Résumé
Les facteurs prédictifs de succès de l’anneau gastrique ont été analysés dans l’enquête de la Caisse nationale d’assurance maladie des travailleurs salariés (CNAM-TS) qui a porté sur les 1 238 patients ayant bénéficié d’une chirurgie bariatrique en France en décembre 2002 et janvier 2003, soit la pose d’un anneau gastrique dans 87,5 % des cas. Une évaluation a été faite systématiquement par les médecins-conseils avec un recul d’un et deux ans. L’âge (< 40 ans), l’indice de masse corporelle (IMC) initial (< 40 kg/m2), la reprise ou l’augmentation de l’activité physique, le changement dans les habitudes alimentaires et le volume d’activité de l’équipe chirurgicale (plus de six opérations en deux mois) sont les paramètres qui sont significativement liés à une perte d’excès de poids supérieure ou égale à 50 %.
Abstract
The predictive factors of the success of gastric banding were analyzed in the French Caisse nationale d’assurance maladie des travailleurs salariés (CNAM-TS) study of 1,238 patients who underwent bariatric surgery in France in December 2002 and January 2003, involving the insertion of a gastric band in 87.5% of the cases. Consulting physicians carried out systematic assessments one year and two years after surgery. Age (< 40), initial BMI (< 40 kg/m2), the restart or increase in physical activity, a change in dietary habits, and the number of procedures performed by the surgical team (> 6 operations in two months) are the factors significantly linked to weight loss in 50% or more of the cases.
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Chevallier, J.M., Paita, M., Rodde-Dunet, M.H. et al. Évaluation nationale de la chirurgie bariatrique: facteurs prédictifs de succès de l’anneau gastrique dans l’enquête de la CNAM-TS. Obes 2, 306–311 (2007). https://doi.org/10.1007/s11690-007-0082-4
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DOI: https://doi.org/10.1007/s11690-007-0082-4