The Effect of Bariatric Surgery Type on Lipid Profile: An Age, Sex, Body Mass Index and Excess Weight Loss Matched Study

Zusammenfassung Einleitung Soziale Benachteiligung stellt eine Behandlungsbarriere für Jugendliche mit (extremer) Adipositas dar. Mit der Implementierung einer Spezialambulanz in Kooperation mit fünf Job-Centern sollte geprüft werden, ob arbeitslose Jugendliche mit Adipositas Interesse an einer Behandlung ihrer Adipositas haben und welche Teilnahmeraten sie in einem mehrstufigen Behandlungsprogramm aufweisen. Material und Methoden Jugendliche (15,0–24,9 Jahre) mit einem Body-Mass-Index (BMI) ≥30 kg/m2 erhielten das Angebot zur Beratung bzgl. Behandlungsmöglichkeiten der Adipositas im Job-Center. Interessierte Jugendliche wurden nach einer psychologischen Diagnostik in ein multimodales Behandlungsprogramm (6 Sitzungen) aufgenommen. Bei Interesse und bewiesener Adhärenz (Teilnahme an ≥5 Sitzungen) folgte ein Informationskurs (4 Sitzungen) und eine Indikationsprüfung für eine adipositaschirurgische Maßnahme. Ergebnisse Von 2012–2017 wurden 83 Jugendliche (im Mittel 21,1 Jahre, BMI 48,1 kg/m2, BMI 35,0–39,9 kg/m2: N=7, ≥ 40 kg/m2: N=71) eingeschlossen. 34 bewiesen ihre Adhärenz (≥5/6 Sitzungen in der multimodalen Adipositasintervention), 20 interessierten sich für einen adipositaschirurgischen Eingriff. Bisher wurden 11 Jugendliche operiert mit einer mittleren BMI-Reduktion von 14,3 kg/m2 3–36 Monate nach der Operation („Excess Weight Loss“ 27,3%) im Vergleich zu 3,8 kg/m2 6–48 Monate nach Behandlungsbeginn bei den nicht-operierten Jugendlichen. 13 Teilnehmer wurden auf dem ersten Arbeitsmarkt integriert. Diskussion Einige arbeitslose Jugendliche nahmen das Behandlungsangebot gut an und zeigten eine positive gesundheitliche und berufliche Entwicklung im Verlauf ihrer Teilnahme. Schlussfolgerung Die Implementierung einer Spezialambulanz für arbeitslose Jugendliche mit Adipositas in deutschen Job-Centern erweist sich als eine erfolgreiche Strategie, um diese oft unbehandelte Hochrisikogruppe zu charakterisieren und den individuellen Behandlungsbedarf zu ermitteln. Dieser Befund muss an einer größeren Stichprobe im Langzeitverlauf bestätigt werden.

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The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index

Journal of Obesity ◽

10.1155/2020/7572153 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Mohsen Mahmoudieh ◽

Behrouz Keleidari ◽

Naser Afshin ◽

Masoud Sayadi Shahraki ◽

Shahab Shahabi Shahmiri ◽

...

Keyword(s):

Body Mass Index ◽

Weight Loss ◽

Gastric Bypass ◽

Vitamin B12 ◽

Body Mass ◽

Excess Weight Loss ◽

Excess Weight ◽

One Anastomosis Gastric Bypass ◽

Mini Gastric Bypass

Introduction. Obesity is among the newest health matters that human beings are struggling with. Length of bypassed intestine is important in achievement of most weight loss and least nutritional and absorptive disorders. This study has aimed to assess short-term metabolic and nutritional effects of laparoscopic mini-gastric bypass/one anastomosis gastric bypass (MGB/OAGB) with a loop bypass length of 180 centimeters (cm) and compare these factors among patients with a body mass index (BMI) of 40–45 and 45–50 kilograms per square meter (kg/m2). Methods. 25 patients were put in group 1 (BMI = 40–45 kg/m2) and 25 patients in group 2 (BMI = 45–50 kg/m2). Patients’ BMI, postoperative weight, excess weight loss, and laboratory tests including fasting blood sugar (FBS), lipid profile, serum iron (Fe), ferritin, total iron-binding capacity (TIBC), 25-OH vitamin D, vitamin B12, liver function tests, and albumin were recorded preoperatively and within 3- and 6-month follow-up. Results. Weight loss and BMI reduction was significantly more in patients with higher BMI level (P=0.007), and excess weight loss was higher in patients with lower preoperative BMI level (P=0.007). Six-month follow-up showed statistically significant reduction in total cholesterol, total triglyceride, Fe, and vitamin B12 among patients with higher BMI level (P value <0.05). Conclusion. Based on this study, 180-cm intestinal bypassed length works for patients with a BMI level of 40–45 and 45–50 kg/m2, according to their significant decrease in weight, BMI, and improving glycolipid profile.

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Body Composition Analysis in Bariatric Surgery: Use of Air Displacement Plethysmograph

The American Surgeon ◽

10.1177/000313481207800625 ◽

2012 ◽

Vol 78 (6) ◽

pp. 698-701 ◽

Cited By ~ 2

Author(s):

Franziska Huettner ◽

Charalambos K. Rammos ◽

Danuta I. Dynda ◽

Melinda L. Lange ◽

J. Stephen Marshall ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Body Composition ◽

Body Mass ◽

Lean Mass ◽

Excess Weight Loss ◽

Excess Weight ◽

Fat Percentage ◽

Mass Percent ◽

Mass Losses

Body weight, body mass index (BMI), and percent excess weight loss are used to assess patient outcomes after bariatric surgery; however, they provide little insight into the true nature of the patient's weight loss. Body composition measurements monitor fat versus lean mass losses to permit interventions to reduce or avoid lean body mass loss after bariatric surgery. A retrospective review of patients who underwent bariatric surgery between 2002 and 2008 was performed. Patients underwent body composition testing via air displacement plethysmography before and after surgery (6 and 12 months). Body composition changes were assessed and compared with the BMI. Results include 330 patients (54 male, 276 female). Average preoperative weight was 139 kg, BMI was 50 kg/m2, fat percentage was 55 per cent, and lean mass percent was 45 per cent. Twelve months after surgery average weight was 90 kg, mean BMI was 32 kg/m2, fat percentage was 38 per cent, and lean mass percent was 62 per cent. Body composition measurements help monitor fat losses versus lean mass gains after bariatric surgery. This may give a better assessment of the patient's health and metabolic state than either BMI or excess weight loss and permits intervention if weight loss results in lean mass losses.

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Dissociation of body mass index, excess weight loss and body fat percentage trajectories after 3 years of gastric bypass: relationship with metabolic outcomes

International Journal of Obesity ◽

10.1038/ijo.2017.134 ◽

2017 ◽

Vol 41 (9) ◽

pp. 1379-1387 ◽

Cited By ~ 13

Author(s):

J Gómez-Ambrosi ◽

P Andrada ◽

V Valentí ◽

F Rotellar ◽

C Silva ◽

...

Keyword(s):

Body Mass Index ◽

Weight Loss ◽

Gastric Bypass ◽

Body Mass ◽

Body Fat ◽

Excess Weight Loss ◽

Excess Weight ◽

Body Fat Percentage ◽

Fat Percentage ◽

Metabolic Outcomes

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P-49 Percentile curves of changes in excess weight loss and body mass index after Roux-en-Y gastric bypass in a mexican population

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2011.04.050 ◽

2011 ◽

Vol 7 (3) ◽

pp. 388-389

Author(s):

Hugo Sánchez ◽

Rocío Durán ◽

Florencia Vargas ◽

Vianey Anduaga ◽

Maureen Mosti ◽

...

Keyword(s):

Body Mass Index ◽

Weight Loss ◽

Gastric Bypass ◽

Body Mass ◽

Excess Weight Loss ◽

Mexican Population ◽

Excess Weight ◽

Percentile Curves

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Five-year Outcomes of Sleeve Gastrectomy: A Prospective Multicenter study

The American Surgeon ◽

10.1177/0003134821991984 ◽

2021 ◽

pp. 000313482199198

Author(s):

Imad El Moussaoui ◽

Etienne Van Vyve ◽

Hubert Johanet ◽

André Dabrowski ◽

Arnaud Piquard ◽

...

Keyword(s):

Body Mass Index ◽

Weight Loss ◽

Sleeve Gastrectomy ◽

Body Mass ◽

Excess Weight Loss ◽

Prospective Multicenter Study ◽

Weight Loss Failure ◽

Obstructive Sleep ◽

The Mean ◽

Predictors Of Weight Loss

Background Sleeve gastrectomy (SG) is the most frequently performed bariatric procedure in the world. Our purpose was to evaluate the percentage of excess weight loss (%EWL), resolution of obesity-related comorbidities after SG, and identify predictive factors of weight loss failure. Methods A prospective cohort study of adults who underwent SG during 2014 in 7 Belgian-French centers. Their demographic, preoperative, and postoperative data were prospectively collected and analyzed statistically. Results Overall, 529 patients underwent SG, with a mean preoperative weight and body mass index (BMI) of 118.9 ± 19.9 kg and 42.9 ± 5.5 kg/m2, respectively. Body mass index significantly decreased to 32.2 kg/m2 at 5 years ( P < .001). The mean %EWL was 63.6% at 5 years. A significant reduction in dyslipidemia (28.0%-18.2%), obstructive sleep apnea (OSAS) (34.6%-25.1%), and arterial hypertension (HTN) (30.4%-21.5%) was observed after 5 years, but not for diabetes and gastroesophageal reflux disease (GERD). At multivariate analysis, age >50 years old, BMI >50 kg/m2, and previous laparoscopic adjustable gastric banding (LAGB) remained independent predictors of weight loss failure. Conclusions Five years after SG, weight loss was satisfactory; the reduction of comorbidities was significant for dyslipidemia, OSAS, and HTN, but not diabetes and GERD. Age >50 years old, BMI >50 kg/m2, and previous LAGB were independent predictors of weight loss failure.

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