不同种族肥胖人群Roux-en-Y胃旁路术和袖式胃切除术的减肥效果:哪一种更有效?

IF 1.3 Q3 SURGERY
Minimally Invasive Surgery Pub Date : 2021-04-16 eCollection Date: 2021-01-01 DOI:10.1155/2021/9702976
Saqib Saeed, Leaque Ahmed, Khuram Khan, Sanjiv Gray, Kashif Saeed, Hector DePaz, Amrita Persaud, Bianca Passos-Fox, Kevin C J Zhang, Sara Alothman, Paritosh Suman
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引用次数: 2

摘要

背景:腹腔镜Roux-en-Y胃旁路术(LRYGB)和腹腔镜袖胃切除术(LSG)在一般肥胖人群中具有相当的减肥效果。目的:本研究旨在探讨在西班牙裔和非裔美国人中是否可以观察到类似的结果。设置。纽约社区医院,纽约,美国。方法:回顾性分析在单中心行LRYGB和LSG患者的5年前瞻性资料。采用线性混合效应或logistic回归模型,比较LRYGB和LSG患者在调整年龄、性别、种族、糖尿病和高血压等因素后的长期减肥结果。结果:大多数患者为西班牙裔(59.2%)和非洲裔(22.7%)。BMI为2的患者接受LRYGB和LSG治疗后,1年后平均总体重减轻% (%TWL)分别为73%和62%,2年后为69%和56%,5年后为71%和54%。在BMI为45-50 kg/m2的患者中,接受LRYGB和LSG治疗,1年后平均%TWL值分别为69%和56%,2年后为75%和58%,5年后为57%和45%。同时,BMI >50 kg/m2合并LRYGB和LSG患者的%TWL值,1年后分别为53%和42%,2年后分别为53%和45%,5年后分别为49%和36%。所有结果均具有统计学意义(p < 0.0001),并且在校正辅助因素后仍然有效。结论:因此,在主要是不同种族、不同BMI的患者群体中,与LSG相比,LRYGB具有一致和持续的长期减肥结果。我们的研究有几个局限性,因为它是回顾性的,一些患者在研究期间没有随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Weight Loss Outcomes following Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in an Ethnically Diverse Bariatric Population: Which Is More Effective?

Weight Loss Outcomes following Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in an Ethnically Diverse Bariatric Population: Which Is More Effective?

Weight Loss Outcomes following Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in an Ethnically Diverse Bariatric Population: Which Is More Effective?

Weight Loss Outcomes following Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in an Ethnically Diverse Bariatric Population: Which Is More Effective?

Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) have comparable weight loss outcomes in a general bariatric population.

Objectives: This study aimed to investigate whether similar outcomes can be observed in Hispanic and African American population. Settings. Community Hospital in New York, New York, United States.

Methods: The 5-year prospective data of patients who underwent LRYGB and LSG at a single center were retrospectively reviewed. The long-term weight loss outcomes between patients who had LRYGB and LSG were compared after adjusting for age, sex, race, diabetes mellitus, and hypertension with the linear mixed-effects or logistic regression model.

Results: Most patients were Hispanic (59.2%) and African American (22.7%). The mean% total weight loss (%TWL) values of patients with BMI <45 kg/m2 who underwent LRYGB and LSG were 73% and 62% after 1 year, 69% and 56% after 2 years, and 71% and 54% after 5 years, respectively. In patients with a BMI of 45-50 kg/m2 who underwent LRYGB and LSG, the mean %TWL values were 69% and 56% after 1 year, 75% and 58% after 2 years, and 57% and 45% after 5 years, respectively. Meanwhile, the %TWL values of patients with BMI >50 kg/m2 who had LRYGB and LSG were 53% and 42% after 1 year, 53% and 45% after 2 years, and 49% and 36% after 5 years, respectively. All results were statistically significant (p < 0.0001) and remained valid after adjusting for cofactors.

Conclusion: Thus, LRYGB had consistent and sustained long-term weight loss outcomes compared with LSG in a predominantly ethnically diverse patient population with different BMI. Our study had several limitations in that it is retrospective in nature and some patients were lost to follow-up during the study period.

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