PMID- 38172751 OWN - NLM STAT- MEDLINE DCOM- 20240105 LR - 20240106 IS - 1471-2482 (Electronic) IS - 1471-2482 (Linking) VI - 24 IP - 1 DP - 2024 Jan 3 TI - Metabolic and bariatric surgery in patients with class I obesity; a two-year follow-up. PG - 6 LID - 10.1186/s12893-023-02295-x [doi] LID - 6 AB - BACKGROUND: Patients with class I obesity may need metabolic and bariatric surgery (MBS) in the presence of obesity-associated medical problems, but MBS in this class of obesity is under debate. This study aimed to investigate the efficacy and safety of MBS in patients with class I obesity. METHODS AND MATERIALS: This study was a historical cohort carried out on 112 patients with class I obesity with body mass index (BMI) of 30-35 kg/m(2) with a 24-month follow-up underwent MBS at Rasoul-e-Akram Hospital. The required data were extracted through the Iran National Obesity Surgery Database. The data required for the study consisted of demographic information such as age, gender, and obesity-associated medical problems like type-2 diabetes mellitus (T2DM), hypertension, obstructive sleep apnea, and dyslipidemia before surgery, 6, 12, and 24 months after surgery. RESULTS: Mean age of the patients was 38.10 +/- 10.04 years; mean BMI was 32.96 +/- 1.35 kg/m(2) and 83.9% (n = 94) of patients were female. Out of 18 patients with T2DM, 11 patients (61.11%) had complete remission and seven patients (38.88%) had partial remission. Obstructive sleep apnea, hypertension, dyslipidemia, and gastroesophageal reflux disease were observed in 18 (16.07%), 23 (20.53%), 43 (38.39%), and 13 patients (11.60%) before surgery and resolved at 24-month follow-up. Post-operative complications during the 24-month follow-up were checked to assess safety and there were no De novo gastroesophageal reflux disease, intolerance, leakage, pulmonary thromboembolism, deep vein thrombosis, incisional hernia, hypoalbuminemia (Albumin < 3.5 g/dl), excessive weight loss (BMI < 18.5 kg/m(2)) at any time during 24-months follow-ups and mortality. Early complications occurred as splenic injury in one case (0.89%), wound infection in one patient (0.89%), and extra-luminal bleeding in 10 (8.92%) after surgery, without any mortality. CONCLUSION: MBS is safe and effective in class I obesity and can be considered in selected patients with obesity-associated medical problems. CI - (c) 2023. The Author(s). FAU - Kermansaravi, Mohammad AU - Kermansaravi M AD - Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-e Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. mkermansaravi@yahoo.com. AD - Centre of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat_e Rasool Hospital, Tehran, Iran. mkermansaravi@yahoo.com. FAU - Valizadeh, Rohollah AU - Valizadeh R AD - Urmia University of Medical Sciences, Urmia, Iran. FAU - Shahsavan, Masoumeh AU - Shahsavan M AD - Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Adel Maleknia, Seyyed AU - Adel Maleknia S AD - Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Eghbali, Foolad AU - Eghbali F AD - Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-e Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. AD - Centre of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat_e Rasool Hospital, Tehran, Iran. FAU - Pazouki, Abdolreza AU - Pazouki A AD - Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-e Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. AD - Centre of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat_e Rasool Hospital, Tehran, Iran. FAU - Shahmiri, Shahab Shahabi AU - Shahmiri SS AD - Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-e Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. shshahabi@yahoo.com. AD - Centre of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat_e Rasool Hospital, Tehran, Iran. shshahabi@yahoo.com. LA - eng PT - Journal Article DEP - 20240103 PL - England TA - BMC Surg JT - BMC surgery JID - 100968567 SB - IM MH - Humans MH - Female MH - Adult MH - Middle Aged MH - Male MH - *Obesity, Morbid/surgery MH - Follow-Up Studies MH - Obesity/complications/surgery MH - *Bariatric Surgery/methods MH - *Diabetes Mellitus, Type 2/complications/surgery MH - *Hypertension/complications/epidemiology MH - *Gastroesophageal Reflux/complications MH - *Sleep Apnea, Obstructive/complications/surgery MH - *Dyslipidemias/complications MH - Treatment Outcome MH - Retrospective Studies PMC - PMC10765846 OTO - NOTNLM OT - Bariatric Surgery OT - Low BMI OT - Metabolic Surgery OT - Obesity COIS- The authors declare that they have no competing interests. EDAT- 2024/01/04 11:43 MHDA- 2024/01/05 06:43 PMCR- 2024/01/03 CRDT- 2024/01/03 23:48 PHST- 2023/09/21 00:00 [received] PHST- 2023/12/14 00:00 [accepted] PHST- 2024/01/05 06:43 [medline] PHST- 2024/01/04 11:43 [pubmed] PHST- 2024/01/03 23:48 [entrez] PHST- 2024/01/03 00:00 [pmc-release] AID - 10.1186/s12893-023-02295-x [pii] AID - 2295 [pii] AID - 10.1186/s12893-023-02295-x [doi] PST - epublish SO - BMC Surg. 2024 Jan 3;24(1):6. doi: 10.1186/s12893-023-02295-x.