Lucia Lehner, Moritz Zawodsky, Jakob Eichelter, Gerhard Prager, Daniel Moritz Felsenreich, Paul Fellinger, Alexandra Kautzky-Willer, Peter Wolf, Michael Krebs, Hannes Beiglböck
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引用次数: 0
Abstract
Introduction: Bone fractures and vitamin deficiencies are potential long-term risks after metabolic/bariatric surgery (MBS). This study aimed to evaluate the health status of patients with an average follow-up of 15 years after MBS, focusing on vitamin deficiencies, patients' satisfaction, and bone fractures.
Methods: A questionnaire-based cross-sectional study was performed. In total, 844 patients, with a history of MBS before March 2010, were eligible and contacted by mail. Overall, 263 patients returned the questionnaire.
Results: Roux-en-Y gastric bypass (RYGB) was the most common bariatric procedure (69%), followed by adjustable gastric banding (AGB) in 23% and sleeve gastrectomy (SG) in 8%, respectively. A total of 14% reported bone fractures after MBS. However, the prevalence of bone fractures was similar after RYGB and after restrictive procedures (RYGB: 17% vs. AGB+SG: 11%; p > 0.05). Moreover, no association between the occurrence of bone fractures and the follow-up time was found. Patients with mixed (RYGB) procedures had more vitamin deficiencies compared to patients with dominantly restrictive (AGB+SG) procedures (RYGB: 76% vs. AGB+SG: 54%; p < 0.05). The self-reported health status (RYGB: 64% good-excellent, 36% fair-poor vs. AGB+SG: 53% good-excellent, 46% fair-poor; p > 0.05) was not different between the procedures. However, more patients after RYGB answered that "they would undergo the procedure again" compared to patients after SG or AGB (RYGB: 84% vs. AGB+SG: 61%; p < 0.001).
Conclusion: Even though a higher prevalence of vitamin deficiencies following RYGB was found, the number of patients who were satisfied with the decision made at the time of the initial operation was higher among patients with RYGB compared to SG and AGB.
背景：骨折和维生素缺乏是代谢/减肥手术（MBS）后潜在的长期风险。本研究旨在评估MBS患者平均随访15年的健康状况，重点关注维生素缺乏、患者满意度和骨折情况。方法：采用问卷调查法进行横断面研究。共有844名2010年3月之前有MBS病史的患者符合条件，并通过邮件联系。总共有263名患者回复了问卷。结果：Roux-en-Y胃旁路（RYGB）是最常见的减肥手术（69%），其次是可调节胃束带（AGB）（23%）和袖胃切除术（SG）（8%）。MBS术后骨折发生率为14%。然而，RYGB和限制性手术后骨折的发生率相似(RYGB:17% vs. AGB+SG:11%；p > 0.05)。此外，骨折的发生与随访时间没有关联。低吸收（RYGB）手术的患者与显性限制性（AGB+SG）手术的患者相比有更多的维生素缺乏症(RYGB:76% vs. AGB+SG:54%；两组间P0.05)无显著差异。然而，与接受SG或AGB的患者相比，接受RYGB的患者回答“他们会再次接受手术”的比例更高(RYGB:84% vs. AGB+SG:61%；结论：尽管发现RYGB术后维生素缺乏症的发生率较高，但RYGB患者在初始手术时对决策满意的患者数量高于SG和AGB。
期刊介绍：
''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.
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