Bariatrik Cerrahi Sonrasında Morbid Obez ve Süper Obezlerdeki Pulmoner Fonksiyonların Karşılaştırılması

Özet

Objective: Nowadays, The increase in incidence of morbid obesity is one of the most common health problems in the world. Bariatric surgery has performed as a curative procedure for morbid obesity. It has give rise to lose excess weight, heal comorbidities and to improve pulmonary functions in obeses.. Our aim was to compare postoperative respiratory outcomes in morbidly obese patients who have underwent Laparoscopic sleeve gastrectomy. Material and Methods: Consecutive 124 morbid obese patients who were underwent Laparoscopic sleeve gastrectomy was followed up 6 months between the years of march 2014 to july 2016 retrospectively. Patients were divided into two groups A and B. Group A patients who have BMI between 40-45kg/m2 and group B patients who have BMI between 45-50kg/m2. FEV1, FVC, FEV1/FVC, MSV, DV/VO2, DV/VCO2, VO2peak results, body mass index, postoperative oxygen saturation and comorbidites, were compared between both groups. Student's t test,chi-square test was used for the variables and homogeneity in the patient group. Preoperative and postoperative values between the groups were compared with the ANOVA test. Results: The mean age values, respiratory function values in both groups were similar in preoperatively. In our postoperative results, there was a significant difference in the FEV1, FVC, FEV1/FVC, MSV, DV/VO2, DV/VCO2, VO2 peak ratios and also identified significant difference in resolution and improvement of comorbidities. Conclusions: The results of the patients who underwent bariatric surgery and whose body mass index (BMI) was 40- 45kg / m2 were statistically significant compared to those with body mass index between 45-50kg / m2. The improvement in pulmonary functions and the effect of correction of comorbidities are higher in the morbidly obese group with laparoscopic sleeve gastrectomy.