Laparoskopik sleeve gastrektomi uygulanan hastalarda biyoelektrik empedans analizi sonuçlarının değerlendirilmesi ve postoperatif takibe etkisi

Year 2021, Volume: 54 Issue: 2, 326 - 330, 31.08.2021

Hüseyin Özden , Zeynel Abidin Erbesler , Tufan Ulcay

https://doi.org/10.20492/aeahtd.937124

Cited By: 1

Abstract

Amaç: Obezite bir sağlık sorunudur. Laparoskopik sleeve gastrektomi (LSG) ameliyatı obezite tedavisinde en yaygın kullanılan cerrahi yöntemdir. LSG sonrası takip, ameliyatın kendisi kadar önemlidir. Bu çalışma, yağ ve kas gibi vücut kompozisyonlarındaki değişiklikleri inceleyerek LSG'nin postoperatif takibinde izlenmenin en doğru yolunu incelemeyi amaçlamaktadır.
Gereç ve Yöntem: Eylül 2019-Mart 2020 tarihleri arasında Kırşehir Eğitim ve Araştırma Hastanesinde tek cerrah tarafından LSG ameliyatı geçiren 19 kadın hasta çalışmaya dahil edildi. Hastaların ortalama yaşı 35,73 yıldı. Ortalama vücut kitle indeksi (VKİ) 43.03 idi. Hastalara ameliyat öncesi, ameliyat sonrası 1. ve 2. aylarda biyoelektrik empedans analizi yapıldı. Sonuçların istatistiksel değerlendirmesi yapıldı.
Bulgular: Kilo, VKİ ve yağ gibi birçok istenmeyen değer önemli ölçüde azaldı (p <0.05). Ancak mineral, protein ve sıvı değerlerinde özellikle 2. ay ölçümlerinde anlamlı değerler elde edilmedi (sırasıyla p = 0,582, p = 0,160, p = 0,376). Ekstremite kası değerlerine bakıldığında sağ ve sol bacak ve sol kol kaslarında 2. ay ölçümlerinde istatistiksel olarak anlamlı olmayan değerler elde edildi (sırasıyla p = 0,431, p = 0,132, p = 0,413). Sağ kol kas değerlerinde sadece istatistiksel olarak anlamlı bir düşüş vardı (p <0.05).
Sonuç: LSG ameliyatı sonrası diyet ve egzersiz gibi takiplerde çok yönlü bir yaklaşım ve iyi bir algoritma edinilmesi, hastaların daha sağlıklı kilo vermesini sağlayacaktır.

Keywords

Laparoscopic sleeve gastrectomy, bioelectric impedance analysis, obesity, laparoskopik sleeve gastrektomi, bioelektrik impedans analizi, obezite

Project Number

Ahi Evran Üniversitesi Tıp Fakültesi Yerel Etik Kurulu, 23 Mart 2021, 2021-06 / 54 sayılı

Evaluation of the results of bioelectrical impedance analysis in patients undergoing laparoscopic sleeve gastrectomy and its effect on postoperative follow-up

Abstract

Aim: Obesity is a health problem. Laparoscopic sleeve gastrectomy (LSG) surgery is the most widely used surgical method in the treatment of obesity. Post-LSG follow-up is as important as the surgery itself. This study aims to examine the most accurate way to follow in the postoperative follow-up of LSG by examining the changes in body compositions such as fat and muscle.
Material and Method: 19 female patients who underwent LSG surgery by a single surgeon in Kırşehir Training and Research Hospital between September 2019 and March 2020 were included in our study. The mean age of the patients was 35.73 years. The mean body mass index (BMI) was 43.03. Bioelectric impedance analysis was performed on the patients before the surgery, at the 1st and 2nd months after the surgery. Statistical evaluation of the results was performed.
Results: Many undesirable values such as weight, BMI, and fat were significantly reduced (p<0.05). However, no significant values were obtained in mineral, protein, and fluid values, especially in the 2nd month measurements (p=0.582, p=0.160, p=0.376, respectively). Statistically insignificant values were obtained in the 2nd month measurements in the right and left leg and left arm muscles when extremity muscle values were examined (p=0.431, p=0.132, p=0.413, respectively). There was only a statistically significant decrease in right-arm muscle values (p<0.05).
Conclusion: Acquiring a multifaceted approach and a good algorithm in follow-up such as diet and exercise after LSG surgery will ensure that patients lose more weight healthily.

Keywords

Laparoscopic sleeve gastrectomy, bioelectric impedance analysis, obesity

Supporting Institution

her hangi bir kurumdan destek alınmadı

Project Number

Ahi Evran Üniversitesi Tıp Fakültesi Yerel Etik Kurulu, 23 Mart 2021, 2021-06 / 54 sayılı

Thanks

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