Preoperative Weight Loss Before Bariatric Surgery
Preoperative Weight Loss Before Bariatric Surgery
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DOI：
10.1001/archsurg.2009.209
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发表时间：
2009-12-01
影响因子：
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通讯作者：
Strodel, William
中科院分区：
文献类型：
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作者：
Benotti, Peter N.;Still, Christopher D.;Strodel, William
假设：术前减肥可减少接受减肥手术的患者出现手术并发症的频率。设计：审查接受开腹或腹腔镜胃绕道手术的患者记录。设置：服务于宾夕法尼亚州中部的三级转诊中心的综合性、多学科肥胖治疗中心。患者：从 2002 年 5 月 31 日到 2006 年 2 月 24 日，共有 881 名接受开腹或腹腔镜胃绕道手术的患者。干预：所有患者均在术前患者完成了为期 6 个月的多学科计划，鼓励术前体重减轻 10%。 主要结果指标：多余体重 (EBW) 的减轻以及总体和主要并发症结果：在 881 名患者中，592 名 (67.2%) 失去了 5% 或更多 EBW，423 名 (48.0%) 失去了超过 10% EBW。转诊接受开放胃体质量检查的患者 (n=466) 通常年龄较大（P
Hypothesis: Preoperative weight loss reduces the frequency of surgical complications in patients undergoing bariatric surgery.Design: Review of records of patients undergoing open or laparoscopic gastric bypass.Setting: A comprehensive, Multidisciplinary obesity treatment center at a tertiary referral center that serves central Pennsylvania.Patients: A total of 881 patients undergoing open or laparoscopic gastric bypass from May 31, 2002, through February 24, 2006.Intervention: All preoperative patients completed a 6-month multidisciplinary program that encouraged a 10% preoperative weight loss.Main Outcome Measures: Loss of excess body weight (EBW) and total and major complicationResults: Of the 881 patients, 592 (67.2%) lost 5% or more EBW and 423 (48.0%) lost more than 10% EBW. Patients referred for open gastric body mass (n=466) were generally older (P