Clinical Significance of Central Obesity in Laparoscopic Bariatric Surgery

Wei Jei Lee, Weu Wang, Tai Chi Chen, Po Li Wei, Ching Mei Lin, Ming Te Huang

研究成果: 雜誌貢獻文章同行評審

15 引文 斯高帕斯(Scopus)

摘要

Background: Laparoscopic surgery had increased the interest and growth of bariatric surgery. Whether central obesity has any adverse effect in laparoscopic bariatric surgery is not clear. Methods: 612 morbidly obese patients received laparoscopic bariatric surgery, in a prospectively controlled clinical trial of the outcome of the bariatric surgery. For comparison, subjects were dichotomized into either a central obesity group or peripheral obesity group, based on waist/hip ratio (WHR). Various biochemistry and blood count variables, and perioperative and postoperative results were measured. Results: There were more female (458) than male patients (154). Male patients had higher BMI, and female patients were younger. 56 of 154 male patients (36.4%) belonged to the central obesity (WHR >1.0), and 321 of 458 female patients (70.1%) had central obesity (WHR >0.85). Central obesity was associated with age but not with BMI in males. In females, central obesity was associated with increased BMI. Central obesity predicted increased hyperglycemia and triglyceride levels in both male and female patients. Male patients with central obesity had higher WBC counts than the other patients. Although central obesity was associated with more infra-operative blood loss and prolonged recovery in female patients, there was no increase in complication rate or difference in postoperative weight loss. Conclusion: Central obesity Is associated with a higher degree of hyperglycemia, hyperlipidemia and leukocytosis In morbidly obese patients who undergo bariatric surgery. Although there is increased technical difficulty in patients with severe central obesity, laparoscopic bariatric surgery is safe and effective in producing weight loss.

原文英語
頁(從 - 到)921-925
頁數5
期刊Obesity Surgery
13
發行號6
DOIs
出版狀態已發佈 - 十二月 2003
對外發佈

ASJC Scopus subject areas

  • 手術

指紋

深入研究「Clinical Significance of Central Obesity in Laparoscopic Bariatric Surgery」主題。共同形成了獨特的指紋。

引用此