Preoperative @entity353 in high-risk superobese bariatric XXXX : a computed tomography-based analysis.

@entity1 @entity258 @entity1386 @entity353
BACKGROUND: Superobesity, through organomegaly, excessive @entity1386 , and associated severe co-morbidities, is a recognized risk factor for bariatric surgery. Our study examined the utility of preoperative @entity353 with a liquid @entity258 ( @entity258 ) as a method of risk reduction. METHODS: All @entity1 with a body mass index (BMI) >50 kg/m(2) were instructed to consume a @entity258 (800 kcal/d) with the goal of losing >= 10% of their body weight. The co-morbidities were monitored. The abdominal wall depth and cross-sectional areas of @entity1386 ( @entity1386 ) at 12 and 20 cm below the costal margin, @entity1386 ( @entity1386 ), and liver volume were measured, using computed tomography, at baseline and after completion of the @entity258 . Laparoscopic gastric bypass was performed in all @entity1 . RESULTS: The study included 30 @entity1 (27 @entity1 and 3 @entity1 ) with a mean age of 53 years (range 34-53). The mean BMI was reduced from 56 kg/m(2) (range 50-69) at baseline to 49 kg/m(2) (range 43-60) after an average of 9 weeks of the @entity258 . The @entity1386 decreased from a mean of 388 cm(2) to 342 cm(2). The abdominal wall depth decreased from 3.6 to 3.2 cm at 12 cm below the costal margin and from 3.7 to 3.4 cm at 20 cm. The mean @entity1386 at both 12 and 20 cm below the costal margin had decreased from 577 cm(2) and 687 cm(2) to 509 cm(2) and 614 cm(2), respectively. The liver volume was reduced by 18%. All co-morbidities were well controlled at @entity258 completion. No @entity1 died, and 2 minor complications occurred postoperatively. CONCLUSION: The results of our study have shown that preoperative @entity258 is a safe and effective tool leading to a significant decrease in liver volume and abdominal wall depth, as well as a reduction in both @entity1386 and @entity1386 . Its use might contribute to improved short-term surgical outcomes in high-risk superobese @entity1 .
