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Volume 26 |
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Number 1 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ORIGINAL ARTICLE |
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Volume 26 |
January - March 2010 |
Number 1 |
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Changes in Comorbid Diseases in Morbidly Obese
Patients Treated by Laparoscopic Adjustable Gastric BandingIbrahim Sakcak1, Mehmet Fatih Avsar2, Nihal Zekiye Erdem3, Enver Okan Hamamci4,
Settar Bostanoglu5, Muhittin Sonisik6, Akin Bostanoglu7, Erdal Cosgun8ABSTRACT
Objectives: Morbid obesity is often accompanied by several comorbid diseases which reduce lifespan and impair quality of life. Laparoscopic adjustable gastric banding (LAGB) is a minimal invasive procedure effective in the treatment of morbid obesity. The aim of this study was to determine the change in comorbidities in patients treated by LAGB who achieved weight loss.
Methodology: Among 134 morbidly obese patients treated by LAGB, 127 patients who were followed regularly and evaluated regarding the change in comorbidities, and laboratory and clinical measurements were recorded. Excess weight loss (EWL) and the percent improvement in comorbid diseases (PICD) were calculated by using the Friedman’s test. P value of <0.05 was considered statistically significant.
Results: Of 127 cases with a mean age of 29.51±6.7 years. Pre-operative BMI was 48.38±7.81 kg/m2. Comorbid disease was present in 62 (48.8%) patients. The mean follow-up duration was 23.83±8.78 months. The EWL was 52.6% (p<0.05) and the PICD was 74.8% (p<0.05). Complications were noted in 34 patients (26.8%).
Conclusions: LAGB is a minimally invasive procedure which is effective in the treatment of morbid obesity, and reduces the length of hospital stay. Comorbid diseases are significantly improved in patients who achieve weight loss by the LAGB procedure.
KEY WORDS
: Obesity Treatment, Obesity, Obesity Surgery.Pak J Med Sci January - March 2010 Vol. 26 No. 1 6-10
How to cite this article:
Sakcak I, Avsar MF, Erdem NZ, Hamamci EO, Bostanoglu S, Sonisik M, et al. Changes in Comorbid Diseases in Morbidly Obese Patients Treated by Laparoscopic Adjustable Gastric Banding. Pak J Med Sci 2010;26(1):6-10
1. Dr. Ibrahim Sakcak, M.D,
2. Dr. Mehmet Fatih Avsar, M.D,
3. Dr. Nihal Zekiye Erdem, Ph.D,
Dept. of Nutrition,
Numune Teaching and Research Hospital,
Ankara, Turkey.
4. Dr. Enver Okan Hamamci, M.D,
5. Dr. Settar Bostanoglu, M.D,
6. Dr. Muhittin Sonisik, M.D,
7. Dr. Akin Bostanoglu, M.D,
8. Dr. Erdal Cosgun, Ph.D.,
Dept. of Biostatistics,
Medicine Faculty of Hacettepe University,
Ankara, Turkey.
1,2,4-7: Dept. of General Surgery,
Numune Teaching and Research Hospital,
Ankara, Turkey.Correspondence
Ibrahim Sakcak
Cukurambar mah,
42. Cadde sancak apartmani
No: 11/7 06600 Cankaya /Ankara
Turkey.
E-mail: ibrahimsakcak@yahoo.com
* Received for Publication: November 14, 2009
* Accepted: January 2, 2010
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