Seda Baştürk, Onur Birsen, Tuğberk Baştürk

2610

Laparoskopic sleeve gastrektomi'nin kısa ve orta dönem sonuçları, tip 2 diyabet ve hipertansiyona etkileri

Amaç: Laparoskopik sleeve gastrektomi (LSG) son yıllarda yaygın olarak kullanılan primer bariatrik cerrahi teknik haline gelmiştir. Bu çalışmada, LSG'nin kilo kaybındaki kısa ve orta dönem etkinliğini, eşlik eden tip 2 diyabet ve hipertansiyona (HT) olan etkilerini araştırmayı amaçladık. Gereç ve yöntem: Bu retrospektif çalışmaya Ocak 2009-Aralık 2011 arasında LSG uygulanan ve postoperatif 6. ay, 1. yıl ve 3. yıl takip kayıtlarına ulaşılabilen seksen iki hasta dahil edildi. Ameliyat öncesi boy/kilo değerleri, komorbiditeler, HT ve/veya tip 2 diyabet için ilaç kullanımı ve postoperatif 6. ay, 1. yıl, 3. yıllık ve 5. yıl verilerindeki değişiklikler kaydedildi. Bulgular: Ameliyat öncesi verilerle karşılaştırıldığında, postoperatif 6. ay, 1. yıl ve 3. yıl takiplerinde vücut kitle indeksindeki (VKİ) azalma istatistiksel olarak anlamlıydı (p=0,0001, her biri için). Üçüncü yılda 1. yıla göre VKİ artışı (p=0,0001), operasyon öncesine göre 3. yılda diyabet ilacı ve antihipertansif ilaç kullanım sıklığında azalma izlendi (p=0,0001, herbiri için). Sonuç: Morbid obezitenin cerrahi tedavisinde primer tedavi olarak uygulanabilen LSG, düşük mortalite ve morbidite oranları ile çok etkili ve güvenilir bir yöntemdir. Ek olarak, tip 2 diyabet ve HT gibi komorbiditelerde önemli iyileşme sağlar. Orta dönemde biraz kilo alımı olsa da, LSG'nin kısa ve orta dönem sonuçları etkili bir cerrahi teknik olduğunu göstermektedir.

Short and midterm results of laparoscopic sleeve gastrectomy and its effects on hypertension and type 2 diabetes

Purpose: Laparoscopic sleeve gastrectomy (LSG) has become a widely used primary bariatric surgical technique in recent years. We aimed to investigate the short and midterm effects of LSG on weight loss and its effects on comorbid hypertension (HT) and type 2 diabetes mellitus (T2DM). Materials and methods: 82 patients who underwent LSG between January 2009 and December 2011 and whose postoperative 6-month, 1-year, and 3-year follow-up records were available were included in this retrospective study. Preoperative height/weight values, comorbidities, drug use for HT and/or T2DM, and changes in postoperative 6-month, 1-year, 3-year, and 5-year data were collected. Results: Comparing to the preoperative data, decrease in body mass index (BMI) at the postoperative 6-month, 1-year, and 3-year follow-ups was statistically significant (p=0.0001, for each). A higher increase in BMI was observed at the 3-year follow-up than at the 1-year follow-up (p=0.0001). A decrease in the requirement of oral antidiabetics (OAD) and antihypertensives was observed at the postoperative 3-year compared to the preoperative data (p=0.0001, for each). Conclusion: LSG, which can be applied as a primary treatment in the surgical treatment of morbid obesity, is a very effective and reliable method with low mortality and morbidity rates. In addition, it facilitates significant regression in comorbidities such as HT and T2DM. Although there is some weight gain in the midterm; short and midterm results of LSG indicates that it is an effective surgical technique.
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Pamukkale Tıp Dergisi-Cover
  • ISSN: 1309-9833
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2008
  • Yayıncı: Prof.Dr.Eylem Değirmenci
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