34 KB221 KB27 KB200520132009Pintar, TadejaPleskovič, Alojzletnik:14številka:31str. 109-117ISSN:1318-8941COBISSID:26497241URN:URN:NBN:SI:doc-T27YPDRHslSlovensko zdravniško društvoEndoskopska revijadebelostDebelost bolezenskaGastric BypassGastroplastikaGastroplastykirurško zdravljenjeObesity, MorbidSurgeryTeža, izgubljanjeWeight LossŽelodčni obvozželodecKirurgija debelosti - pomen multidisciplinarne obravnave bolnikov in rezultati zdravljenja v UKC Ljubljana| Bariatric surgery in the UMC - the role of multidisciplinary treatment and results|Background. Laparoscopic adjustable gastric banding (GB) and sleeve gastrectomy (SG) have been introduced in this institution for the treatment ofmorbid obesity. GB with gastric baloon placing is one of restrictive, reversible procedures with good outcomes in selected morbidly obese patients who meet strict eligibility criteria. SG is an invasive, irreversible operation used in selected patients meeting specific physical and psychological criteria. The aim of our prospective and randomised study was tocompare the results of GB and SG in morbidly obese patients, with special emphasis on the importance of the appropriate selection of surgical technique and preoperative preparation of patients. Patients and methods. Between 2005 and October 2009, 70 patients with morbid obsesity were operated on at this Department; GB was performed in 13 patients (2 M, 11 F) and SG in 57 ( 4M, 47F). The median age of the patients was 41.6 years, 38.3 years in the GB group and 43.49 years in the SG series The average male and female BMI was 53 and 47.44 kg/m2, respectively. The rate of comorbidity was 68.24 %: one co-existing disease was noted in 43 % of the patients, two in 13 %, and three or more diseases in 8 % of the patients. The patients were followed up for 6, 12, 18 and 27 weeks, and for one year after bariatric surgery. Early and late postoperative complications, weight loss, satisfaction with the procedure, eating behaviors and increase in physical activity were recorded. Results. The median weight loss at one year after surgery was 35.34 kg: 39.2kg for the GB group and 36.15 kg for the SG patients, which was 78 % of the expected weight loss (EWL). The percentage of patients who achived EWL in one year after surgery was 85 %, the goal was not attained by 3 % of patients, and 10 %were lost to follow up. The median preoperative weight loss was 5.47kg: 5.4kgin the GB group and 6.7kg in the SG series. (Abstract truncated at 2000 characters)TEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo, Združenje za endoskopsko kirurgijo