TY - JOUR
T1 - Prognostic factors of weight loss after sleeve gastrectomy: Multi centre study in Spain and Portugal
AU - Perez, Nieves
AU - Socas Macias, Maria
AU - Sabench Pereferrer, Fátima
AU - Perez Folques, José Eduardo
AU - Delgado Rivilla, Salvadora
AU - Cassinello Fernandez, Norberto
AU - Gracia Solanas, José Antonio
AU - Ferrer, José Vicente
AU - Balague Ponz, Carmen
AU - Ortiz Sebastian, Sergio
AU - Duran Escribano, Carlos
AU - Puche Pla, José Julián
AU - Hernández Matias, Alberto
AU - Suñol Sala, Xavier
AU - Sanchez Pernaute, Andrés
AU - Navarro Garcia, Inmaculada
AU - Sanchez Santos, Raquel
AU - González Fernández, Jesús
AU - Garcia-Moreno Nisa, Francisca
AU - Martinez Cortijo, Sagrario
AU - Masdevall Noguera, Carlos
AU - Gomes, Pedro
AU - de Tomas Palacios, Jorge
AU - Garcia Navarro, Ana
AU - Corcelles, Ricard
AU - Foncillas Corvinos, Javier
AU - Vilallonga Puy, Ramón
AU - Dominguez-Adame Lanuza, Eduardo
AU - Abasolo Vega, Julen
AU - Valentí Azcarate, Víctor
PY - 2017/3/1
Y1 - 2017/3/1
N2 - © 2017 AEC Introduction Sleeve gastrectomy (SG) has become a technique in its own right although a selective or global indication remains controversial. The weight loss data at 5 years are heterogeneous. The aim of the study is to identify possible prognostic factors of insufficient weight loss after SG. Methods A SG retrospective multicenter study of more than one year follow-up was performed. Failure is considered if EWL > 50%. Univariate and multivariate study of Cox regression were performed to identify prognostic factors of failure of weight loss at 1, 2 and 3 years of follow up. Results A total of 1,565 patients treated in 29 hospitals are included. PSP per year: 70.58 ± 24.7; 3 years 69.39 ± 29.2; 5 years 68.46 ± 23.1. Patients with EWL < 50 (considered failure): 17.1% in the first year, 20.1% at 3 years, 20.8% at 5 years. Variables with influence on the weight loss failure in univariate analysis were: BMI > 50 kg/m 2 , age > 50 years, DM2, hypertension, OSA, heart disease, multiple comorbidities, distance to pylorus> 4 cm, bougie > 40 F, treatment with antiplatelet agents. The reinforcement of the suture improved results. In multivariate study DM2 and BMI are independent factors of failure. Conclusion The SG associates a satisfactory weight loss in 79% of patients in the first 5 years; however, some variables such as BMI > 50, age > 50, the presence of several comorbidities, more than 5 cm section of the pylorus or bougie > 40 F can increase the risk of weight loss failure.
AB - © 2017 AEC Introduction Sleeve gastrectomy (SG) has become a technique in its own right although a selective or global indication remains controversial. The weight loss data at 5 years are heterogeneous. The aim of the study is to identify possible prognostic factors of insufficient weight loss after SG. Methods A SG retrospective multicenter study of more than one year follow-up was performed. Failure is considered if EWL > 50%. Univariate and multivariate study of Cox regression were performed to identify prognostic factors of failure of weight loss at 1, 2 and 3 years of follow up. Results A total of 1,565 patients treated in 29 hospitals are included. PSP per year: 70.58 ± 24.7; 3 years 69.39 ± 29.2; 5 years 68.46 ± 23.1. Patients with EWL < 50 (considered failure): 17.1% in the first year, 20.1% at 3 years, 20.8% at 5 years. Variables with influence on the weight loss failure in univariate analysis were: BMI > 50 kg/m 2 , age > 50 years, DM2, hypertension, OSA, heart disease, multiple comorbidities, distance to pylorus> 4 cm, bougie > 40 F, treatment with antiplatelet agents. The reinforcement of the suture improved results. In multivariate study DM2 and BMI are independent factors of failure. Conclusion The SG associates a satisfactory weight loss in 79% of patients in the first 5 years; however, some variables such as BMI > 50, age > 50, the presence of several comorbidities, more than 5 cm section of the pylorus or bougie > 40 F can increase the risk of weight loss failure.
KW - Weight loss
KW - Prognostic factors
KW - Sleeve gastrectomy
UR - https://dialnet.unirioja.es/servlet/articulo?codigo=5921661
U2 - 10.1016/j.ciresp.2017.02.002
DO - 10.1016/j.ciresp.2017.02.002
M3 - Article
SN - 0009-739X
VL - 95
SP - 135
EP - 142
JO - Cirugia Espanola
JF - Cirugia Espanola
IS - 3
ER -