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Inverse Association Between Body Mass Index and Osteosarcopenia in Community Dwelling Elderly
S190
ASMBS E-Poster Abstracts / Surgery for Obesity and Related Diseases 13 (2017) S66–S226
change in BMI between the four groups at 1 (p¼0.30), 2 (p¼0.96), and 4 years (p¼0.97). Conclusion: Preoperative weight loss does not affect the postoperative weight loss at 1, 2, and 4 years after bariatric surgery. We postulate that there is a defined amount of weight that is modifiable by bariatric surgery and preoperative weight loss does not alter this result. Preoperative weight loss does not seem to be a marker for postoperative compliance or a predictor for long-term weight loss success.
A5277
INVERSE ASSOCIATION BETWEEN BODY MASS INDEX AND OSTEOSARCOPENIA IN COMMUNITY DWELLING ELDERLY Mauricio Moreno-Aguilar; Maureen Mosti Molina; Miguel Francisco Herrera Hernandez; American British Cowdray Medical Center, Mexico Distrito Federal Background: Osteopenia/Osteoporosis, Sarcopenia and Obesity are frequently observed during the aging process. Osteosarcopenia (OS) has been related with poorer health outcomes in elderly subjects. Higher Body Mass Index (BMI), in the elderly, has been associated with a reduced mortality risk and other health outcomes. There is a new, recent syndrome, Osteosarcopenic Obesity (OSO) that describes individuals with obesity, low bone and muscular mass. Objective: The purpose of this study was to explore the relationship between BMI and OS in community dwelling elderly. Methods: We analyzed data from 68 elderly subjects that attended to our center, in order to receive a weight loss program, through 2015-2016. In DXA analysis Osteopenia/Osteoporosis was considered in case of a T-Score of -1.0 or less, and low-muscular mass (Sarcopenia) was defined as an Appendicular skeletal muscle mass of 7.26 kg/m2 or less in men, and 5.5 kg/m2 or less in women; Obesity was defined in those individuals with BMI above 30 kg/m2. Results: The sample was composed by 45% male subjects with a mean age of 65.6 þ 5.0 yrs old and a mean BMI of 31.7 þ 6.3 kg/m2. The prevalence of Osteopenia/Osteoporosis, Sarcopenia and Obesity was of 38.2%, 20.6% and 60.3%, respectively. The prevalence of OS was of 10.3% (all female). The bivariate analysis showed that sarcopenia was more common in elderly women than in men (85.7% female, P¼0.008). The regression analysis showed that a BMI over 30kg/ m2, was inversely related to the presence of Osteosarcopenia (β Coef. -2.167, P¼0.0001), even after adjustment to gender, age, smoking and diabetes. Conclusion: In this study we found BMI over 30kg/m2 as a possible protective factor against the presence of Osteosarcopenia, reinforcing the theory of higher BMI as a factor for reduced mortality and other health outcomes in elderly subjects.
MALABSORPTIVE PROCEDURES
A5278
SAFETY AND EFFICACY OF SINGLE ANASTOMOSIS DUODENAL SWITCH: A SINGLE US Rena Moon1; Andre Teixeira2; Muhammad Jawad3; 1Orlando Regional Medical Center, Orlando Florida; 2Orlango Regional Medical Center, Orlando FL; 3Orlando Regional Medical Center, Ocala FL Background: Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) was introduced into bariatric surgery by Sanchez-Pernaute et al. as an advancement of the biliopancreatic diversion with duodenal switch. We published a preliminary result the procedure in 72 patients with regard to weight loss and complication rate. This is a follow-up report on 144 patients with longer follow-up. Methods: A retrospective chart review was performed on 144 patients who underwent laparosopic or robot-assisted laparosopic SADI-S between December 17th, 2013 and Apr 1st, 2017. Results: A total of 102 female and 42 male patients were included in this study with a mean age of 42.7±10.3 years (range, 22-67). The mean body mass index (BMI) at the time of procedure was 57.5±8.6 kg/m2 (range, 40.2-91.8). Mean length of hospital stay was 4.3±2.6 days (range, 3-24). Thirty-day readmission rate was 6.9% (n¼10), due to duodeno-ileal anastomosis leakage (n¼6), sleeve leakage (n¼1), deep venous thrombosis (n¼1), bleeding (n¼1), and duodeno-ileal obstruction (n¼1). Thirty-day reoperation rate was 8.3% (n¼12) for duodeno-ileal anastomosis leakage (n¼4), duodenal stump leakage (n¼2), sleeve leakage (n¼1), twisting of the bowel (n¼2), and diagnostic laparoscopy (n¼3). Four patients were converted to gastric bypass, one to double anastomosis duodenal switch, and one to mini-gastric bypass. Percentage of excess weight loss (%EWL) was 39.2% at 6 months (n¼70), 62.5% at 12 months (n¼53), and 71.6% at 18 months (n¼34) after the procedure. At one-year mark, 85.4% had normal hemoglobin level, 84.8% had normal albumin level, 91.5% had normal calcium level, and 85.3% had normal vitamin A level. However, 31.0% had low vitamin level and 39.1% had elevated parathyroid hormone level. Conclusions: SADI-S is a feasible operation with a promising weight loss.
A5279
LINEAR STAPLED DUODENOILEOSTOMY FOR DUODENAL SWITCH: SHORT TERM RETROSPECTIVE ANALYSIS OF 517 CONSECUTIVE PATIENTS Peter C. Ng, MD1; Lindsey S. Sharp, MD2; Dustin M. Bermudez, MD2; Tricia A. Burns, PA-C2; Caroline E. Cordell, PA-C2; Erica M. McKearney, PA-C2; Sophia E. Menozzi3; Krista V. Herrell, BSN3; Mary Gray Hutchison, MPH, RD3; Caroline B. Pope, MS, RD3; Lauren Massey, BSN, CBN3; 1Rex Bariatric Specialist, Raleigh NC; 2UNC/Rex Healthcare, Raleigh NC; 3UNC/Rexhealth, Raleigh NC
ASMBS E-Poster Abstracts / Surgery for Obesity and Related Diseases 13 (2017) S66–S226
change in BMI between the four groups at 1 (p¼0.30), 2 (p¼0.96), and 4 years (p¼0.97). Conclusion: Preoperative weight loss does not affect the postoperative weight loss at 1, 2, and 4 years after bariatric surgery. We postulate that there is a defined amount of weight that is modifiable by bariatric surgery and preoperative weight loss does not alter this result. Preoperative weight loss does not seem to be a marker for postoperative compliance or a predictor for long-term weight loss success.
A5277
INVERSE ASSOCIATION BETWEEN BODY MASS INDEX AND OSTEOSARCOPENIA IN COMMUNITY DWELLING ELDERLY Mauricio Moreno-Aguilar; Maureen Mosti Molina; Miguel Francisco Herrera Hernandez; American British Cowdray Medical Center, Mexico Distrito Federal Background: Osteopenia/Osteoporosis, Sarcopenia and Obesity are frequently observed during the aging process. Osteosarcopenia (OS) has been related with poorer health outcomes in elderly subjects. Higher Body Mass Index (BMI), in the elderly, has been associated with a reduced mortality risk and other health outcomes. There is a new, recent syndrome, Osteosarcopenic Obesity (OSO) that describes individuals with obesity, low bone and muscular mass. Objective: The purpose of this study was to explore the relationship between BMI and OS in community dwelling elderly. Methods: We analyzed data from 68 elderly subjects that attended to our center, in order to receive a weight loss program, through 2015-2016. In DXA analysis Osteopenia/Osteoporosis was considered in case of a T-Score of -1.0 or less, and low-muscular mass (Sarcopenia) was defined as an Appendicular skeletal muscle mass of 7.26 kg/m2 or less in men, and 5.5 kg/m2 or less in women; Obesity was defined in those individuals with BMI above 30 kg/m2. Results: The sample was composed by 45% male subjects with a mean age of 65.6 þ 5.0 yrs old and a mean BMI of 31.7 þ 6.3 kg/m2. The prevalence of Osteopenia/Osteoporosis, Sarcopenia and Obesity was of 38.2%, 20.6% and 60.3%, respectively. The prevalence of OS was of 10.3% (all female). The bivariate analysis showed that sarcopenia was more common in elderly women than in men (85.7% female, P¼0.008). The regression analysis showed that a BMI over 30kg/ m2, was inversely related to the presence of Osteosarcopenia (β Coef. -2.167, P¼0.0001), even after adjustment to gender, age, smoking and diabetes. Conclusion: In this study we found BMI over 30kg/m2 as a possible protective factor against the presence of Osteosarcopenia, reinforcing the theory of higher BMI as a factor for reduced mortality and other health outcomes in elderly subjects.
MALABSORPTIVE PROCEDURES
A5278
SAFETY AND EFFICACY OF SINGLE ANASTOMOSIS DUODENAL SWITCH: A SINGLE US Rena Moon1; Andre Teixeira2; Muhammad Jawad3; 1Orlando Regional Medical Center, Orlando Florida; 2Orlango Regional Medical Center, Orlando FL; 3Orlando Regional Medical Center, Ocala FL Background: Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) was introduced into bariatric surgery by Sanchez-Pernaute et al. as an advancement of the biliopancreatic diversion with duodenal switch. We published a preliminary result the procedure in 72 patients with regard to weight loss and complication rate. This is a follow-up report on 144 patients with longer follow-up. Methods: A retrospective chart review was performed on 144 patients who underwent laparosopic or robot-assisted laparosopic SADI-S between December 17th, 2013 and Apr 1st, 2017. Results: A total of 102 female and 42 male patients were included in this study with a mean age of 42.7±10.3 years (range, 22-67). The mean body mass index (BMI) at the time of procedure was 57.5±8.6 kg/m2 (range, 40.2-91.8). Mean length of hospital stay was 4.3±2.6 days (range, 3-24). Thirty-day readmission rate was 6.9% (n¼10), due to duodeno-ileal anastomosis leakage (n¼6), sleeve leakage (n¼1), deep venous thrombosis (n¼1), bleeding (n¼1), and duodeno-ileal obstruction (n¼1). Thirty-day reoperation rate was 8.3% (n¼12) for duodeno-ileal anastomosis leakage (n¼4), duodenal stump leakage (n¼2), sleeve leakage (n¼1), twisting of the bowel (n¼2), and diagnostic laparoscopy (n¼3). Four patients were converted to gastric bypass, one to double anastomosis duodenal switch, and one to mini-gastric bypass. Percentage of excess weight loss (%EWL) was 39.2% at 6 months (n¼70), 62.5% at 12 months (n¼53), and 71.6% at 18 months (n¼34) after the procedure. At one-year mark, 85.4% had normal hemoglobin level, 84.8% had normal albumin level, 91.5% had normal calcium level, and 85.3% had normal vitamin A level. However, 31.0% had low vitamin level and 39.1% had elevated parathyroid hormone level. Conclusions: SADI-S is a feasible operation with a promising weight loss.
A5279
LINEAR STAPLED DUODENOILEOSTOMY FOR DUODENAL SWITCH: SHORT TERM RETROSPECTIVE ANALYSIS OF 517 CONSECUTIVE PATIENTS Peter C. Ng, MD1; Lindsey S. Sharp, MD2; Dustin M. Bermudez, MD2; Tricia A. Burns, PA-C2; Caroline E. Cordell, PA-C2; Erica M. McKearney, PA-C2; Sophia E. Menozzi3; Krista V. Herrell, BSN3; Mary Gray Hutchison, MPH, RD3; Caroline B. Pope, MS, RD3; Lauren Massey, BSN, CBN3; 1Rex Bariatric Specialist, Raleigh NC; 2UNC/Rex Healthcare, Raleigh NC; 3UNC/Rexhealth, Raleigh NC