20.500.12556/DKUM-52144 Gastric banding outcomes are better if patients participate in the support group Rezultati operacije želodca s prilagodljivim trakom so boljši, če bolniki obiskujejo klub operiranih Introduction: We analyzed our first five years of performing gastric bandings.We monitored weight reduction in patients with regard to their participation in the support group. Based on our experience, gastric banding is successful only with thorough assessment and treatment before surgery, as well as methodical, professional support after it. Those who participated in the support group more often had a greater weight reduction than those who were present less frequently. Patients and methods: We performed 264 gastric bandings between May 2005 and May 2010 (66.5% of all bariatric procedures). Onaverage, patients were 41.0 years old and had a BMI of 42.4 kg/m2. There were 224 female (84.8%) and 40 male patients (15.2%). We followed 192 patientsfor more than one year. 155 patients (80.7%) were evaluated with BAROS. We excluded patients with hormonal disorders and other pathologies preoperatively. Because gastric banding is not suitable for every patient, we made a thorough psychological evaluation of the patients before the procedure.We offered preoperative and postoperative psychological and dietary support when needed. Results: Patients lost on average 23.4 kg, 31.4 kg and 33.7 kg after the 1st, 2nd and 3rd year, respectively (EWL average of 50.3%, 65.6% and 69.8%, respectively). We monitored the resolution of comorbidities and complications. Both the "comorbidity" and "without comorbidity" groups achieved a grade of "good" on the BAROS quality of life scale (4.85 and 2.64 respectively). Given the Pearson coefficient of r = 0.58 (p < 0.001), we concluded that there is a "moderate to strong" correlation between the number of visits in the support group and EWL. Conclusions: Weight reduction is greater when patients participate in the support group after bariatric surgery. Uvod: Analizirali smo rezultate prvih 5 let nameščanja prilagodljivega traku želodca pri bolnikih. Spremljali smo izgubo telesne teže glede na njihovo sodelovanje oziroma obiskovanje kluba operiranih. Po naših izkušnjah je prilagodljivi želodčni trak uspešna metoda zdravljenja le ob hkratnem spemljanju ter zdravljenju pred operacijo in po njej. Pri bolnikih, ki so redno obiskovali klub operiranih, se je telesna teža zmanjšala bolj kot pri tistih, ki so na sestanke prihajali redkeje. Bolniki in metode: Od maja 2005 do maja 2010 smo 264 bolnikom namestili prilagodljivi želodčni trak (66,5 % vseh bariatričnih operacij). V povprečju so bili stari 41,0 let, njihov ITM pa je v povprečju znašal 42,4 kg/m². 224 je bilo žensk (84,8 %) in 40 moških (15,2 %). 192 bolnikov smo spremljali več kot leto dni. 155 bolnikov smo anketirali za BAROS. Izključili smo bolnike s hormonskimi motnjami in drugimi bolezenskimi spremembami, ki izključujejo bariatrično operacijo. Ker tehnika prevezave želodca s prilagodljivim trakom ni primerna za vsakogar, smo bolnike pred operacijo natančno psihološko ovrednotili. Omogočili smo jim tudi psihološko in dietetično podporo, če so jo potrebovali. Rezultati: V povprečju so v prvem letu shujšali za 23,4 kg, v drugem letu za 31,4 kg in tretje leto za 33,7 kg (EWL v povprečju 50,3 % prvo leto, 65,6 % drugo leto in 69,8 % tretje leto). Spremljali smo tudi hkrati prisotne bolezni (komorbidnost). Po oceni BAROS sta obe skupini (skupina z komorbidnostjo in skupina brez nje) dosegli oceno »dobro« (4,85 oz. 2,64). Izračunana vrednost Pearsonovega koeficienta r = 0,58 (p < 0,001) je pokazala, da je povezanost med številom obiskov na klubu in EWL zmerna do močna. Zaključek: Ugotovili smo, da bolniki shujšajo več, če pogosteje obiskujejo klub operiranih. bariatric surgery morbid obesity gastric banding support group comorbidities kirurgija debelosti bolezenska debelost želodčna prevezava klub operiranih spremljevalne bolezni true false true Angleški jezik Slovenski jezik Znanstveno delo 2015-07-10 17:07:02 2015-07-10 17:07:02 2022-05-31 03:09:27 2021-05-10 03:10:49 2012 0 0 str. 296-303 št. 4 Letn. 81 apr. 2012 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1318-0347 617 32893696 29869529 1318-0347 URN:SI:UM:DK:CR5O9UWB Zdravniski_vestnik_2012_Breznikar_et_al._Gastric_banding_outcomes_are_better_if_patients_participate_in_the_support_group.pdf Zdravniski_vestnik_2012_Breznikar_et_al._Gastric_banding_outcomes_are_better_if_patients_participate_in_the_support_group.pdf 1 0D5A33D6F6B128125468D32D0AC40767 d73ce4459393f9740dd57a983098bd58e1bca80c2e1c82a4058881c89a12c333 066518a7-7c0e-11eb-bb7a-00155d0001ca https://dk.um.si/Dokument.php?lang=slv&id=110215 http://vestnik.szd.si/index.php/ZdravVest/article/view/572 1 https://dk.um.si/Dokument.php?lang=slv&id=110216 Medicinska fakulteta 0 0 0