Author/Authors :
anuk, turgut kars kafkas üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Turkey , köksal, neşet kafkas üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Türkiye , avşar, fatih kafkas üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Türkiye , allahverdi, tülay diken kafkas üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Türkiye , sülü, barlas kafkas üniversitesi - tıp fakültesi - genel cerrahi anabilim dalı, Türkiye , çakmur, hülya kafkas üniversitesi - tıp fakültesi - aile hekimliği anabilim dalı, Türkiye
Abstract :
Aim: Diet, exercise and various medical treatments had been tried in struggling with obesity, but since most of them did not reach a satisfactory success, many researches have been made in order to develop an effective method for the treatment. In this retrospective study, we report the initial outcomes of bariatric surgery in obese patients. Materials and Methods: Between June 2012 and June 2015, 20 morbid obese patients whose previous treatment modalities failed were evaluated endocrinologically and psychologically and underwent bariatric surgery. Age and gender of the patients, comorbidities, body mass indices (BMI) before and after operation, complications, the amount of weight loss after surgical intervention and its effect on existing comorbidities were investigated. All data were analysed statistically and a value of p 0.05 was considered as statistically significant. Results: The mean age of the patients was 35.5 (19-54) with a 4/1 female/male ratio. Preoperative BMI was 48.4+5.2 kg/m^2. Primary surgery was performed on 17 patients and redo surgery was performed on 3 patients after gastric band ligation because of regaining weight. Eighteen patients underwent laparascopic sleeve gastrectomy (LSG) and two patients underwent Roux-en-Y gastric bypass (RYGB). In the postoperative one-month period, deep venous thrombosis developed in one patient and wound infection in one patient. One patient who underwent redo RYGB died in the postoperative 6th month. Mean follow-up period was 18 (6-36) months. Postoperative mean BMI and mean weight loss was 33.6+2.8 kg/m^2 and 42.2 (20.2-66.3) kg respectively. The difference between preoperative and postoperative mean BMI values was statistically significant (p 0.001). After operation, marked improvement was noted in patients having associated diseases preoperatively. Conclusion: Bariatric surgery is an efficient and reliable treatment method in obesity therapy with proper patient selection in experienced centers.
