; Brasil, Horus; Marson, Fernando P; Cassab, Jorge; Abdalla, Ricardo; Artifon, Everson L A.
Afiliação
  • Wada AM; Department of Surgery, University of São Paulo.
  • Hashiba K; Sírio Libanês Institute for Teaching and Research, São Paulo, SP, Brazil.
  • Otoch JP; Department of Surgery, University of São Paulo.
  • Brasil H; Sírio Libanês Institute for Teaching and Research, São Paulo, SP, Brazil.
  • Marson FP; Sírio Libanês Institute for Teaching and Research, São Paulo, SP, Brazil.
  • Cassab J; Sírio Libanês Institute for Teaching and Research, São Paulo, SP, Brazil.
  • Abdalla R; Sírio Libanês Institute for Teaching and Research, São Paulo, SP, Brazil.
  • Artifon ELA; Department of Surgery, University of São Paulo.
Arq Bras Cir Dig ; 31(3): e1386, 2018 Aug 16.
Article em En, Pt | MEDLINE | ID: mdl-30133678
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is currently the most frequently performed bariatric procedure in Turkey. The goal of weight reduction surgery is not only to decrease excess weight, but also to improve obesity related comorbidities and quality of life (QoL). AIM: To evaluate the impact of LSG on patient quality of life, weight loss, and comorbidities associated with morbid obesity according to the updated BAROS criteria. METHODS: Eleven hundred thirty-eight adult patients were undergone to LSG by our bariatric surgery team between January 2013 and January 2016. A questionnaire (The Bariatric Analysis and Reporting Outcome System - BAROS) was published on social media. The data on postoperative complications were collected from hospital database. RESULTS: Number of respondants was 562 (49.4%). Six of 1138 patients(0.5%) had leakage. All patients who had leakage were respondants. The overall complication rate was 7.7%. After a mean period of 7.4±5.3 months(1-30), mean excess weight loss was 71.3±27.1% (10.2-155.4). The respondants reported 772 comorbidities. Of these, 162 (30%) were improved, and 420 (54.4%) were resolved. The mean scores for QoL were significantly increased after LSG (range, p<0.05 to <0.001). Of the 562 patients, 26 (4.6%) were classified as failures; 86 (15.3%) fair; 196 (34.9%) good; 144 (25.6%) very good, and 110 (19.6%) excellent results according to the updated BAROS scoring system. CONCLUSION: LSG is a highly effective bariatric procedure in the manner of weight control, improvement in comorbidities and increasing of QoL in short- and mid-term.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Grampeadores Cirúrgicos / Obesidade Mórbida / Gastrostomia / Laparoscopia / Gastrectomia Aspecto: Patient_preference Limite: Humans Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2018 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Grampeadores Cirúrgicos / Obesidade Mórbida / Gastrostomia / Laparoscopia / Gastrectomia Aspecto: Patient_preference Limite: Humans Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2018 Tipo de documento: Article País de publicação: Brasil