Mehmet Nuri KOŞAR, Umut R. GÜNDÜZ, Onur İlkay DİNÇER, Tuğrul ÇAKIR

Laparoskopik Sleeve Gastrektomi Sonrası Morbid Obez Hastalarda Akdeniz Diyetinin Etkinliği

Amaç: Obezite, morbidite ve mortalite sorunlarının artmasına neden olan dünyadaki en önemli sağlık sorunlarından biridir. Cerrahi tedavi, son yıllarda ön plana çıkmakla birlikte Laparoskopik Sleeve Gastrektomi (LSG) sonrası tüm hastalara belli bir diyet reçete edilmekte ve eski beslenme alışkanlıklarının değiştirilmesi amaçlanmaktadır. Çalışmamızda LSG sonrası verilen iki farklı diyet reçetesinin etkinliği araştırılmıştır.Araçlar ve Yöntem: Morbid obezite nedeni ile LSG yapılan hastalar (n=80), 1200 kalorilik Akdeniz proteininden zenginleştirilmiş ve standart protein kaynağı içeren diyet alanlar olmak üzere iki gruba ayrıldı. Her grupta 40 hasta prospektif gözlemsel olarak analiz edildi.Bulgular: Çalışma grubu demografik verilerine gore değerlendirildiğinde hastaların 80%’inin kadınların oluşturduğu ve yaş ortalamasının 39.41±10.3 (min:19, max:61) yıl olduğu görüldü. Tüm hastalarda kilo, Vücut Kitle İndeksi (VKİ) ve ultrasonografik karaciğer yağlanma derecesi değerlerinde istatistiksel olarak anlamlı bir düşüş gözlendi (p<0.001). Hastaların diyet gruplarına göre kilo ve VKİ farkları karşılaştırıldığında, akdeniz diyeti uygulanan hastalarda kilo ve VKİ değerlerindeki azalmanın normal diyet uygulanan hastalara göre daha yüksek olduğu görülse de bu fark istatistiksel açıdan anlamlı bulunmadı (p=0.147, p=0.485,sırasıyla).Sonuç: Çalışmamızda etkin yöntemin cerrahi olduğu, diyet tiplerinin kilo verimi ve non-alkolik yağlı karaciğer hastalığının düzelmesinde cerrahi kadar etkin olmadığı sonucuna varıldı.

Anahtar Kelimeler:

akdeniz diyeti, bariatrik cerrahi, non-alkolik yağlı karaciğer hastalığı, obezite

The Effectiveness of Mediterranean Diet in Morbid Obese Patients After Laparoscopic Sleeve Gastrectomy

Purpose: Obesity is one of the most important health problems in the world that causes increased morbidity and mortality problems.Although surgical treatment has come to the fore in recent years, a certain diet is prescribed to all patients after Laparoscopic Sleeve Gastrectomy (LSG) and it is aimed to change the old eating habits. In our study, the effectiveness of two different dietary prescriptions given after LSG was investigated.Materials and Methods: Patients who underwent LSG due to morbid obesity (n=80) were divided into two groups as diet enriched with 1200-calorie Mediterranean protein and containing a standard protein source. 40 patients in each group were prospectively analysed observationally. Results: When the study group was evaluated according to demographic data, it was seen that 80% of the patients were women and the average age was 39.41±10.3 (min:19, max:61) years. A statistically significant decrease was observed in weight, body mass index (BMI) and ultrasonographic liver fatty levels in all patients (p<0.001). When the weight and BMI differences of the patients were compared according to the diet groups, it was observed that the decrease in weight and BMI values was higher in the patients who were applied the Mediterranean diet compared to the patients who received the normal diet, but this difference was not statistically significant (p =0.147, p =0.485 respectively).Conclusion: In our study, it was concluded that the effective method is surgery, and diet types are not as effective as surgery in weight loss and recovery of non-alcoholic fatty liver disease.

Keywords:

bariatric surgery, mediterranean diet, non-alcoholic fatty liver disease, obesity,

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