Long-term effect of bariatric surgery versus conventional therapy in obese Korean patients: a multicenter retrospective cohort study
10.4174/astr.2019.96.6.283
- Author:
Ji Yeon PARK
1
;
Yoonseok HEO
;
Yong Jin KIM
;
Joong Min PARK
;
Seong Min KIM
;
Do Joong PARK
;
Sang Kuon LEE
;
Sang Moon HAN
;
Kyung Won SHIM
;
Yeon Ji LEE
;
Ja Youn LEE
;
Jin Won KWON
Author Information
1. Department of Surgery, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
- Publication Type:Multicenter Study
- Keywords:
Morbid obesity;
Bariatric surgery;
Gastric bypass;
Gastrectomy
- MeSH:
Bariatric Surgery;
Body Mass Index;
Cohort Studies;
Comorbidity;
Follow-Up Studies;
Gastrectomy;
Gastric Bypass;
Humans;
Hypertension;
Obesity, Morbid;
Prevalence;
Retrospective Studies;
Weight Loss
- From:Annals of Surgical Treatment and Research
2019;96(6):283-289
- CountryRepublic of Korea
- Language:English
-
Abstract:
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/m2 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.
