Prognostic factors of weight loss after sleeve gastrectomy: Multicenter study in Spain and Portugal
Por:
Santos, RS, Corcelles, R, Puy, RV, Rivilla, SD, Ferrer, JV, Corvinos, JF, Noguera, CM, Macias, MS, Gomes, P, Ponz, CB, Palacios, JD, Sebastian, SO, Pernaute, AS, Pla, JJP, Pereferrer, FS, Vega, JA, Sala, XS, Navarro, AG, Escribano, CD, Fernandez, NC, Perez, N, Solanas, JAG, Nisa, FGM, Matias, AH, Azcarate, VV, Folques, JEP, Garcia, IN, Lanuza, EDA, Cortijo, SM, Fernandez, JG
Publicada:
1 mar 2017
Resumen:
Introduction: Sleeve gastrectomy (SG) has become a technique in its own right although a selective or global indication remains controversial. The weight loss data at 5 years are heterogeneous. The aim of the study is to identify possible prognostic factors of insufficient weight loss after SG.
Methods: A SG retrospective multicenter study of more than one year follow-up was performed. Failure is considered if EWL > 50%. Univariate and multivariate study of Cox regression were performed to identify prognostic factors of failure of weight loss at 1, 2 and 3 years of follow up.
Results: A total of 1,565 patients treated in 29 hospitals are included. PSP per year: 70.58 +/- 24.7; 3 years 69.39 +/- 29.2; 5 years 68.46 +/- 23.1. Patients with EWL < 50 (considered failure): 17.1% in the first year, 20.1% at 3 years, 20.8% at 5 years. Variables with influence on the weight loss failure in univariate analysis were: BMI > 50 kg/m(2), age > 50 years, DM2, hypertension, OSA, heart disease, multiple comorbidities, distance to pylorus> 4 cm, bougie > 40 F, treatment with antiplatelet agents. The reinforcement of the suture improved results. In multivariate study DM2 and BMI are independent factors of failure.
Conclusion: The SG associates a satisfactory weight loss in 79% of patients in the first 5 years; however, somevariablessuchasBMI > 50, age > 50, thepresenceofseveralcomorbidities, more than 5 cm section of the pylorus or bougie > 40 F can increase the risk of weight loss failure. (C) 2017 AEC. Published by Elsevier Espanna, S.L.U. All rights reserved.
Filiaciones:
Santos, RS:
Complejo Hosp & Univ Pontevedra, Pontevedra, Spain
Corcelles, R:
Hosp Clin Barcelona, Barcelona, Spain
Puy, RV:
Hosp Univ Vall dHebron, Barcelona, Spain
Rivilla, SD:
Hosp Clin Barcelona, Barcelona, Spain
Ferrer, JV:
Clin Obesitas, Valencia, Spain
Corvinos, JF:
Quiron Salud Hosp Univ Sagrat Cor, Barcelona, Spain
Noguera, CM:
Clin Diagonal, Barcelona, Spain
Macias, MS:
Hosp Univ Virgen Rocio, Seville, Spain
Gomes, P:
Ctr Hosp Univ Coimbra, Hosp Geral, Coimbra, Portugal
Ponz, CB:
UAB, Hosp St Pau, Barcelona, Spain
Palacios, JD:
Hosp Gregorio Maranon, Madrid, Spain
Sebastian, SO:
Hosp Gen Alicante, Alicante, Spain
Pernaute, AS:
Hosp Clin San Carlos, Madrid, Spain
Pla, JJP:
Hosp Gen Univ Valencia, Valencia, Spain
Pereferrer, FS:
Hosp Univ Reus, Reus, Barcelona, Spain
Vega, JA:
Hosp Basurto, Bilbao, Spain
Sala, XS:
Hosp Mataro, Mataro, Barcelona, Spain
Navarro, AG:
Hosp Virgen Nieves, Granada, Spain
Escribano, CD:
Hosp Virgen Paloma, Madrid, Spain
Fernandez, NC:
Hosp Clin Univ Valencia, Valencia, Spain
Perez, N:
Hosp Virgen Lirios, Alcoy, Alicante, Spain
Solanas, JAG:
Hosp Clin Zaragoza, Zaragoza, Spain
Nisa, FGM:
Hosp Ramon & Cajal, Madrid, Spain
Matias, AH:
Hosp Univ Getafe, Getafe, Madrid, Spain
Azcarate, VV:
Clin Univ Navarra, Pamplona, Spain
Folques, JEP:
Hosp Virgen Castillo, Yecla, Murcia, Spain
Garcia, IN:
Hosp Santa Lucia, Cartagena, Murcia, Spain
Lanuza, EDA:
Hosp Univ Virgen Macarena, Seville, Spain
Cortijo, SM:
Hosp Talavera De La Reina, Talavera De La Reina, Toledo, Spain
Fernandez, JG:
Ctr Med Asturias, Oviedo, Spain
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