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Endocrine Abstracts (2008) 16 P487

Severo Ochoa Hospital, Leganés, Madrid, Spain.


Objectives: Analyze the evolution of body mass index (BMI) and percentage of excess weight loss (PEWL) after bariatric surgery; compare adjustable gastric banding (LABG) vs laparoscopic gastric bypass (LGB).

Methods: Cohort study. Inclusion criteria: all cases underwent laparoscopic bariatric surgery; n=89; 9 patients were excluded for incomplete follow up. Differences between the 2 groups were evaluated using the Student t-test; P<0.05 was considered significant.

Results: n=80 (35 LABG/45 LBG).

Table 1 Baseline characteristics.
Sex (male/female) Age (years)Hospital stay (days)BMI (kg/m2)
LABG8.6/91.4 (%)40±12.76.3±3.243.7±6.6
LBG28.9/71.1 (%)41.7±10.716.4±11.450.8±7.9
Table 2 Evolution of BMI and percentage of excess weight loss. Stadistic results.
N (LABG/LBG)LABGLBGP
3 months35/45BMI (kg/m2)37.4±5.539.4±5.8
PEWL30.1±10.739.4±9.70.001
6 months33/45BMI (kg/m2)35.7±5.235.2±6.3
PEWL37.9±14.656.9±12.10.001
12 months27/43BMI (kg/m2)34.6±4.831.5±5.6
PEWL46.8±18.169±17.30.001
24 months17/24BMI (kg/m2)34.9±4.432.4±5.8
PEWL41.6±19.866.1±20.50.001

Conclusions: Bariatric surgery is a successful treatment to obtain an adecuate weight loss. The best results are observed during the first year. LBG had better results.

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