PMID- 26363715
OWN - NLM
STAT- MEDLINE
DCOM- 20161222
LR  - 20220321
IS  - 1878-7533 (Electronic)
IS  - 1550-7289 (Linking)
VI  - 12
IP  - 2
DP  - 2016 Feb
TI  - Early outcomes of laparoscopic sleeve gastrectomy in a multiethnic Asian cohort.
PG  - 330-7
LID - S1550-7289(15)00152-5 [pii]
LID - 10.1016/j.soard.2015.05.009 [doi]
AB  - BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has become a popular bariatric 
      operation worldwide. OBJECTIVES: To report early outcomes of patients with LSG 
      performed. SETTINGS: University hospital and a restructured hospital, Singapore. 
      METHODS: Data of patients who underwent LSG as a primary procedure from 2008 to 
      2013 were analyzed for change in body mass index (BMI), percentage of weight loss 
      (%WL), and percentage of excess weight loss (%EWL). The remission of 
      obesity-related co-morbidities after LSG was analyzed. Logistic regression 
      analyses were performed to determine predictive factors for perioperative 
      complication and suboptimal EWL. RESULTS: Two hundred operations were performed 
      on a cohort that consisted of 74 Chinese, 57 Malay, and 52 Indian patients and 17 
      patients from other ethnic groups. Mean preoperative weight and BMI were 
      118.1+/-26.8 kg and 43.0+/-8.0 kg/m(2), respectively. Mean follow-up duration was 
      16.7+/-9.4 months. At 6, 12, 24 and 36 months, the percentage of patients 
      followed-up were 79.5%, 75.7%, 50.0%, and 50.0%, and the mean %EWL were 51.2%, 
      61.2%, 60.9%, and 51.0%, respectively. Postoperative complications occurred in 9 
      patients (4.5%), 5 of whom (2.5%) required reoperation. There was no mortality in 
      our series. Remission of type 2 diabetes mellitus (T2DM) was significantly 
      associated with achieving>50% EWL (P = .009). Patients>50 years of age and higher 
      preoperative BMI were significant factors for failure to achieve>50% EWL at 1 
      year after LSG. CONCLUSION: LSG is a safe and effective operation for achieving 
      significant weight loss and improvement of co-morbidities in multiethnic Asian 
      population. Adequate EWL is important to achieve remission of T2DM. Older 
      patients and higher preoperative BMI are predictive factors for suboptimal EWL.
CI  - Copyright (c) 2016 American Society for Bariatric Surgery. Published by Elsevier 
      Inc. All rights reserved.
FAU - Ching, Siok Siong
AU  - Ching SS
AD  - Department of Surgery, National University Hospital, Singapore.
FAU - Cheng, Anton Kui Sing
AU  - Cheng AK
AD  - Department of Surgery, Khoo Teck Puat Hospital, Singapore.
FAU - Kong, Lucy Wai Cheng
AU  - Kong LW
AD  - Department of Surgery, Khoo Teck Puat Hospital, Singapore.
FAU - Lomanto, Davide
AU  - Lomanto D
AD  - Department of Surgery, National University Hospital, Singapore; Yong Loo Lin 
      School of Medicine, National University of Singapore, Singapore.
FAU - So, Jimmy Bok Yan
AU  - So JB
AD  - Department of Surgery, National University Hospital, Singapore; Yong Loo Lin 
      School of Medicine, National University of Singapore, Singapore. Electronic 
      address: jimmy_so@nuhs.edu.sg.
FAU - Shabbir, Asim
AU  - Shabbir A
AD  - Department of Surgery, National University Hospital, Singapore; Yong Loo Lin 
      School of Medicine, National University of Singapore, Singapore.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20150522
PL  - United States
TA  - Surg Obes Relat Dis
JT  - Surgery for obesity and related diseases : official journal of the American 
      Society for Bariatric Surgery
JID - 101233161
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - Gastroplasty/*methods
MH  - Humans
MH  - Incidence
MH  - Laparoscopy/*methods
MH  - Male
MH  - Middle Aged
MH  - Obesity, Morbid/*surgery
MH  - Postoperative Complications/*epidemiology
MH  - Retrospective Studies
MH  - Singapore/epidemiology
MH  - Time Factors
MH  - Treatment Outcome
MH  - Weight Loss/*physiology
MH  - Young Adult
OTO - NOTNLM
OT  - Asian
OT  - Bariatric surgery
OT  - Laparoscopic sleeve gastrectomy
OT  - Multiethnic cohort
OT  - Remission of obesity-related co-morbidities
EDAT- 2015/09/14 06:00
MHDA- 2016/12/23 06:00
CRDT- 2015/09/14 06:00
PHST- 2015/03/02 00:00 [received]
PHST- 2015/04/27 00:00 [revised]
PHST- 2015/05/15 00:00 [accepted]
PHST- 2015/09/14 06:00 [entrez]
PHST- 2015/09/14 06:00 [pubmed]
PHST- 2016/12/23 06:00 [medline]
AID - S1550-7289(15)00152-5 [pii]
AID - 10.1016/j.soard.2015.05.009 [doi]
PST - ppublish
SO  - Surg Obes Relat Dis. 2016 Feb;12(2):330-7. doi: 10.1016/j.soard.2015.05.009. Epub 
      2015 May 22.