Obesity surgery in the Philippines: experience in a private tertiary care hospital for years 2002 to 2004.
BACKGROUND
Information on experience in bariatric surgery in the Asia-Pacific region is minimal: hence the need for more reports from this area.


METHODS
The procedures of bariatric surgery and outcome as part of a weight management program in a tertiary care private hospital in the Philippines is reported from years 2002 to 2004. 50 patients were included, of which 60% underwent laparoscopic adjustable gastric banding (LAGB) and 40% Roux-en-Y gastric bypass (RYGBP).


RESULTS
There were more females than males (64% vs 36%) with the mean age 38 +/- 13.1 years. Initial mean BMI was 46.2 kg/m(2), which decreased to 27.0 kg/m(2) in 1 year. Initial mean weight was 126.7 +/- 25.4 kg, of which the 1 year weight loss was 32.3 kg for the morbidly obese and 58.0 kg for the super obese. %EWL at 1 year was 30.2%. There was greater weight loss with RYGBP compared to LAGB at 1 year (43.5 kg vs 30.2 kg). There was no mortality, and early complications were: wound infection (2/50 or 4%), and 1/50 or 2% each for pneumonia, dehydration, gastritis, and leakage. Late complications were: band slippage (2/20 or 10%), stomal stenosis (1/20 or 5%), and ventral hernia (1/5 or 20%).


CONCLUSIONS
Bariatric surgery is safe with a low complication rate and the outcome was similar to the reported data from Asia and the western world.
Dineros
Hildegardes
H
Department of Surgery, Sub-section on Bariatric Surgery, St Luke's Medical Center, Metro-Manila, Philippines.
Sinamban
Reynaldo
R
Siozon
Menandro
M
Llido
Luisito O
LO
Yumang
Exequiel
E
Gregorio
Antonio Eric
AE
Cacas
Romualdo
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D050110:Bariatric Surgery / Q000009:adverse effects / Q000706:statistics & numerical data*; D015992:Body Mass Index; D005260:Female; D016304:Hospitals, Private; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D010679:Philippines; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss