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SUPER OBESE BEHAVE DIFFERENT FROM SIMPLE AND MORBID OBESE PATIENTS IN THE CHANGES OF BODY COMPOSITION AFTER TAILORED ONE ANASTOMOSIS GASTRIC BYPASS (BAGUA).
MedLine Citation:
PMID:  24951979     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction: Super obese patients behave different from simple and morbid obese patients when they reach final changes of body composition (BC) after bariatric surgery. This has led us to tailor One Anastomosis Gastric Bypass (BAGUA) to achieve better results in this group of patients. Patients and Methods: We studied 83 (37 diabetic and 46 nondiabetic BMI 30 and up) patients who completed all evaluation appointment (preoperative, 10 days, 1, 3, 6 and 12 months) after tailored BAGUA for diabesity. We used the Tanita body composition analyzer BC-420 MA by the method of single frequency impedance to analyze the evolution of BC in patients classified by BMI 30 - 34,9, 35 - 50, and >50. Results: While preoperative excess weight presented dramatic decreases after tailored BAGUA in all the groups, super obese have different final BC. Diabetics retained more fat mass and visceral fat, where super obese have double (14 kg) that simple obese patients (6 kg), they lost more muscle mass, and have higher basal metabolism. The final BC is altered in all parameters if diabetes is added. Conclusions: The reduction of the preoperative excess weight is motivated largely by the tailored effect of BAGUA. Patients BMI 30-50 behaved homogeneous in BC after surgery while patients BMI >50 behave different. Super obese lose less weight, retained more fat mass, visceral fat, bone mass, and total water. This effect should be treated by more aggressive surgery by measuring the entire small intestine to make a proper exclusion (tailored) to achieve homogeneous effects.
Abstract available from the publisher.
Authors:
M García-Caballero; A Reyes-Ortiz; M García; J M Martínez-Moreno; J-A- Toval-Mata
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-5-01
Journal Detail:
Title:  Nutricion hospitalaria     Volume:  29     ISSN:  1699-5198     ISO Abbreviation:  Nutr Hosp     Publication Date:  2014  
Date Detail:
Created Date:  2014-6-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9100365     Medline TA:  Nutr Hosp     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1013-1019     Citation Subset:  -    
Copyright Information:
Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
Vernacular Title:
LOS SÚPER OBESOS SE COMPORTAN DE FORMA DIFERENTE A LOS PACIENTES CON OBESIDAD SIMPLE U OBESIDAD MÓRBIDA CON RESPECTO A LOS CAMBIOS EN LA COMPOSICIÓN CORPORAL TRAS LA CIRUGÍA PERSONALIZADA DE DERIVACIÓN GÁSTRICA DE UNA ÚNICA ANASTOMOSIS (BAGUA).
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