PMID- 32578180
OWN - NLM
STAT- MEDLINE
DCOM- 20210414
LR  - 20210414
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 30
IP  - 11
DP  - 2020 Nov
TI  - Five-Year Outcomes of Laparoscopic Sleeve Gastrectomy in Japanese Patients with 
      Class I Obesity.
PG  - 4366-4374
LID - 10.1007/s11695-020-04789-6 [doi]
AB  - BACKGROUND: Bariatric surgery is being recognized increasingly as an effective 
      treatment for obesity and related comorbidities. In Japan, the cost of 
      laparoscopic sleeve gastrectomy (LSG) is covered by the national health insurance 
      for adults with a body mass index (BMI) >/= 35 kg/m(2) and specific comorbidities 
      (type 2 diabetes mellitus (T2DM), hypertension (HT), dyslipidemia (DL), and 
      obstructive sleep apnea syndrome (OSAS)). However, only 0.6% of the adult 
      population have a BMI >/= 35 kg/m(2). In contrast, 4.3% have class I obesity (a BMI 
      of 30-34.9 kg/m(2)). The BMI of Asians with central obesity-induced diabetes and 
      other metabolic disorders is much lower than that of Westerners. OBJECTIVES: To 
      evaluate the medium-term (up to 5 years) outcomes of LSG performed in Japanese 
      patients with class I obesity. METHODS: One hundred eighteen consecutive patients 
      with class I obesity treated by LSG at our center between August 2007 and 
      December 2018 were included in a retrospective study. Mean preoperative body 
      weight (BW) and BMI were 88.6 +/- 10.3 kg and 32.8 +/- 1.6 kg/m(2), respectively. 
      Weight loss, comorbidity status, and adverse events were assessed. RESULTS: Mean 
      BW/BMI at 1, 3, and 5 years after LSG decreased significantly to 
      66.6 +/- 11.2 kg/24.6 +/- 2.8 kg/m(2), 68.0 +/- 14.0 kg/25.4 +/- 4.0 kg/m(2), and 
      69.1 +/- 12.9 kg/26.5 +/- 3.0 kg/m(2), respectively. Mean total weight loss at 1, 3, 
      and 5 years was 24.7 +/- 8.2%, 21.8 +/- 12.1%, and 18.5 +/- 9.7%, respectively. 
      Metabolic disorders such as T2DM, HT, and DL improved significantly. There was no 
      mortality. CONCLUSION: LSG is safe, yields excellent weight loss, and improves 
      obesity-related comorbidities in Japanese patients with class I obesity.
FAU - Seki, Yosuke
AU  - Seki Y
AUID- ORCID: 0000-0002-3474-5671
AD  - Weight loss and Metabolic Surgery Center, Yotsuya Medical Cube, 7-7 Nibancho, 
      Chiyoda-ku, Tokyo, 102-0084, Japan. y-seki@mcube.jp.
FAU - Kasama, Kazunori
AU  - Kasama K
AD  - Weight loss and Metabolic Surgery Center, Yotsuya Medical Cube, 7-7 Nibancho, 
      Chiyoda-ku, Tokyo, 102-0084, Japan.
FAU - Kikkawa, Eri
AU  - Kikkawa E
AD  - Weight loss and Metabolic Surgery Center, Yotsuya Medical Cube, 7-7 Nibancho, 
      Chiyoda-ku, Tokyo, 102-0084, Japan.
FAU - Yokoyama, Renzo
AU  - Yokoyama R
AD  - Weight loss and Metabolic Surgery Center, Yotsuya Medical Cube, 7-7 Nibancho, 
      Chiyoda-ku, Tokyo, 102-0084, Japan.
FAU - Nabekura, Taiki
AU  - Nabekura T
AD  - Weight loss and Metabolic Surgery Center, Yotsuya Medical Cube, 7-7 Nibancho, 
      Chiyoda-ku, Tokyo, 102-0084, Japan.
FAU - Sano, Akihiko
AU  - Sano A
AD  - Weight loss and Metabolic Surgery Center, Yotsuya Medical Cube, 7-7 Nibancho, 
      Chiyoda-ku, Tokyo, 102-0084, Japan.
FAU - Amiki, Manabu
AU  - Amiki M
AD  - Weight loss and Metabolic Surgery Center, Yotsuya Medical Cube, 7-7 Nibancho, 
      Chiyoda-ku, Tokyo, 102-0084, Japan.
AD  - Department of Surgery, Kawasaki Saiwai Hospital, 31-27 Omiyacho, Saiwai-ku, 
      Kawasaki-shi, Kanagawa, Japan.
FAU - Kurokawa, Yoshimochi
AU  - Kurokawa Y
AD  - Department of Surgery, Yotsuya Medical Cube, 7-7 Nibancho, Chiyoda-ku, Tokyo, 
      102-0084, Japan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Adult
MH  - Body Mass Index
MH  - *Diabetes Mellitus, Type 2/epidemiology/surgery
MH  - Gastrectomy
MH  - Humans
MH  - Japan/epidemiology
MH  - *Laparoscopy
MH  - Obesity/complications/surgery
MH  - *Obesity, Morbid/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Class I obesity
OT  - Japanese
OT  - LSG
OT  - Mild obesity
OT  - Sleeve gastrectomy
EDAT- 2020/06/25 06:00
MHDA- 2021/04/15 06:00
CRDT- 2020/06/25 06:00
PHST- 2020/06/25 06:00 [pubmed]
PHST- 2021/04/15 06:00 [medline]
PHST- 2020/06/25 06:00 [entrez]
AID - 10.1007/s11695-020-04789-6 [pii]
AID - 10.1007/s11695-020-04789-6 [doi]
PST - ppublish
SO  - Obes Surg. 2020 Nov;30(11):4366-4374. doi: 10.1007/s11695-020-04789-6.