Preoperative Weight Loss as a Predictor of Short and Midterm Postoperative Weight Loss in Patients Undergoing Bariatric Surgery.

IF 0.4 4区医学 Q4 NURSING

Bariatric Surgical Practice and Patient Care Pub Date : 2023-03-01 Epub Date: 2023-03-17 DOI:10.1089/bari.2021.0117

Benjamin L Reed, David G Jackson, Christa Lilly, Salim Abunnaja, Lawrence E Tabone, Nova L Szoka

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引用次数: 0

Abstract

Objective: To examine if preoperative weight loss correlates to postoperative weight loss 2 and 3 years after surgery.

Methods: A review was conducted of bariatric surgery patients who underwent either gastric bypass or sleeve gastrectomy during 2015-2018 and had 3-year follow-up data. Demographic and outcome data were collected. A best-fit regression model for weight loss was constructed.

Results: Eight hundred fifty-nine patients underwent surgery during the selected period, of which 199 patients (23%) were analyzed. Eighty-two percent of patients had gastric bypass and 82% were female. Preoperative percent excess weight loss (%EWL) was not significantly associated with 2- and 3-year postoperative %EWL (p = 0.18). Patients demonstrated significant weight regain at 3 years postoperatively versus 1 year (p < 0.01). Higher preoperative weight loss was associated with lower %EWL 3 years postoperatively versus 1 year (p = 0.04). Postoperative %EWL had a significant negative association with higher preoperative weight, diabetes, baseline use of a mobility device, and sleeve gastrectomy.

Conclusions: In a cohort of bariatric surgery patients, there was no statistically significant association between preoperative and midterm postoperative %EWL. Postoperative %EWL was negatively associated with several patient-specific factors and increasing time since operation.

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术前体重减轻是减肥手术患者术后短期和中期体重减轻的预测因素。

目的研究术前体重减轻是否与术后 2 年和 3 年体重减轻相关：对 2015-2018 年间接受胃旁路手术或袖状胃切除术且有 3 年随访数据的减肥手术患者进行回顾性研究。收集了人口统计学和结果数据。构建了体重减轻的最佳拟合回归模型：859 名患者在选定期间接受了手术，其中 199 名患者（23%）接受了分析。82%的患者接受了胃旁路手术，82%为女性。术前超重百分比（%EWL）与术后 2 年和 3 年的超重百分比无明显关联（p = 0.18）。术后 3 年与术后 1 年相比，患者体重明显反弹（P = 0.04）。术后EWL%与术前体重、糖尿病、基线使用移动设备和袖带胃切除术呈显著负相关：在一组减肥手术患者中，术前和术后中期的EWL%之间没有明显的统计学关联。术后EWL百分比与几个患者特异性因素和术后时间的延长呈负相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bariatric Surgical Practice and Patient Care NURSING-

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： Bariatric Surgical Practice and Patient Care is the essential peer-reviewed journal delivering clinical best practices and quality updates for achieving optimal bariatric surgical outcomes. Bariatric Surgical Practice and Patient Care coverage includes: Quality outcomes measurement and reporting Process innovations and care delivery Short- and long-term surgical complications Pre-surgical diagnosis and consultation Pre-op, peri-op, and post-op standards of practice Patient access Patient safety issues Nutritional and dietary support Bariatric surgical emergencies Best practices and current standards for bariatric surgery Culture and ethics Body contouring and reconstructive surgery Bariatric teamwork and communication.