FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY
ABSTRACT 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 ev...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Colégio Brasileiro de Cirurgia Digestiva
2018-08-01
|
| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000300401&tlng=en |
| _version_ | 1818976753772658688 |
|---|---|
| author | André M. WADA Kiyoshi HASHIBA Jose P. OTOCH Horus BRASIL Fernando P. MARSON Jorge CASSAB Ricardo ABDALLA Everson L. A. ARTIFON |
| author_facet | André M. WADA Kiyoshi HASHIBA Jose P. OTOCH Horus BRASIL Fernando P. MARSON Jorge CASSAB Ricardo ABDALLA Everson L. A. ARTIFON |
| author_sort | André M. WADA |
| collection | DOAJ |
| description | ABSTRACT 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. |
| first_indexed | 2024-12-20T16:16:52Z |
| format | Article |
| id | doaj.art-c793d4f790c44c1ab60892b4d98737c8 |
| institution | Directory Open Access Journal |
| issn | 0102-6720 |
| language | English |
| last_indexed | 2024-12-20T16:16:52Z |
| publishDate | 2018-08-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj.art-c793d4f790c44c1ab60892b4d98737c82022-12-21T19:33:47ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202018-08-0131310.1590/0102-672020180001e1386FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDYAndré M. WADAKiyoshi HASHIBAJose P. OTOCHHorus BRASILFernando P. MARSONJorge CASSABRicardo ABDALLAEverson L. A. ARTIFONABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000300401&tlng=enObesitySleeve gastrectomyQuality of lifeBariatric surgery |
| spellingShingle | André M. WADA Kiyoshi HASHIBA Jose P. OTOCH Horus BRASIL Fernando P. MARSON Jorge CASSAB Ricardo ABDALLA Everson L. A. ARTIFON FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Obesity Sleeve gastrectomy Quality of life Bariatric surgery |
| title | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY |
| title_full | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY |
| title_fullStr | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY |
| title_full_unstemmed | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY |
| title_short | FULL-THICKNESS ENDOSCOPIC GASTRIC RESECTION USING A STAPLER AND GASTROSTOMY: A FEASIBILITY STUDY |
| title_sort | full thickness endoscopic gastric resection using a stapler and gastrostomy a feasibility study |
| topic | Obesity Sleeve gastrectomy Quality of life Bariatric surgery |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000300401&tlng=en |
| work_keys_str_mv | AT andremwada fullthicknessendoscopicgastricresectionusingastaplerandgastrostomyafeasibilitystudy AT kiyoshihashiba fullthicknessendoscopicgastricresectionusingastaplerandgastrostomyafeasibilitystudy AT josepotoch fullthicknessendoscopicgastricresectionusingastaplerandgastrostomyafeasibilitystudy AT horusbrasil fullthicknessendoscopicgastricresectionusingastaplerandgastrostomyafeasibilitystudy AT fernandopmarson fullthicknessendoscopicgastricresectionusingastaplerandgastrostomyafeasibilitystudy AT jorgecassab fullthicknessendoscopicgastricresectionusingastaplerandgastrostomyafeasibilitystudy AT ricardoabdalla fullthicknessendoscopicgastricresectionusingastaplerandgastrostomyafeasibilitystudy AT eversonlaartifon fullthicknessendoscopicgastricresectionusingastaplerandgastrostomyafeasibilitystudy |