Laparoskopik Sleeve Gastrektomi Sırasında Kullanılan Hyoscine-Butylbromide, Çıkarılan Mide Hacmini Artırır

Öz

Amaç: Obezite en sık görülen hastalıklardan biridir. Obezite ameliyatlarında temel amaç mide hacmini azaltmaktır. Ayrıca çalışmalar, karın hacminin azalması ve kilo kaybını ilişkilendirmiştir. Bu çalışmada amacımız, intraoperatif uygulanan hyoscine butylbromide(HBB)'in çıkarılan mide hacmi üzerine etkisinin araştırılmasıdır. Gereç ve Yöntemler: Retrospektif cohort çalışması olarak planlanan çalışmaya laparoskopik sleeve gastrektomi (LSG) uygulanan 67 hasta dahil edildi. Ameliyat öncesi 32 hastaya 20 mg HBB verildi(grup II). Kontrol grubundaki 35 hastaya benzer bir işlem uygulandı ancak HBB verilmedi(grup I). Hastaların demografik özellikleri, vücut kütle indeksleri ve laboratuvar değerleri kaydedildi. Kilo kaybı ve vücut kütle indeksleri (VKİ)ndeki değişiklikler birinci ve altıncı ay kontrollerinde kaydedildi. Veriler, Shapiro-Wilk testi ile dağılımın normalliği için analiz edildi. Gruplar arasında genel farklılıklar, parametrik olmayan değerler için Mann-Whitney U testi ile, parametrik değerler ise Student-t testi ile analiz edildi. Bulgular: Grup II'de çıkarılan mide hacmi daha fazlaydı. Birinci ve altıncı ay VKİ 'lerinde gruplar arasında anlamlı fark vardı. Grup II, istatistiksel olarak daha fazla kilo verdi ve sonuç olarak VKİ'leri önemli ölçüde azalmıştı. Sonuç: Ucuz ve kolay ulaşılabilir HBB'nin obezite cerrahisinde çıkarılan mide hacmini arttırdığı ve kilo kaybına katkı sağladığı görüldü

Anahtar Kelimeler

• Sleeve
• gastrektomi
• hiyosin butilbromid
• mide hacmi

Hyoscine-Butylbromide Used During Laparoscopic Sleeve Gastrectomy Increases Removed Gastric Volume

Öz

Aim: Obesity is one of the most common diseases, The main goal in bariatric surgeries is to reduce the gastric volume. Also, studies have linked reduced abdominal volume and weight loss. Our aim in this study is to investigate intraoperatively administered hyoscine butylbromide(HBB) on the removed gastric volüme(RGV). Material and Methods: The study, which was planned as a retrospective cohort study, included 67 patients who underwent laparoscopic sleeve gastrectomy (LSG). HBB at a dose of 20 mg was given to 32 patients preoperatively(Group II). A similar procedure was applied to 35 patients in the control group(Group I), but HBB was not given. Demographic characteristics, body mass indexes, and laboratory values of the patients were recorded. Weight loss and changes in BMI were recorded at the first and sixth month controls. Data were analyzed for normality of distribution with the Shapiro-Wilk test. Non-parametric values for general differences between groups were analyzed with the Mann-Whitney U test and parametric values were analyzed with Student t-test . Results: In Group II, the removed gastric volume was greater. In the first and sixth month BMI, there was a significant difference between the groups. Group II lost more weight statistically, and as a result, their BMI decreased significantly. Conclusion: It was observed that inexpensive and easily accessible HBB increased the removed gastric volume in bariatric surgery and contributed to weight loss.

Anahtar Kelimeler

• sleeve
• gastrectomy
• gastric volume
• hyoscine butylbromide

Kaynakça

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