Laparoscopic Sleeve Gastrectomy Is More Effective in Patients with Puberty-Onset Obesity
Bariatric Surgical Practice and Patient Care, cilt.13, sa.2, ss.80-84, 2018 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 13 Sayı: 2
- Basım Tarihi: 2018
- Doi Numarası: 10.1089/bari.2017.0054
- Dergi Adı: Bariatric Surgical Practice and Patient Care
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
- Sayfa Sayıları: ss.80-84
- Anahtar Kelimeler: morbid obesity, laparoscopic sleeve gastrectomy, puberty, weight loss
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: In this study, the effect of the life period when obesity develops (prepuberty, puberty, and postpuberty) on weight loss after laparoscopic sleeve gastrectomy (LSG) was evaluated. Methods: We retrospectively evaluated 165 morbidly obese patients who underwent LSG (body mass index [BMI] ≥40 kg/m2) between January 2014 and 2017 and completed the 12th postoperative month. Patients were divided into three groups, such as prepuberty (n = 81), puberty (n = 22), and postpuberty (n = 62). Demographic characteristics, presence of comorbidity, pre- and postoperative 12th-month weight and BMI values, excess weight loss percentage (EWL%) values, and excess BMI loss percentage values were recorded and compared among the patients in the groups. Results: Patients with obesity onset in puberty had a lower average age at operation (p < 0.001). Comorbidity in the groups was most commonly seen in the postpuberty group (p < 0.020). When postoperative 12th-month weight and BMI measurements were compared, relatively lower values were seen in the puberty group (p < 0.036, p < 0.019, respectively). The group with the highest postoperative EWL% change was the puberty group (p < 0.022). In subgroup analysis, the mean EWL% change was higher in the puberty group than in the prepuberty and postpuberty groups (p = 0.033 and p = 0.025, respectively). Conclusions: Patients with obesity onset in puberty lose weight more effectively with LSG.