Long-term effect of bariatric surgery versus conventional therapy in obese Korean patients: a multicenter retrospective cohort study
- 주제(키워드) Morbid obesity , Bariatric surgery , Gastric bypass , Gastrectomy
- 주제(기타) Surgery
- 설명문(일반) [Park, Ji Yeon] Kyungpook Natl Univ, Chilgok Hosp, Sch Med, Dept Surg, Daegu, South Korea; [Heo, Yoonseok] Inha Univ, Sch Med, Dept Surg, Incheon, South Korea; [Heo, Yoonseok; Lee, Ja Youn; Kwon, Jin-Won] Natl Evidence Based Healthcare Collaborating Agcy, Seoul, South Korea; [Kim, Yong Jin] Soonchunhyang Univ, Dept Surg, Seoul Hosp, 59 Daesagwan Ro, Seoul 04401, South Korea; [Park, Joong-Min] Chung Ang Univ, Coll Med, Dept Surg, Seoul, South Korea; [Kim, Seong-Min] Gachon Univ, Coll Med, Dept Surg, Incheon, South Korea; [Park, Do-Joong] Seoul Natl Univ, Bundang Hosp, Dept Surg, Seongnam, South Korea; [Lee, Sang Kuon] Catholic Univ Korea, Coll Med, Dept Surg, Seoul, South Korea; [Han, Sang-Moon] CHA Univ, Sch Med, CHA Gangnam Med Ctr, Dept Surg, Seoul, South Korea; [Shim, Kyung-Won] Ewha Womans Univ, Sch Med, Dept Family Med, Seoul, South Korea; [Lee, Yeon Ji] Inha Univ, Sch Med, Dept Family Med, Incheon, South Korea; [Kwon, Jin-Won] Kyungpook Natl Univ, Coll Pharm, Daegu, South Korea
- 등재 SCIE, SCOPUS, KCI등재
- OA유형 Green Published, Green Submitted, hybrid
- 발행기관 KOREAN SURGICAL SOCIETY
- 발행년도 2019
- URI http://www.dcollection.net/handler/ewha/000000159874
- 본문언어 영어
- Published As http://dx.doi.org/10.4174/astr.2019.96.6.283
- PubMed https://pubmed.ncbi.nlm.nih.gov/31183332
초록/요약
Purpose: Long-term results following bariatric surgery compared to conventional treatments has never been reported in morbidly obese Korean patients. This study aimed to evaluate the long-term efficacy of bariatric surgery in morbidly obese Korean patients compared to conventional medical treatments. Methods: In this multicenter retrospective cohort study, we reviewed 137 obese subjects between January 2008 and February 2011 with a body mass index (BMI) > 30 kg/m(2) who had more than 5 years of follow-up clinical data after bariatric surgery (surgery group, n = 49) or conventional treatment (conventional treatment group, n = 88). Anthropometric data and the status of comorbidities were compared between the 2 groups. Results: The median follow-up period was 72.1 months (range 19.3-109.7 months). At the last follow-up, the surgery group showed a greater amount of total weight loss than the conventional treatment group (24.9% vs. 2.8%, P < 0.001). The prevalence of diabetes and hypertension significantly decreased in the surgery group, while the conventional treatment group showed a marked increase in these comorbidities. In the surgery group, Roux-en-Y gastric bypass and sleeve gastrectomy achieved comparable long-term weight loss (26.5% vs. 22.4%, respectively; P = 0.087). Conclusion: In the long-term, bariatric surgery achieved and maintained significantly greater weight reduction, as well as a decrease in obesity-related comorbidities, than did conventional medical therapy in morbidly obese Korean patients.
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