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- Title
6M50LSG Scoring System Increased the Proportion of Adequate Excess Body Weight Loss for Suspected Poor Responders After Laparoscopic Sleeve Gastrectomy in Asian Population.
- Authors
Chen, Jian-Han; Lee, Hui-Ming; Chen, Chung-Yen; Chen, Ying-Chen; Lin, Chia-Chen; Su, Ching-Yi; Tsai, Cheng-Fei; Tu, Wan-ling
- Abstract
Purpose: We aimed to evaluate the efficacy of the predictive tool, 6M50LSG scoring system, to identify suspected poor responders after laparoscopic sleeve gastrectomy (LSG). Methods: The 6M50LSG scoring system has been applied since 2019. Suspected poor responders are defined by EBWL at 1 month < 19.5% or EBWL at 3 months < 37.7% based on the 6M50LSG scoring system. Our analysis included 109 suspected poor responders. Based on the date of LSG, the patients were separated into two groups: the 2016–2018 group (before group, BG, with regular care) and the 2019–2020 group (after group, AG, with upgrade medical nutrition therapy). Results: At the end of the study, the AG group had a significantly higher proportion of adequate weight loss, which was defined as EBWL ≥ 50% at 6 months after LSG, than that in the BG group (18.92% in BG vs. 48.57% in AG, p = 0.003). The AG group demonstrated significantly more 3-months-TWL (BG: 15.22% vs. AG: 17.54%, p < 0.001) and 6-months-TWL (BG: 21.08% vs. AG: 25.65%, p < 0.001). In multivariate analyses and adjustments, the scoring system (AG) resulted in significantly higher chances of adequate weight loss in suspected poor responders (adjusted OR 3.392, 95% CI = 1.345–8.5564, p = 0.010). One year after LSG, suspected poor responders in AG had a significantly higher weight loss than those in BG (BG vs. AG: TWL 27.17% vs. 32.20%, p = 0.014). Conclusion: This study confirmed that the 6M50LSG scoring system with upgraded medical nutrition therapy increased the proportion of suspected poor responders with adequate weight loss after LSG.
- Subjects
SLEEVE gastrectomy; WEIGHT loss; ASIANS; BODY weight; DIET therapy
- Publication
Obesity Surgery, 2022, Vol 32, Issue 2, p398
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05776-1