Evaluation of the capacity of patients with pathological obesity, in a six-minutes march test, before and after laparoscopic sleeve gastrectomy
DOI:
https://doi.org/10.12775/JEHS.2020.10.09.010Keywords
obesity, laparoscopic sleeve gastrectomy, 6-minute march testAbstract
The aim of a study: The aim of the study was to assess the efficiency of patients with pathological obesity after laparoscopy sleeve gastrectomy in a six-minute march test.
Material and methods: The study was conducted on a group of 30 patients with giant obesity hospitalized in the Surgery Clinic of the 10th Military Research Hospital and Polyclinic in Bydgoszcz. The patient was evaluated on the day before the laparoscopic gastrectomy and one month after the surgery. In all patients a six-minute march test was performed and the author's questionnaire was used.
Results: As a result of the operation, an average weight loss of 10 kg was observed in the patients, an improvement in efficiency, as well as the resignation or significant reduction in symptoms of coexisting diseases. Based on a 6-minute march test it was found that the distance covered by the patients increased by 30 m.
Conclusions: 1. Bariatric surgeries are an effective method of weight reduction for patients with massive obesity. 2. As a result of the procedure, the number of ailments complained about by the patients has decreased. 3. The weight reduction in obese people as a result of a bariatric procedure, increases the functional ability to walk, assessed with a 6-minute march test. 4. The 6-minute march test provides useful information on the functional status of obese patients undergoing bariatric surgery. It is a simple, safe and efficient method for assessing the performance of patients with severe obesity.
References
Fischer J.E.: Chirurgia. Przełyk, żołądek o dwunastnica, otyłość patologiczna. Medipage Warszawa 2011, wyd.1: 376
Buksińska-Lisik M., Lisik W., Zaleska T.: Otyłość – choroba interdyscyplinarna. Przew Lek. 2006;1: 72-77
Włodarek D., Głąbska D., Lange E., Kozłowska L.: Dietoterapia PZWL Wydawnictwo Lekarskie Warszawa 2014: 186 – 289
Tatoń J.: Otyłość – patofizjologia, diagnostyka, leczenie. PZWL, Warszawa 1985: 67
Boström G., Eliasson M.: Major public health problems – overweight and obesity. Scand J Public Health. 2006;34: 69-77
Jarosz M., Kłosiewicz-Latoszek L.(red.): Otyłość. Zapobieganie i leczenie. Seria: Instytut Żywności i Żywienia zaleca. PZWL, Warszawa 2006
Stanowski E.: Rozwój chirurgicznego leczenia otyłości w świecie i w Polsce. Post. Nauk Med. 2009;7: 495–501
Pachocka L.: Algorytm postępowania w leczeniu otyłości. Dietetyka 2008;2(1): 13-15
Wyleżoł M., Paśnik K., Dąbrowiecki S., Głuszek S., Michalik M., Strzelczyk J., Wierzbicki Z., Kwiatkowski A., Stanowski E.: Polskie rekomendacje w zakresie chirurgii bariatrycznej. Videosurgery and other miniinvasive techiques 2009; 4(1): 31–34
Tatoń J., Czech A., Bernas M.: Otyłość. Zespół metaboliczny. Wydawnictwo Lekarskie PZWL, Warszawa 2007; 364- 415
Dąbrowiecki S.: Zasady kwalifikacji chorych z otyłością olbrzymią do leczenia operacyjnego. Postępy Nauk Medycznych 2009;7: 502-505
Fred M., Hainer V.: Wytyczne europejskie w zakresie chirurgicznego leczenia otyłości. Endokrynol. Otył. Zab. Przem. Mat 2009;5(3): 99-108
Zgliczyński W.: Wielka interna - endokrynologia (Część 2) Medical Tribune Polska, Warszawa 2012: 831 -839
Paśnik K.: Chirurgiczne leczenie otyłości. Gastroenterologia Polska 2009;16: 135-139
Makarewicz W., Kobiela J., Stefaniak T., Wujtewicz M., Babińska D.: Laparoscopic biliopancreatic diversion with duodenal switch – a case report. Wideochirurgia i inne techniki małoinwazyjne. 2008;3: 210–214
Stanowski E., Wyleżoł M., Paśnik K.: Laparoskopia w chirurgii bariatrycznej w Polsce – stan aktualny. Wideochirurgia i inne techniki małoinwazyjne 2007;2(1): 18–23
Langer F.B., Reza Hoda M.A., Bohdjalian A., Felberbauer F.X., Zacherl J., Wenzl E., Schindler K., Luger A., Ludvik B., Prager G.: Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes. Surg. 2005;15: 1024–1029
Kostewicz W.: Atlas chirurgii laparoskopowej i zabiegów małoinwazyjnych. Elsevier Urban & Partner Wrocław 2011 wyd.1: 78
Valezi A.C., Machado V.H.: Morphofunctional Evaluation of the Heart of Obese Patients Before and After Bariatric Surgery. Obesity Surgery 2011; 21: 1693–1697
Fabris de Souza S.A., Faintuch J., Sant’Anna A.F.: Effect of Weight Loss on Aerobic Capacity in Patients with Severe Obesity Before and After Bariatric Surgery. Obesity Surgery 2010; 20: 871–875
Carrasco F., Papapietro K., Csendes A. i wsp.: Changes in Resting Energy Expenditure and Body Composition after Weight Loss following Roux-en-Y Gastric Bypass. Obesity Surgery 2007; 17(5): 608-616
Julia C., Ciangura C., Capuron L. i wsp.: Quality of life after Roux-en-Y gastric bypass and changes in body mass index and obesity-related comorbidities. Diabetes & Metabolism 2013; 39(2): 148-154
Leykin Y. et al.: Perioperative management of 195 consecutive bariatric patients. Eur J Anaesthesiol 2008;25: 168-7
Maniscalco M., Zedda A., Giardiello C., Faraone S., Cerbone M., Cristiano S.: Effect of Bariatric Surgery on the Six-Minute Walk Test in Severe Uncomplicated Obesity. Obesity Surgery 2006; 16: 836–84
Da Silva R., Martinez D., Faria C. i wsp.: Improvement of Exercise Capacity and Peripheral Metaboreflex After Bariatric Surgery. Obesity Surgery 2013; 23:1835–1841(
Josbeno D., Jakicic J., Hergenroeder A.: Physical activity and physical function changes in obese individuals after gastric bypass surgery. Surgery for Obesity and Related Diseases 2010; 6(4): 361-366
Fabris de Souza S.A., Faintuch J., Fabris S.M. i wsp.: Six-minute walk test: functional capacity of severely obese before and after bariatric surgery. Surgery for Obesity and Related Diseases 2009; 5(5): 540-543
Vincent H.K., Ben-David K., Conrad B.P., Lamb K.M., Seay A.N., Vincent K.R.: Rapid changes in gait, musculoskeletal pain, and quality of life after bariatric surgery. Surgery for Obesity and Related Diseases 2012; 8(3): 346-350
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