Laparoskopic sleeve gastrektomi'nin kısa ve orta dönem sonuçları, tip 2 diyabet ve hipertansiyona etkileri

Öz

Amaç: Laparoskopik sleeve gastrektomi (LSG) son yıllarda yaygın olarak kullanılan primer bariatrik cerrahi teknik haline gelmiştir. Bu çalışmada, LSG'nin kilo kaybındaki kısa ve orta dönem etkinliğini, eşlik eden tip 2 diyabet ve hipertansiyona (HT) olan etkilerini araştırmayı amaçladık.

Gereç ve Yöntem: Bu retrospektif çalışmaya Ocak 2009 - Aralık 2011 arasında LSG uygulanan ve postoperatif 6. ay, 1. yıl ve 3. yıl takip kayıtlarına ulaşılabilen seksen iki hasta dahil edildi. Ameliyat öncesi boy/kilo değerleri, komorbiditeler, HT ve/veya tip 2 diyabet için ilaç kullanımı ve postoperatif 6. ay, 1. yıl, 3. yıllık ve 5. yıl verilerindeki değişiklikler kaydedildi.

Bulgular: Ameliyat öncesi verilerle karşılaştırıldığında, postoperatif 6. ay, 1. yıl ve 3. yıl takiplerinde vücut kitle indeksindeki (VKİ) azalma istatistiksel olarak anlamlıydı (p=0,0001, her biri için). Üçüncü yılda 1. yıla göre VKİ artışı (p=0,0001), operasyon öncesine göre 3. yılda diyabet ilacı ve antihipertansif ilaç kullanım sıklığında azalma izlendi (p=0,0001, herbiri için).

Sonuç: Morbid obezitenin cerrahi tedavisinde primer tedavi olarak uygulanabilen LSG, düşük mortalite ve morbidite oranları ile çok etkili ve güvenilir bir yöntemdir. Ek olarak, tip 2 diyabet ve HT gibi komorbiditelerde önemli iyileşme sağlar. Orta dönemde biraz kilo alımı olsa da, LSG'nin kısa ve orta dönem sonuçları etkili bir cerrahi teknik olduğunu göstermektedir.

Anahtar Kelimeler

• Sleeve gastrektomi,komorbidite,bariatrik cerrahi,orta ve uzun dönem sonuçlar

Short and midterm results of laparoscopic sleeve gastrectomy and its effects hypertension and type 2 diabetes

Abstract

Purpose: Laparoscopic sleeve gastrectomy (LSG) has become a widely used primary bariatric surgical technique in recent years. We aimed to investigate the short and mid-term effectiveness of LSG in weight loss and its effects on comorbid type 2 diabetes and hypertension (HT).

Materials and Methods:  Eighty-two patients who underwent LSG between January 2009 and December 2011 and whose postoperative 6-month, 1-year, and 3-year follow-up records were available were included in this retrospective study. Preoperative height/weight values, comorbidities, using drugs for HT and/or type 2 diabetes, and changes in postoperative 6-month, 1-year, 3-year, and 5-year data were noted.

Results: When we compared with the preoperative data, decrease in body mass index (BMI) at the postoperative 6-month, 1-year, and 3-year follow-ups was statistically significant (p=0.0001, for each). An increase in BMI was observed at 3-year follow-up than at 1-year follow-up (p=0.0001). Decrease in using diabetes medication and antihypertensive drug use was observed at postoperative 3 years compared with the preoperative data (p=0.0001, for each).

Conclusion: LSG, which can be applied as a primary treatment in surgical treatment of morbid obesity, is a very effective and reliable method with low mortality and morbidity rates. In addition, it provides significant improvements in comorbidities such as type 2 diabetes and HT. Although there is some weight gain in the mid-term, the short and mid-term results of LSG showed that it is an effective surgical technique.

Keywords

• Sleeve gastrectomy,comorbidity,bariatric surgery,short and mid-term results

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