Short-Term Effect of Laparoscopic Sleeve Gastrectomy for Obesity in China: A Meta Analysis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YANGZhi-wei ¹ , SUNZhao-dan ² , ZHUDa-yong ¹ , SONGHai-bin ¹ , CHENYang ¹ , MAOXiao-guang ¹

1. The Second Department of General Surgery, Xiangfang School District Hospital of Heilongjiang Province, Harbin 150036, Heilongjiang Province, China;
2. Department of Immunization Program, Disease Prevention and Control Center of Heilongjiang Province, Harbin 150030, Heilongjiang Province, China;

Corresponding?author：

YANGZhi-wei, Email: 1403897658@qq.com

Keywords：

Laparoscopic sleeve gastrectomy; Obesity; Short-term effect; Meta analysis

DOI：

10.7507/1007-9424.20150175

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the short-term effect of laparoscopic sleeve gastrectomy (LSG) in treatment of obesity in China. Methods Literatures about the effect of LSG in treatment of obesity were searched from WanFang, CNKI, PubMed, and Web of Science, then these literatures were filtered according to the inclusive and exclusive criteria and evaluated. Meta analysis was performed based on data extracted from these literatures. Results Three hundreds and eighty three cases of LSG were retrieved from 12 literatures. Compared with the preoperative, the body mass index (BMI) was lower in 6 months after LSG (MD=7.56, 95% CI: 5.77-9.34, P < 0.000 01), and compared with 6 months after LSG, the BMI was lower in 12 months after LSG (MD=3.19, 95% CI: 2.20-4.18, P < 0.000 01). Compared with 1 months after LSG, the excess weight loss (EWL%) was higher in 6 months after LSG (MD=-42.77, 95% CI:-45.77--39.77, P < 0.000 01), and compared with 6 months after LSG, EWL% was higher in 12 months after LSG (MD=-19.71, 95% CI:-25.54--13.87, P < 0.000 01). After the LSG, BMI decreased, but EWL% increased over time. Conclusions In China, LSG has obviously short-term curative effect in the treatment of obesity.

Citation： YANGZhi-wei, SUNZhao-dan, ZHUDa-yong, SONGHai-bin, CHENYang, MAOXiao-guang. Short-Term Effect of Laparoscopic Sleeve Gastrectomy for Obesity in China: A Meta Analysis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(6): 676-682. doi: 10.7507/1007-9424.20150175 Copy

1.	?Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults, 1999-2008. JAMA, 2010, 303(3):235-241.
2.	李曉燕, 姜勇, 胡楠, 等. 2010年我國成年人超重及肥胖流行特征.中華預防醫學雜志, 2012, 46(8):683-686.
3.	Feng JJ, Gagner M. Laparoscopic biliopancreatic diversion with duodenal Switch. Semin Laparosc Surg, 2002, 9(2):125-129.
4.	Santoro S, Castro LC, Velhote MC, et al. Sleeve gastrectomy with transit bipartition:a potent intervention for metabolic syndrome and obesity. Ann Surg, 2012, 256(1):104-110.
5.	Gjessing HR, Nielsen HJ, Mellgren G, et al. Energy intake, nutritional status and weight reduction in patients one year after laparoscopic sleeve gastrectomy. Springerplus, 2013, 2:352.
6.	Schroeder R, Garrison JM Jr, Johnson MS. Treatment of adult obesity with bariatric surgery. Am Fam Physician, 2011, 84(7):805-814.
7.	王躍東, 葉再元, 竺楊文, 等.腹腔鏡袖套式胃減容術治療病態性肥胖癥.浙江醫學, 2007, 29(3):258-259.
8.	劉金鋼, 田忠, 楊福全, 等.腹腔鏡下袖狀胃切除術治療單純性肥胖癥(2例報告). 2007中國外科周暨第16屆亞洲外科年會匯編.北京, 2007:136.
9.	胡三元, Frezza EE, 李峰, 等.腹腔鏡胃袖套狀切除減肥術(附1例報告).腹腔鏡外科雜志, 2007, 12(5):370-373.
10.	Taylor RS. Spinal cord stimulation in complex regional pain syndrome and refractory neuropathic back and leg pain/failed back surgery syndrome:results of a systematic review and meta-analysis. J Pain Symptom Manage, 2006, 31(4 Suppl):S13-S19.
11.	Hadorn DC, Baker D, Hodges JS, et al. Rating the quality of evidence for clinical practice guidelines. J Clin Epidemiol, 1996, 49(7):749-754.
12.	王鑫, 印慨, 常緒生, 等.腹腔鏡下袖狀胃切除術89例回顧性分析.中華普外科手術學雜志:電子版, 2012, 6(4):367-371.
13.	黃力若, 陳俊彪, 黃強欽, 等.腹腔鏡袖套狀胃切除術治療肥胖癥80例療效觀察.現代診斷與治療, 2013, 24(2):383-384.
14.	雒洪志, 陳宏, 梁義, 等.腹腔鏡袖狀胃切除術治療重度肥胖癥的臨床療效.中國微創外科雜志, 2012, 12(12):1067-1068, 1071.
15.	楊鳴, 江龍龍, 易星航.腹腔鏡胃袖套狀切除術與Roux-en-Y胃腸短路術治療肥胖療效比較.河北醫學, 2014, 20(10):1594-1598.
16.	趙文嫣, 周勇, 劉源, 等.腹腔鏡袖狀胃切除術治療肥胖癥合并2型糖尿病的近期療效.中華消化外科雜志, 2011, 10(3):220-221.
17.	謝靜, 張偉, 單成祥, 等.腹腔鏡袖狀胃切除術治療病態性肥胖合并2型糖尿病近期療效分析.現代生物醫學進展, 2014, 14(5):870-872.
18.	王羊, 李強.完全腹腔鏡袖狀胃切除治療肥胖癥合并2-型糖尿病臨床分析.中國冶金工業醫學雜志, 2014, 31(4):412-413.
19.	張坤杰.腹腔鏡袖狀胃切除術及腹腔鏡改良簡易型胃旁路術治療病態肥胖癥的療效分析.天津:天津醫科大學, 2012:3-25.
20.	王勇, 鐘樞哲, 劉金鋼.腹腔鏡胃袖狀切除術治療病態性肥胖癥的5年療效分析.中華消化外科雜志, 2013, 12(12):901-904.
21.	廉東波, 朱斌, 樊慶, 等.腹腔鏡胃旁路術和胃袖狀切除術治療肥胖合并2型糖尿病療效對比分析.中國實用外科雜志, 2014, 34(11):1056-1059.
22.	王躍東, 吳嘉, 竺楊文, 等.腹腔鏡袖套狀胃切除術治療肥胖癥.中華普通外科雜志, 2011, 26(10):826-828.
23.	張偉, 王茍.微創減重手術治療2型糖尿病療效分析.健康必讀, 2012, 11(12):233-234.
24.	Valderas JP, Irribarra V, Boza C, et al. Medical and surgical treatments for obesity have opposite effects on peptide YY and appetite:a prospective study controlled for weight loss. J Clin Endocrinol Metab, 2010, 95(3):1069-1075.
25.	Aused Callau J. Obesity and surgery:pre-and post-operative preparation and care of the obese patient. Dia Med, 1959, 31:1957.
26.	嚴玲玲, 朱占永, 吳丹, 等.改良胃袖狀切除對肥胖大鼠ghrelin及胰高血糖素樣肽-1水平的影響.中國普外基礎與臨床雜志, 2011, 18(5):498-502.
27.	Malin SK, Samat A, Wolski K, et al. Improved acylated ghrelin suppression at 2 years in obese patients with type 2 diabetes:effects of bariatric surgery vs standard medical therapy. Int J Obes (Lond), 2014, 38(3):364-370.
28.	Rosenthal RJ; International Sleeve Gastrectomy Expert Panel; Diaz AA, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement:best practice guidelines based on experience of >12 000 cases. Surg Obes Relat Dis, 2012, 8(1):8-19.
29.	ASMBS Clinical Issues Committee. Updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis, 2012, 8(3):e21-e26.
30.	沈迪建, 葉環, 王躍東, 等.腹腔鏡袖狀胃切除術對肥胖相關疾病的治療分析.中華胃腸外科雜志, 2012, 15(11):1139-1141.
31.	吳嘉.腹腔鏡袖套狀胃切除術治療肥胖癥.溫州:溫州醫學院, 2011:25-37.
32.	徐倩倩, 劉少壯, 王可新, 等.腹腔鏡袖狀胃切除術的臨床效果與并發癥.腹腔鏡外科雜志, 2014, 19(1):66-70.
33.	常緒生, 印慨, 王鑫, 等.腹腔鏡袖狀胃切除術的圍手術期處理.中華胃腸外科雜志, 2013, 16(10):993-996.
34.	申晶.腹腔鏡袖狀胃切除術19例圍手術期的護理.中國誤診學雜志, 2012, 12(1):227.
35.	中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會.中國肥胖和2型糖尿病外科治療指南(2014).中國實用外科雜志, 2014, 34(11):1005-1010.
36.	Gluck B, Movitz B, Jansma S, et al. Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure for the lower BMI (35.0-43.0 kg/m²) population. Obes Surg, 2011, 21(8):1168-1171.
37.	Nocca D, Guillaume F, Noel P, et al.Impact of laparoscopic sleeve gastrectomy and laparoscopic gastric bypass on HbA1c blood level and pharmacological treatment of type 2 diabetes mellitus in severe or morbidly obese patients.Results of a multicenter prospective study at 1 year.Obes Surg, 2011, 21(6):738-743.
38.	Fenske WK, Dubb S, Bueter M, et al.Effect of bariatric surgeryinduced weight loss on renal and systemic inflammation and blood pressure:a 12-month prospective study.Surg Obes Relat Dis, 2013, 9(4):559-568.
39.	Li P, Fu P, Chen J, et al.Laparoscopic Roux-en-Y gastric bypass vs.laparoscopic sleeve gastrectomy for morbid obesity and diabetes mellitus:a meta-analysis of sixteen recent studies.Hepatogastroenterology, 2013, 60(121):132-137.
40.	Reinhold RB.Critical analysis of long term weight loss following gastric bypass.Surg Gynecol Obstet, 1982, 155(3):385-394.

1. ?Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults, 1999-2008. JAMA, 2010, 303(3):235-241.
2. 李曉燕, 姜勇, 胡楠, 等. 2010年我國成年人超重及肥胖流行特征.中華預防醫學雜志, 2012, 46(8):683-686.
3. Feng JJ, Gagner M. Laparoscopic biliopancreatic diversion with duodenal Switch. Semin Laparosc Surg, 2002, 9(2):125-129.
4. Santoro S, Castro LC, Velhote MC, et al. Sleeve gastrectomy with transit bipartition:a potent intervention for metabolic syndrome and obesity. Ann Surg, 2012, 256(1):104-110.
5. Gjessing HR, Nielsen HJ, Mellgren G, et al. Energy intake, nutritional status and weight reduction in patients one year after laparoscopic sleeve gastrectomy. Springerplus, 2013, 2:352.
6. Schroeder R, Garrison JM Jr, Johnson MS. Treatment of adult obesity with bariatric surgery. Am Fam Physician, 2011, 84(7):805-814.
7. 王躍東, 葉再元, 竺楊文, 等.腹腔鏡袖套式胃減容術治療病態性肥胖癥.浙江醫學, 2007, 29(3):258-259.
8. 劉金鋼, 田忠, 楊福全, 等.腹腔鏡下袖狀胃切除術治療單純性肥胖癥(2例報告). 2007中國外科周暨第16屆亞洲外科年會匯編.北京, 2007:136.
9. 胡三元, Frezza EE, 李峰, 等.腹腔鏡胃袖套狀切除減肥術(附1例報告).腹腔鏡外科雜志, 2007, 12(5):370-373.
10. Taylor RS. Spinal cord stimulation in complex regional pain syndrome and refractory neuropathic back and leg pain/failed back surgery syndrome:results of a systematic review and meta-analysis. J Pain Symptom Manage, 2006, 31(4 Suppl):S13-S19.
11. Hadorn DC, Baker D, Hodges JS, et al. Rating the quality of evidence for clinical practice guidelines. J Clin Epidemiol, 1996, 49(7):749-754.
12. 王鑫, 印慨, 常緒生, 等.腹腔鏡下袖狀胃切除術89例回顧性分析.中華普外科手術學雜志:電子版, 2012, 6(4):367-371.
13. 黃力若, 陳俊彪, 黃強欽, 等.腹腔鏡袖套狀胃切除術治療肥胖癥80例療效觀察.現代診斷與治療, 2013, 24(2):383-384.
14. 雒洪志, 陳宏, 梁義, 等.腹腔鏡袖狀胃切除術治療重度肥胖癥的臨床療效.中國微創外科雜志, 2012, 12(12):1067-1068, 1071.
15. 楊鳴, 江龍龍, 易星航.腹腔鏡胃袖套狀切除術與Roux-en-Y胃腸短路術治療肥胖療效比較.河北醫學, 2014, 20(10):1594-1598.
16. 趙文嫣, 周勇, 劉源, 等.腹腔鏡袖狀胃切除術治療肥胖癥合并2型糖尿病的近期療效.中華消化外科雜志, 2011, 10(3):220-221.
17. 謝靜, 張偉, 單成祥, 等.腹腔鏡袖狀胃切除術治療病態性肥胖合并2型糖尿病近期療效分析.現代生物醫學進展, 2014, 14(5):870-872.
18. 王羊, 李強.完全腹腔鏡袖狀胃切除治療肥胖癥合并2-型糖尿病臨床分析.中國冶金工業醫學雜志, 2014, 31(4):412-413.
19. 張坤杰.腹腔鏡袖狀胃切除術及腹腔鏡改良簡易型胃旁路術治療病態肥胖癥的療效分析.天津:天津醫科大學, 2012:3-25.
20. 王勇, 鐘樞哲, 劉金鋼.腹腔鏡胃袖狀切除術治療病態性肥胖癥的5年療效分析.中華消化外科雜志, 2013, 12(12):901-904.
21. 廉東波, 朱斌, 樊慶, 等.腹腔鏡胃旁路術和胃袖狀切除術治療肥胖合并2型糖尿病療效對比分析.中國實用外科雜志, 2014, 34(11):1056-1059.
22. 王躍東, 吳嘉, 竺楊文, 等.腹腔鏡袖套狀胃切除術治療肥胖癥.中華普通外科雜志, 2011, 26(10):826-828.
23. 張偉, 王茍.微創減重手術治療2型糖尿病療效分析.健康必讀, 2012, 11(12):233-234.
24. Valderas JP, Irribarra V, Boza C, et al. Medical and surgical treatments for obesity have opposite effects on peptide YY and appetite:a prospective study controlled for weight loss. J Clin Endocrinol Metab, 2010, 95(3):1069-1075.
25. Aused Callau J. Obesity and surgery:pre-and post-operative preparation and care of the obese patient. Dia Med, 1959, 31:1957.
26. 嚴玲玲, 朱占永, 吳丹, 等.改良胃袖狀切除對肥胖大鼠ghrelin及胰高血糖素樣肽-1水平的影響.中國普外基礎與臨床雜志, 2011, 18(5):498-502.
27. Malin SK, Samat A, Wolski K, et al. Improved acylated ghrelin suppression at 2 years in obese patients with type 2 diabetes:effects of bariatric surgery vs standard medical therapy. Int J Obes (Lond), 2014, 38(3):364-370.
28. Rosenthal RJ; International Sleeve Gastrectomy Expert Panel; Diaz AA, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement:best practice guidelines based on experience of >12 000 cases. Surg Obes Relat Dis, 2012, 8(1):8-19.
29. ASMBS Clinical Issues Committee. Updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis, 2012, 8(3):e21-e26.
30. 沈迪建, 葉環, 王躍東, 等.腹腔鏡袖狀胃切除術對肥胖相關疾病的治療分析.中華胃腸外科雜志, 2012, 15(11):1139-1141.
31. 吳嘉.腹腔鏡袖套狀胃切除術治療肥胖癥.溫州:溫州醫學院, 2011:25-37.
32. 徐倩倩, 劉少壯, 王可新, 等.腹腔鏡袖狀胃切除術的臨床效果與并發癥.腹腔鏡外科雜志, 2014, 19(1):66-70.
33. 常緒生, 印慨, 王鑫, 等.腹腔鏡袖狀胃切除術的圍手術期處理.中華胃腸外科雜志, 2013, 16(10):993-996.
34. 申晶.腹腔鏡袖狀胃切除術19例圍手術期的護理.中國誤診學雜志, 2012, 12(1):227.
35. 中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會.中國肥胖和2型糖尿病外科治療指南(2014).中國實用外科雜志, 2014, 34(11):1005-1010.
36. Gluck B, Movitz B, Jansma S, et al. Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure for the lower BMI (35.0-43.0 kg/m²) population. Obes Surg, 2011, 21(8):1168-1171.
37. Nocca D, Guillaume F, Noel P, et al.Impact of laparoscopic sleeve gastrectomy and laparoscopic gastric bypass on HbA1c blood level and pharmacological treatment of type 2 diabetes mellitus in severe or morbidly obese patients.Results of a multicenter prospective study at 1 year.Obes Surg, 2011, 21(6):738-743.
38. Fenske WK, Dubb S, Bueter M, et al.Effect of bariatric surgeryinduced weight loss on renal and systemic inflammation and blood pressure:a 12-month prospective study.Surg Obes Relat Dis, 2013, 9(4):559-568.
39. Li P, Fu P, Chen J, et al.Laparoscopic Roux-en-Y gastric bypass vs.laparoscopic sleeve gastrectomy for morbid obesity and diabetes mellitus:a meta-analysis of sixteen recent studies.Hepatogastroenterology, 2013, 60(121):132-137.
40. Reinhold RB.Critical analysis of long term weight loss following gastric bypass.Surg Gynecol Obstet, 1982, 155(3):385-394.

Previous Article
Surgical Treatment of Malignant Tumors at Caudate Lobe of Liver in 51 Cases
Next Article
Risk Factors of Central Lymph Node Metastasis in Papillary Thyroid Carcinoma of cN₀ Staging

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Short-Term Effect of Laparoscopic Sleeve Gastrectomy for Obesity in China: A Meta Analysis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content