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Dynamic changes of body mass in patients with morbid obesity in the remote terms after gastric banding and gastric bypass.

https://doi.org/10.14341/omet2015230-33

Abstract

Since January 2005 till December 2013 655 patients with morbid obesity were operated on, 457 (69,7%) from which, had gastric banding with using different models of regulating bandages: AMI (AMI, Austria), SAGB (Ethicon, USA), Lap Band (ALLEGRAN, USA). Gastric bypass was made to 198 patients, that made 30,3%. The degree of lowering of overweight in general is more after gastric bypass, than after gastric banding. At the same time during the period of 1–1,5 year the degree of lowering of overweight with women is the same after both the operation. The degree of lowering of overweight with men after gastric bypass is a little higher. In the period of 2–4 years the degree of lowering of overweight both with men and women after gastric bypass is higher. In 5 years men after gastric bypass actually lose weight better than after gastric banding. The men older than 40 years having BMI more than 40 kg/m2 after gastric banding lose weight worst of all. In the period of more than 5 years the women in the age group of 30–39 years having BMI more than 40 kg/m2 had better results after gastric bypass. The women older than 50 years having BMI more than 40 kg/m2 after gastric banding had the worst results.

About the Authors

Valeriy Nikolaevich Egiev
People’s friendship University of Russia
Russian Federation

MD, PhD, professor, Head of the Department of surgery and oncologyof at the Faculty of continuing medical education



Juliya Borisovna Mayorova
People’s friendship University of Russia
Russian Federation
PhD, a doctoral student of the Department of surgery and oncologyof at the Faculty of continuing medical education


Marina Sergeevna Leont'eva
Moscow State University of Medicine and Dentistry named after A.I.Evdokimov
Russian Federation
ND, PhD, Associate Professor of Faculty Surgery Department №2 of the medical faculty


Anastasiya Vladimirovna Meleshko
People’s friendship University of Russia
Russian Federation
PhD student of the Department of surgery and oncologyof at the Faculty of continuing medical education


References

1. Кузин Н.М., Леонтьева М.С., Гузнов И.Г. и др. Лапароскопическая горизонтальная гастропластика. // Хирургия. Журнал им. Н. И. Пирогова. – 1999. – № 2. – С.14-17 [ Kuzin NM, Leont'eva MS, Guznov IG et. al. Laparoskopicheskaya gorizontal'naya gastroplastika. Khirurgiya. Zhurnal im. N. I. Pirogova. 1999; (2):4-17 (In Russ).]

2. Bray GA. Obesity: a time bomb to be defused. The Lancet. 1998;352(9123):160-1. 3. Linner JH, Drew RL. Surgery for morbid obesity: Springer; 1984.

3. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obesity surgery. 2013;23(4):427-36.

4. Miller D, Goodman G. Gastric bypass procedures. Surgery for the morbidly obese patient Philadelphia: Lea & Febiger; 1989.

5. Niville E, Vankeirsbilck J, Dams A, Anne T. Laparoscopic adjustable esophagogastric banding: a preliminary experience. Obesity surgery. 1998;8(1):39-43.

6. O'Brien PE. Bariatric surgery: Mechanisms, indications and outcomes. Journal of Gastroenterology and Hepatology. 2010;25(8):1358-65. doi:10.1111/j.1440-1746.2010.06391.x

7. Zarate X, Arceo-Olaiz R, Montalvo Hernandez J, García-García E, Pablo Pantoja J, Herrera MF. Long-term results of a randomized trial comparing banded versus standard laparoscopic Roux-en–Y gastric bypass. Surgery for Obesity and Related Diseases. 2013;9(3):395-7. doi:10.1016/j.soard.2012.09.009

8. MacLean LD, Rhode BM, Nohr CW. Late outcome of isolated gastric bypass. Annals of surgery. 2000;231(4):524.

9. Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux en-Y-500 patients: technique and results, with 3-60 month follow-up. Obesity surgery. 2000;10(3):233-9.

10. Arapis K, Chosidow D, Lehmann M, Bado A, Polanco M, Kamoun-Zana S, et al. Long-term results of adjustable gastric banding in a cohort of 186 super-obese patients with a BMI≥50kg/m2. Journal of Visceral Surgery. 2012;149(2):e143-e52. doi:10.1016/j.jviscsurg.2012.01.007

11. Ramirez A, Roy M, Hidalgo JE, Szomstein S, Rosenthal RJ. Outcomes of bariatric surgery in patients> 70 years old. Surgery for Obesity and Related Diseases. 2012;8(4):458-62.

12. Smith C, Garren M, Gould J. Impact of gastrojejunostomy diameter on long-term weight loss following laparoscopic gastric bypass: a follow-up study. Surgical Endoscopy. 2010;25(7):2164-7. doi:10.1007/s00464-010-1516-x

13. Tiwari MM, Goede MR, Reynoso JF, Tsang AW, Oleynikov D, McBride CL. Differences in outcomes of laparoscopic gastric bypass. Surgery for Obesity and Related Diseases. 2011;7(3):277-82. doi:10.1016/j.soard.2011.02.005

14. Егиев В.Н., Зорин Е.А., Кевин М.А. Сравнение бандажей, применяемых для лапаросокпического регулируемого бандажирования желудка. / Материалы 5 Российского симпозиума с международным участием; Июнь 25-27, 2009; Пермь [Egiev VN, Zorin EA, Kevin MA. Sravnenie bandazhey, primenyaemykh dlya laparosokpicheskogo reguliruemogo bandazhirovaniya zheludka. (Conference proceedigs) 5 Rossiyskiy simpozium s mezhdunarodnym uchastiem; 2009 jun 25-27; Perm. (In Russ).]


Supplementary files

Review

For citations:


Egiev V.N., Mayorova J.B., Leont'eva M.S., Meleshko A.V. Dynamic changes of body mass in patients with morbid obesity in the remote terms after gastric banding and gastric bypass. Obesity and metabolism. 2015;12(2):31-34. (In Russ.) https://doi.org/10.14341/omet2015230-33

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ISSN 2071-8713 (Print)
ISSN 2306-5524 (Online)