Departmental Bulletin Paper 減量外科チームによる腹腔鏡下スリーブ状胃切除術後の効果不良群の検討

山口, 剛  ,  山本, 寛  ,  栗原, 美香  ,  秋定, 有紗  ,  大竹, 玲子  ,  貝田, 佐知子  ,  村田, 聡  ,  楠, 知里  ,  関根, 理  ,  森野, 勝太郎  ,  卯木, 智  ,  伊波, 早苗  ,  安藤, 光子  ,  木村, 由美  ,  中田, 牧人  ,  本岡, 芳子  ,  吉田, 英子  ,  越沼, 伸也  ,  佐々木, 雅也  ,  安藤, 朗  ,  山田, 尚登  ,  山本, 学  ,  北川, 裕利  ,  江口, 豊  ,  前川, 聡  ,  谷, 眞至  ,  谷, 徹

28 ( 1 )  , pp.34 - 39 , 2015-03-20 , 滋賀医科大学雑誌編集委員会
Background: The bariatric surgery is the most efficacious therapy for morbid obesity today. We have performed bariatric surgeryand have taken a multidisciplinary approach since 2008. The excess weight loss (%EWL) at 1 year after laparoscopic sleeve gastrectomy(LSG) at our institute is 73%, which is better than that of LSGs at the Fourth International Consensus Summit on Sleeve Gastrectomy. On theother hand, there are some patients with less effect after LSG in our series. We investigated the causes of less effectiveness of weight lossafter LSG with a multidisciplinary approach. Methods: The twenty patients were performed LSG at our institute between October 2008 andMay 2014 and followed up with nutritional guidance more than 1 year. Method 1: The shape of a sleeve after LSG was classified accordingto four types of a shape, and evaluated weight loss effect of each type. Method 2: The twenty patients were divided into two groups: Betterweight loss group, which %EWL was more than 50%, and Less weight loss group, which %EWL was less than 50%. Lifestyles werecompared between the two groups. Method 3: Depression before and after LSG were evaluated with Beck Depression Inventory-II (BDI-II).Results: There was no difference in weight loss among types of sleeve shape. The amount of taking calories 1 year after LSG and %EWL 3months after LSG were different between the two groups. Depression was not severe in two groups. Conclusions: We describe ourmultidisciplinary approach for less effectiveness of weight loss after LSG for morbid obesity. The amount of taking calories 1 year after LSGwas more and %EWL 3 months after LSG was less in Less weight loss group than in Better weight loss group.

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