Background
Information on experience in bariatric surgery in the Asia-Pacific region is minimal: hence the need for more reports from this area.
Methods
The procedures of bariatric surgery and outcome as part of a weight management program in a tertiary care private hospital in the Philippines is reported from years 2002 to 2004. 50 patients were included, of which 60% underwent laparoscopic adjustable gastric banding (LAGB) and 40% Roux-en- Y gastric bypass (RYGBP).
Results
There were more females than males (64% vs 36%) with the mean age 38 ±13.1 years. Initial mean BMI was 46.2 kg/m2, which decreased to 27.0 kg/m2 in 1 year. Initial mean weight was 126.7 ±25.4 kg, of which the 1 year weight loss was 32.3 kg for the morbidly obese and 58.0 kg for the super obese. %EWL at 1 year was 30.2%. There was greater weight loss with RYGBP compared to LAGB at 1 year (43.5 kg vs 30.2 kg). There was no mortality, and early complications were: wound infection (2/50 or 4%), and 1/50 or 2% each for pneumonia, dehydration, gastritis, and leakage. Late complications were: band slippage (2/20 or 10%), stomal stenosis (1/20 or 5%), and ventral hernia (1/5 or 20%).
Conclusion
Bariatric surgery is safe with a low complication rate and the outcome was similar to the reported data from Asia and the western world.
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References
WHO. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000; 894: 1–253.
Choban PS, Jackson B, Poplawski S et al. Bariatric surgery for morbid obesity: why, who, when, how, where, and then what? Cleve Clin J Med 2002; 69: 897–903.
Popkin BM, Doak CM. The obesity epidemic is a worldwide phenomenon. Nutr Rev 1998; 56: 106–14.
James WPT, Chunning C, Inoue S. Appropriate Asian body mass indices? Obes Rev 2002; 3: 139.
Lee W-J, Wang W. Bariatric surgery: Asia Pacific perspective. Obes Surg 2005; 15: 751–7.
Ti TK. Singapore experience in obesity surgery. Obes Surg 2004; 14: 1103–7.
Philippine National Nutrition Survey Statistics, 1998. Food and Nutrition Research Institute, http://www.fnri.dost.gov.ph/nns/6thnns.pdf (accessed July 30, 2006).
Stevens J, Cai J, Pamuk ER et al. The effect of age on the association between body-mass index and mortality. N Engl J Med 1998; 338: 1–7.
Kral JG. Morbidity of severe obesity. Surg Clin North Am 2001; 81: 1039–61.
Allison DB, Fontaine KR, Manson JE et al. Annual deaths attributable to obesity in the United States. JAMA 1999; 282: 1530–8.
Must A, Spadano J, Coakley EH et al. The disease burden associated with overweight and obesity. JAMA 1999; 282: 1523–9.
National Institutes of Health. Very low-calorie diets. National Task Force on the prevention and treatment of obesity. JAMA 1993; 270: 967–74.
Buchwald H, Williams SE. Bariatric surgery worldwide 2003. Obes Surg 2004; 14: 1157–65.
Gastrointestinal surgery for severe obesity. National Institutes of Health Consensus Development Conference Draft Statement. Obes Surg 1991; 1: 257–65.
IFSO statement on patient selection for surgery. Obes Surg 1997; 7: 451.
Dawson B, Trapp RG. Basic and Clinical Biostatistics. 3rd edn. Lange Medical Books/ McGraw-Hill, 2001. 17.Deitel M, Greenstein RJ. Recommendations for reporting weight loss. Obes Surg 2003; 13: 159–60.
Deitel M, Greenstein RJ. Recommendations for reporting weight loss. Obes Surg 2003; 13: 159–60.
Llido LO. The impact of computerization of the nutrition support process on the nutrition support program in a tertiary care hospital in the Philippines: Report for the years 2000–2003. Clin Nutr 2006; 1: 91–101.
Brolin RE. Critical analysis of results: weight loss and quality of data. Am J Clin Nutr 1992; 55 (Suppl): 577S–581S.
O’Brien PE, Dixon JB, Brown WA et al. The laparoscopic adjustable gastric band (Lap-Band®): a prospective study of medium-term effect on weight, health, and quality of life. Obes Surg 2002; 12: 652–60.
Brolin RE. Gastric bypass. Surg Clin North Am 2001; 81: 1077–95.
Schwartz ML, Drew RL, Roiger RW et al. Stenosis of the gastroenterostomy after laparoscopic gastric bypass. Obes Surg 2004; 14: 484–91.
Dargent J. Surgical treatment of morbid obesity by adjustable gastric band: the case for a conservative strategy in the case of failure. Obes Surg 2004; 14: 986–90.
Del Amo DA, Diez MM, Guedea ME et al. Vertical banded gastroplasty: is it a durable operation for morbid obesity? Obes Surg 2004; 14: 536–8.
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Dineros, H., Sinamban, R., Siozon, M. et al. Obesity Surgery in the Philippines: Experience in a Private Tertiary Care Hospital for Years 2002 to 2004. OBES SURG 17, 82–87 (2007). https://doi.org/10.1007/s11695-007-9010-9
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DOI: https://doi.org/10.1007/s11695-007-9010-9