• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Outcomes of bariatric surgery for Japanese patients

Hirofumi Imoto, MD, PhD, Takeshi Naitoh, MD, PhD, FACS, Naoki Tanaka, MD, PhD, Munenori Nagao, MD, PhD, Kazuhiro Watanabe, MD, PhD, Tomoya Abe, MD, PhD, Shinobu Ohnuma, MD, PhD, Katsuyoshi Kudo, MD, PhD, Takeshi Aoki, MD, PhD, Hiedaki Karasawa, MD, PhD, Takahiro Tsuchiya, MD, PhD, Fuyuhiko Motoi, MD, PhD, Michiaki Unno, MD, PhD. Tohoku University Graduate School of Medicine, Department of Surgery

Background and Aim: Bariatric surgery has done widely in the world and the dramatic effect is reported. However, the number is still less in our country. In our institute, bariatric surgery was introduced in October, 2010, and twenty-four cases have undergone the surgery. The procedures were laparoscopic sleeve gastrctomy (LSG) and laparoscopic sleeve gastrectomy with duodenal-jejunal bypasss (LSG/DJB). We investigated outcomes of bariatric surgery in our institution retrospectively.

Patients and Method: Twenty-four patients who undergo bariatric surgery in our hospital from 2010 to 2014 are included in this study. We measured and investigated the patients’ body weight, body mass index (BMI), percent of excess body weight loss (ExBWL%), status of metabolic diseases, operation time, blood loss, post operative length of stay and postoperative complications. The data was shown as LSG : LSG/DJB below. All data was examined by using median value.

Result: Twenty-four patients (M:F = 11:13) underwent bariatric surgery. Eighteen patients underwent LSG, and six patients underwent LSG/DJB. The median age was 38.5 (23-62) : 38 (30-58). Pre-operative body weight was 112.9kg (94.2-161.9) : 108.7kg (92-170), and BMI was 42.1 (32.6-57.5) : 36.4 (35.0-54.3) respectively. The number of patients with diabetes was 11 cases : 6 cases, and the median HbA1C level was 6.1% (4.9-11.1) : 6.6% (6.2-11.8). The operation time was 139.5min (99-224) : 271.5min (257-296), and blood loss was 10g (2-30) : 45g (10-150). Post operative length of stay was 9 days (5-15) : 10 days (8-17). ExBWL% was 53.3% (-2.5-82.2) : 53.8% (28.5-67.2) one year after surgery, and 34.8% (-10.7-89.8) : 56.1% (38.1-73.1) two years after surgery. HbA1C level was 5.6% (4.7-6.4) : 5.9% (5.0-9.0) one year after surgery, and 5.7% (4.8-7.1) : 5.5% (4.9-8.7) two years after surgery. In fourteen cases (82%), diabetes went into remission. Especially, the remission occurred in five cases of LSG/DJB (82%). Post operative complications occurred only in two cases, and both of them were grade2 (fever and intraluminal bleeding) according to Clavien-Dindo classification.

Conclusion: Bariatric surgery in our institution was effective and performed safely. In particular, the effect of improving diabetes was higher in procedure of LSG/DJB. 

82

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube
  • Instagram
  • TikTok

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons