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：

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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.	李晓燕, 姜勇, 胡楠, 等. 2010年我国成年人超重及肥胖流行特征.中华预防医学杂志, 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.	王跃东, 叶再元, 竺杨文, 等.腹腔镜袖套式胃减容术治疗病态性肥胖症.浙江医学, 2007, 29(3):258-259.
8.	刘金钢, 田忠, 杨福全, 等.腹腔镜下袖状胃切除术治疗单纯性肥胖症(2例报告). 2007中国外科周暨第16届亚洲外科年会汇编.北京, 2007:136.
9.	胡三元, Frezza EE, 李峰, 等.腹腔镜胃袖套状切除减肥术(附1例报告).腹腔镜外科杂志, 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, 常绪生, 等.腹腔镜下袖状胃切除术89例回顾性分析.中华普外科手术学杂志:电子版, 2012, 6(4):367-371.
13.	黄力若, 陈俊彪, 黄强钦, 等.腹腔镜袖套状胃切除术治疗肥胖症80例疗效观察.现代诊断与治疗, 2013, 24(2):383-384.
14.	雒洪志, 陈宏, 梁义, 等.腹腔镜袖状胃切除术治疗重度肥胖症的临床疗效.中国微创外科杂志, 2012, 12(12):1067-1068, 1071.
15.	杨鸣, 江龙龙, 易星航.腹腔镜胃袖套状切除术与Roux-en-Y胃肠短路术治疗肥胖疗效比较.河北医学, 2014, 20(10):1594-1598.
16.	赵文嫣, 周勇, 刘源, 等.腹腔镜袖状胃切除术治疗肥胖症合并2型糖尿病的近期疗效.中华消化外科杂志, 2011, 10(3):220-221.
17.	谢静, 张伟, 单成祥, 等.腹腔镜袖状胃切除术治疗病态性肥胖合并2型糖尿病近期疗效分析.现代生物医学进展, 2014, 14(5):870-872.
18.	王羊, 李强.完全腹腔镜袖状胃切除治疗肥胖症合并2-型糖尿病临床分析.中国冶金工业医学杂志, 2014, 31(4):412-413.
19.	张坤杰.腹腔镜袖状胃切除术及腹腔镜改良简易型胃旁路术治疗病态肥胖症的疗效分析.天津:天津医科大学, 2012:3-25.
20.	王勇, 钟枢哲, 刘金钢.腹腔镜胃袖状切除术治疗病态性肥胖症的5年疗效分析.中华消化外科杂志, 2013, 12(12):901-904.
21.	廉东波, 朱斌, 樊庆, 等.腹腔镜胃旁路术和胃袖状切除术治疗肥胖合并2型糖尿病疗效对比分析.中国实用外科杂志, 2014, 34(11):1056-1059.
22.	王跃东, 吴嘉, 竺杨文, 等.腹腔镜袖套状胃切除术治疗肥胖症.中华普通外科杂志, 2011, 26(10):826-828.
23.	张伟, 王苟.微创减重手术治疗2型糖尿病疗效分析.健康必读, 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.	严玲玲, 朱占永, 吴丹, 等.改良胃袖状切除对肥胖大鼠ghrelin及胰高血糖素样肽-1水平的影响.中国普外基础与临床杂志, 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, 叶环, 王跃东, 等.腹腔镜袖状胃切除术对肥胖相关疾病的治疗分析.中华胃肠外科杂志, 2012, 15(11):1139-1141.
31.	吴嘉.腹腔镜袖套状胃切除术治疗肥胖症.温州:温州医学院, 2011:25-37.
32.	徐倩倩, 刘少壮, 王可新, 等.腹腔镜袖状胃切除术的临床效果与并发症.腹腔镜外科杂志, 2014, 19(1):66-70.
33.	常绪生, 印慨, 王鑫, 等.腹腔镜袖状胃切除术的围手术期处理.中华胃肠外科杂志, 2013, 16(10):993-996.
34.	申晶.腹腔镜袖状胃切除术19例围手术期的护理.中国误诊学杂志, 2012, 12(1):227.
35.	中国医师协会外科医师分会肥胖和糖尿病外科医师委员会.中国肥胖和2型糖尿病外科治疗指南(2014).中国实用外科杂志, 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. 李晓燕, 姜勇, 胡楠, 等. 2010年我国成年人超重及肥胖流行特征.中华预防医学杂志, 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. 王跃东, 叶再元, 竺杨文, 等.腹腔镜袖套式胃减容术治疗病态性肥胖症.浙江医学, 2007, 29(3):258-259.
8. 刘金钢, 田忠, 杨福全, 等.腹腔镜下袖状胃切除术治疗单纯性肥胖症(2例报告). 2007中国外科周暨第16届亚洲外科年会汇编.北京, 2007:136.
9. 胡三元, Frezza EE, 李峰, 等.腹腔镜胃袖套状切除减肥术(附1例报告).腹腔镜外科杂志, 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, 常绪生, 等.腹腔镜下袖状胃切除术89例回顾性分析.中华普外科手术学杂志:电子版, 2012, 6(4):367-371.
13. 黄力若, 陈俊彪, 黄强钦, 等.腹腔镜袖套状胃切除术治疗肥胖症80例疗效观察.现代诊断与治疗, 2013, 24(2):383-384.
14. 雒洪志, 陈宏, 梁义, 等.腹腔镜袖状胃切除术治疗重度肥胖症的临床疗效.中国微创外科杂志, 2012, 12(12):1067-1068, 1071.
15. 杨鸣, 江龙龙, 易星航.腹腔镜胃袖套状切除术与Roux-en-Y胃肠短路术治疗肥胖疗效比较.河北医学, 2014, 20(10):1594-1598.
16. 赵文嫣, 周勇, 刘源, 等.腹腔镜袖状胃切除术治疗肥胖症合并2型糖尿病的近期疗效.中华消化外科杂志, 2011, 10(3):220-221.
17. 谢静, 张伟, 单成祥, 等.腹腔镜袖状胃切除术治疗病态性肥胖合并2型糖尿病近期疗效分析.现代生物医学进展, 2014, 14(5):870-872.
18. 王羊, 李强.完全腹腔镜袖状胃切除治疗肥胖症合并2-型糖尿病临床分析.中国冶金工业医学杂志, 2014, 31(4):412-413.
19. 张坤杰.腹腔镜袖状胃切除术及腹腔镜改良简易型胃旁路术治疗病态肥胖症的疗效分析.天津:天津医科大学, 2012:3-25.
20. 王勇, 钟枢哲, 刘金钢.腹腔镜胃袖状切除术治疗病态性肥胖症的5年疗效分析.中华消化外科杂志, 2013, 12(12):901-904.
21. 廉东波, 朱斌, 樊庆, 等.腹腔镜胃旁路术和胃袖状切除术治疗肥胖合并2型糖尿病疗效对比分析.中国实用外科杂志, 2014, 34(11):1056-1059.
22. 王跃东, 吴嘉, 竺杨文, 等.腹腔镜袖套状胃切除术治疗肥胖症.中华普通外科杂志, 2011, 26(10):826-828.
23. 张伟, 王苟.微创减重手术治疗2型糖尿病疗效分析.健康必读, 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. 严玲玲, 朱占永, 吴丹, 等.改良胃袖状切除对肥胖大鼠ghrelin及胰高血糖素样肽-1水平的影响.中国普外基础与临床杂志, 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, 叶环, 王跃东, 等.腹腔镜袖状胃切除术对肥胖相关疾病的治疗分析.中华胃肠外科杂志, 2012, 15(11):1139-1141.
31. 吴嘉.腹腔镜袖套状胃切除术治疗肥胖症.温州:温州医学院, 2011:25-37.
32. 徐倩倩, 刘少壮, 王可新, 等.腹腔镜袖状胃切除术的临床效果与并发症.腹腔镜外科杂志, 2014, 19(1):66-70.
33. 常绪生, 印慨, 王鑫, 等.腹腔镜袖状胃切除术的围手术期处理.中华胃肠外科杂志, 2013, 16(10):993-996.
34. 申晶.腹腔镜袖状胃切除术19例围手术期的护理.中国误诊学杂志, 2012, 12(1):227.
35. 中国医师协会外科医师分会肥胖和糖尿病外科医师委员会.中国肥胖和2型糖尿病外科治疗指南(2014).中国实用外科杂志, 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.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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

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