Clinical significance of the laparoscopic bariatric surgeries for morbid XXXX : initial 30 cases at a single institution in Japan.

@entity1 @entity353 @entity28 @entity6 @entity66 @entity6177 @entity260 @entity1744 @entity413
BACKGROUND: Bariatric surgical procedures are becoming a standard treatment for morbid @entity28 in many western countries and in some Asian countries. AIM: The aim of the current study was to evaluate the efficacy and safety of the initial 30 cases of bariatric surgical procedures performed for morbid @entity28 at a single institution in Japan. MATERIALS AND METHODS: From March 2012 until September 2014, 30 bariatric surgical procedures were performed for morbid @entity28 at a single medical center (Kyushu University Hospital) in Japan. RESULTS: All of the operations procedures were planned laparoscopic procedures, and none required conversion to laparotomy. There were no perioperative or postoperative mortalities. @entity260 occurred in 3 @entity1 : 1 @entity1 developed an @entity6177 , 1 @entity1 experienced temporary food intolerance, and 1 @entity1 developed @entity1744 . The excessive body @entity353 rates after surgery at 1 month, 3 months, 6 months, and 1 year post-surgery were 26.1%, 39.2%, 41.7%, and 51.2%, respectively. The mean body mass index (BMI) at the same time points were 38.3%, 36.4%, 35.5%, and 31.4%, respectively. Eighteen @entity1 had @entity6 (T2DM). The mean preoperative fasting blood @entity413 levels were 169    37 mg/dL. Following surgery, the blood @entity413 levels at 3, 6 and 12 months were 113    12, 115    22, and 110    19, mg/dL, respectively. The preoperative HbA1c percentage was 7.9    0.5. Following surgery, the HbA1c percentages at 3, 6, and 12 months were 6.9    0.5, 6.2    0.9, and 5.9    0.6, respectively. CONCLUSIONS: Bariatric surgical procedures are effective and safe for the treatment of morbid @entity28 . Our results indicate that the mechanism of improvement of @entity6 and @entity66 following bariatric surgical procedures is not simply as a result of calorie restriction and @entity353 .
