ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)
Characteristics of obese patients with a body mass index (BMI) of >50 who opted for metabolic/bariatric surgery
Bunzo Matsuura , Hironobu Nakaguchi , Hidenori Senba , Ayumi Kanamoto , Masumi Miyazaki , Akihito Shiomi , Teruki Miyake , Shinya Furukawa & Yoichi Hiasa
Ehime University Graduate School of Medicine, Toon, Japan
Aim: The basis of treatment for obesity is diet and exercise therapy. Since 2006 at our hospital, lifestyle modification, such as diet and exercise, for obese patients has been provided through a team approach with a physician, dietician, nurse, physical therapist and psychologist. From 2016, a surgeon and anesthesiologist were added to the team for metabolic/bariatric surgery. The aim of this study is to clarify the characteristics of patients with a BMI of 50 or more who opted for metabolic/bariatric surgery (laparoscopic sleeve gastrectomy: LSG).
Patients & Methods: Of 40 patients who were received LSG between January 2017 and December 2021, 9 were in the super-obese (S) group with a BMI of 50 or more and 31 were in the obese (C) group with a BMI of 30 to less than 50. The preoperative weight loss rate, postoperative weight loss rate, postoperative body composition change rate, and postoperative rebound rate were compared.
Results: The male/female ratio in group S vs group C was 6/3 vs 13/18, mean age (years) was 42 vs 45, diabetes mellitus/other complication was 3/6 vs 21/10, mean preoperative weight (kg) was 160 vs 108, mean BMI was 57 vs 40. The preoperative weight loss rate (%) was 10.0 vs 5.6, 6-month postoperative weight loss rate (%) was 20.0 vs 16.4, and 1-year postoperative weight loss rate (%) was 21.6 vs 17.3. There was no difference in diabetes complete remission rate. There was a significant less postoperative weight rebound rate in group S than that in group C.
Conclusions: The surgical treatment was required in patients with very high obesity, with or without diabetes mellitus, and even if preoperative weight loss of 10% or more was achieved.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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