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Does Weight Gain During the Operation Wait Time Have an Impact on Weight Loss After Laparoscopic Sleeve Gastrectomy?

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Abstract

Background

The effect of preoperative weight changes on postoperative outcomes after bariatric surgery remains inconclusive. The aim of the present study was to evaluate the effect of preoperative weight gain on postoperative weight loss outcomes after laparoscopic sleeve gastrectomy (SG).

Methods

Ninety-two morbidly obese patients undergoing SG from January 2014 to April 2016 were separated into two groups according to whether they gained weight or not during the waiting time prior to surgery.

Results

Thirty-nine patients (42.4 %) gained weight during the waiting time and 53 patients (57.6 %) did not. The median body mass index (BMI; kg/m2) at surgery was significantly higher in weight-gained patients (47.8 (min-max, 40–62)) compared to patients who had not gained weight (45.10 (min-max, 41–67)), (P = 0.034). No significant difference was found between the two groups regarding the distribution of age, gender, family history of obesity, existence of comorbidity, smoking, weight gain during childhood or adulthood, preoperative Beck depression and Beck anxiety scores, waiting time period, and body weight at the initial visit (P > 0.05). The ASA I score was higher in weight-gained patients whereas ASA II score was higher in those who did not gain, and the difference was significant (P = 0.046). Postoperative % BMI loss and % weight loss were not significantly different between the two groups at the first, third, sixth months, and the end of the first year (P > 0.05).

Conclusion

Weight gain during waiting time has no negative impact on % weight loss and % BMI loss after SG.

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Acknowledgments

The English language usage in this paper has been edited and revised by Claire Olmez B.Ed., M.Sc.

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Authors and Affiliations

  1. Bursa Sevket Yilmaz Teaching and Research Hospital, Bursa, Turkey

    Haci Murat Cayci, Umut Eren Erdogdu, Ersin Budak, İbrahim Taymur & Cagatay Buyukuysal

  2. Sakarya University Faculty of Medicine, Department of General Surgery, Adapazari, Sakarya, Turkey

    Kerem Karaman

Authors
  1. Haci Murat Cayci
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  2. Umut Eren Erdogdu
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  4. Ersin Budak
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Correspondence to Haci Murat Cayci.

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Funding

This research received no specific grant from any funding agency nor the public, commercial, or not-for-profit sectors.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Cayci, H.M., Erdogdu, U.E., Karaman, K. et al. Does Weight Gain During the Operation Wait Time Have an Impact on Weight Loss After Laparoscopic Sleeve Gastrectomy?. OBES SURG 27, 338–342 (2017). https://doi.org/10.1007/s11695-016-2342-6

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  • DOI: https://doi.org/10.1007/s11695-016-2342-6

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