67,524例中度肥胖患者腹腔镜胃束带(LAGB)术前临床特征男女差异

Christopher Bashian, J. Schwartz, Luke Perry, G. Slotman
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摘要

背景:截至2018年,LAGB占减肥手术的比例<2%,但在选定的患者中具有良好的长期效果。因此,每一个临床见解都可以帮助选择LAGB患者和计划手术。虽然接受减肥手术的女性多于男性,但在寻求LAGB的患者中,术前肥胖相关临床状况的性别差异尚未得到调查。本研究的目的是确定选择腹腔镜可调节胃束带(LAGB)的女性和男性与肥胖相关的合并症的变化。方法:回顾性分析来自外科评论公司肥胖结果纵向数据库(BOLD)的53292名女性和14222名男性接受LAGB的术前数据。结果:女性更多的是非裔美国人和医疗补助,而男性更多的是白人医疗保险。男性年龄更大,体重更重,并且更频繁地使用酒精、烟草和非法物质。男性患心血管和肺部疾病、糖尿病、痛风、功能受损、腹疝和肝脏疾病的几率更高。女性患哮喘、胆石症、尿失禁、尿膜炎和心理健康的比例更高。结论:LAGB患者术前特征因性别而异。这些临床知识可以帮助内科医生和外科医生促进对中度肥胖患者的预期管理
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Clinical characteristics vary between women and men in 67,524 patients with moderate obesity preoperative for laparoscopic adjustable gastric band (LAGB)
Background: As of 2018, LAGB represents <2% of weight loss operations, but with excellent long-term outcomes in selected patients. Thus, every clinical insight can help in selecting LAGB patients and planning surgery. While more women than men undergo bariatric surgery, differences between the sexes in obesity-related clinical conditions pre-operatively among patients seeking LAGB have not been investigated. The objective of this study was to identify variations in obesity-related co-morbidities among women and men who chose laparoscopic adjustable gastric band (LAGB). Methods: Pre-operative data on 53,292 women and 14,222 men undergoing LAGB were examined retrospectively from the Surgical Review Corporation’s Bariatric Outcomes Longitudinal Database (BOLD). Results: Women were more frequently African American and on Medicaid while men were more frequently Caucasian insured with Medicare. Men were older, heavier, and used alcohol, tobacco, and illicit substances more frequently. Men had higher rates of cardiovascular and pulmonary disease, diabetes, gout, impaired functional status, abdominal hernia, and liver disease. Women had higher rates of asthma, cholelithiasis, urinary incontinence, panniculitis, and mental health. Conclusion: Pre-operative characteristics of LAGB patients vary by sex. This clinical knowledge may aid physicians and surgeons in facilitating anticipatory management of patients with moderate obesity
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