暴食症、暴食症と腹腔鏡下調節可能胃バント手術後の治療効果
背景：この学際の研究の目的は、腹腔鏡下調節可能胃バント手術後の長期、短期の治療効果を検討することです。具体的には患者の生活の質と減重数量です。
方法：250名患者、221名は女性、29名男性です。年齢中値は39.6です。範囲：22-61です。アンケートの形式で手術後の飲食習慣と生活治療を評価します。93人は手術前です；48人は8-24か月の観察期です；109人は手術後68か月以上です。
結果：手術前の患者と比べると手術後の2組の患者は暴食状況が弱くなりました。摂取した脂肪量が減って、外出へ食事にする回数は減少します、もっと重要なのは飲食がコントロールできます。約1/3の患者は手術後また暴食の問題があります。それからもっとひどい治療効果になりました。
結論：私たちの研究から、手術後、長期組でも、短期組の暴食症患者は飲食習慣を改善しました。腹腔鏡下調節可能胃バント手術は暴食症患者の飲食習慣を改善する方法の一種です。
題目：Binge Eating and its Relationship to Outcome after Laparoscopic Adjustable Gastric Banding
作者：Junilla K Larsen, Bert van Ramshorst, Rinie Geenen, Nico Brand, Wolfgang Stroebe and Lorenz J P van Doornen
期刊：Obesity Surgery
コードナンバー：Volume 14, Number 8, 1111-1117, DOI: 10.1381/0960892041975587
摘要Abstract
Background: The aim of this cross-sectional study was to examine short and long-term eating behavior after laparoscopic adjustable gastric banding (LAGB) and the relationship of binge eating with weight and quality of life outcome. Methods: 250 patients (221 female, 29 male, mean age 39.6 years, age range 22-61) filled out questionnaires to evaluate quality of life and eating behavior: 93 patients before LAGB, 48 with a follow-up duration of 8 through 24 months, and 109 patients 25 through 68 months after LAGB. Results: Compared with patients before surgery, patients after surgery, in both follow-up groups, reported less binge eating, fat intake, external eating, and more restrained eating and eating self-efficacy. After surgery, about one-third of the patients showed binge eating problems, which were associated with a worse postoperative outcome. Conclusion: Our results suggest that eating behavior improves both short- and long-term after surgery for severe obesity. Although LAGB could be a long-term solution to part of preoperatively eating disordered patients, the identification and treatment of postoperative binge eating appear critical to promote successful outcome after bariatric surgery.
MORBID OBESITY - BARIATRIC SURGERY - GASTRIC BANDING - LAPAROSCOPY - EATING BEHAVIOR - BINGE EATING - QUALITY OF LIFE
背景：この学際の研究の目的は、腹腔鏡下調節可能胃バント手術後の長期、短期の治療効果を検討することです。具体的には患者の生活の質と減重数量です。
方法：250名患者、221名は女性、29名男性です。年齢中値は39.6です。範囲：22-61です。アンケートの形式で手術後の飲食習慣と生活治療を評価します。93人は手術前です；48人は8-24か月の観察期です；109人は手術後68か月以上です。
結果：手術前の患者と比べると手術後の2組の患者は暴食状況が弱くなりました。摂取した脂肪量が減って、外出へ食事にする回数は減少します、もっと重要なのは飲食がコントロールできます。約1/3の患者は手術後また暴食の問題があります。それからもっとひどい治療効果になりました。
結論：私たちの研究から、手術後、長期組でも、短期組の暴食症患者は飲食習慣を改善しました。腹腔鏡下調節可能胃バント手術は暴食症患者の飲食習慣を改善する方法の一種です。
題目：Binge Eating and its Relationship to Outcome after Laparoscopic Adjustable Gastric Banding
作者：Junilla K Larsen, Bert van Ramshorst, Rinie Geenen, Nico Brand, Wolfgang Stroebe and Lorenz J P van Doornen
期刊：Obesity Surgery
コードナンバー：Volume 14, Number 8, 1111-1117, DOI: 10.1381/0960892041975587
摘要Abstract
Background: The aim of this cross-sectional study was to examine short and long-term eating behavior after laparoscopic adjustable gastric banding (LAGB) and the relationship of binge eating with weight and quality of life outcome. Methods: 250 patients (221 female, 29 male, mean age 39.6 years, age range 22-61) filled out questionnaires to evaluate quality of life and eating behavior: 93 patients before LAGB, 48 with a follow-up duration of 8 through 24 months, and 109 patients 25 through 68 months after LAGB. Results: Compared with patients before surgery, patients after surgery, in both follow-up groups, reported less binge eating, fat intake, external eating, and more restrained eating and eating self-efficacy. After surgery, about one-third of the patients showed binge eating problems, which were associated with a worse postoperative outcome. Conclusion: Our results suggest that eating behavior improves both short- and long-term after surgery for severe obesity. Although LAGB could be a long-term solution to part of preoperatively eating disordered patients, the identification and treatment of postoperative binge eating appear critical to promote successful outcome after bariatric surgery.
MORBID OBESITY - BARIATRIC SURGERY - GASTRIC BANDING - LAPAROSCOPY - EATING BEHAVIOR - BINGE EATING - QUALITY OF LIFE