Efficacy analysis of laparoscopic sleeve gastrectomy in treating patients with obese polycystic ovary syndrome

HU Yangxi; LIU Yan; LI Mengzhu; DONG Xing; LI Ran; WANG Wenjuan; YE Jianping; LIU Hansong

doi:10.7619/jcmp.20234176

Journal of Clinical Medicine in Practice > 2024 > 28(7): 49-52. > DOI: 10.7619/jcmp.20234176

HU Yangxi, LIU Yan, LI Mengzhu, DONG Xing, LI Ran, WANG Wenjuan, YE Jianping, LIU Hansong. Efficacy analysis of laparoscopic sleeve gastrectomy in treating patients with obese polycystic ovary syndrome[J]. Journal of Clinical Medicine in Practice, 2024, 28(7): 49-52. DOI: 10.7619/jcmp.20234176

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Efficacy analysis of laparoscopic sleeve gastrectomy in treating patients with obese polycystic ovary syndrome

1.
Department of Gastrointestinal Metabolic Surgery, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, 450000
2.
Department of Gynecology and Obstetrics, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, 450000
3.
Research Center for Metabolic Diseases, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, 450000

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Received Date: December 20, 2023
Revised Date: February 26, 2024
Available Online: April 21, 2024

Graphical Abstract

Abstract

Abstract

Objective
To observe the therapeutic effect of laparoscopic sleeve gastrectomy (LSG) in treating patients with obesity and polycystic ovary syndrome (PCOS).
Methods
In this retrospective analysis, clinical materials of 60 patients with obesity and PCOS by LSG were analyzed, and postoperative improvements of PCOS symptoms were observed.
Results
A total of 60 patients had a preoperative mean body mass index (BMI) of (39.4±5.4) kg/m² and an average age of (26.3±6.1) years old, and all of them successfully completed LSG. After follow-up of 12 to 18 months, 50 cases (83.3%) had normalized menstrual cycles, with an average recovery time of (4.5 ±2.2) months after surgery, and 7 cases had natural pregnancy after surgery. Before surgery, ultrasound results in 35 patients indicated polycystic ovarian morphology (PCOM), and 29 cases (82.9%) regained normal ovarian status with an average recovery duration of (6.3±2.8) months. Complicated hyperandrogenemia was observed in 31 patients, and 29 cases (93.5%) exhibited normalization of testosterone levels within 18 months after surgery. At 18 months after surgery, the BMI was (26.47±4.70) kg/m², the average weight loss was (32.4±7.4) %.
Conclusion
LSG is a safe and effective treatment for obese PCOS.
- sleeve gastrectomy,
- obesity,
- polycystic ovary syndrome,
- hyperandrogenism

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References

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Efficacy analysis of laparoscopic sleeve gastrectomy in treating patients with obese polycystic ovary syndrome

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