دورية أكاديمية
أعرض في EDS

Resizing a large pouch after laparoscopic Roux-en-Y gastric bypass: comparing the effect of two techniques on weight loss.

التفاصيل البيبلوغرافية
العنوان: Resizing a large pouch after laparoscopic Roux-en-Y gastric bypass: comparing the effect of two techniques on weight loss.
المؤلفون: Wijngaarden LH; Department of Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ, Rotterdam, The Netherlands. k.wijngaarden@hotmail.com., Reiber BMM; Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands., Yousufzai F; Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands., Demirkiran A; Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands., Klaassen RA; Department of Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ, Rotterdam, The Netherlands.
المصدر: Surgical endoscopy [Surg Endosc] 2022 May; Vol. 36 (5), pp. 3495-3503. Date of Electronic Publication: 2021 Aug 10.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE
أسماء مطبوعة: Publication: 1992- : New York : Springer
Original Publication: [Berlin] : Springer International, c1987-
مواضيع طبية MeSH: Gastric Bypass*/methods , Laparoscopy*/methods , Obesity, Morbid*/surgery, Humans ; Reoperation/methods ; Retrospective Studies ; Treatment Outcome ; Weight Gain ; Weight Loss
مستخلص: Background: Insufficient weight loss or weight regain has many causes including a large gastric pouch. A large gastric pouch may be due to the surgical technique or can be patient related (dilation). Resizing the gastric pouch may lead to additional weight loss. Currently, there is no gold standard for the revisional surgical technique. Therefore this study was performed to determine which surgical technique for revisional bariatric surgery (BS) has superior outcomes in terms of weight loss: sleeve resection of the gastrojejunostomy and gastric pouch (SGP), or resection of the gastrojejunostomy with resizing of the pouch and creation of a new anastomosis (RGJ).
Methods: All patients who underwent revisional BS for insufficient weight loss or weight regain as a result of an enlarged pouch after LRYGB from April 2014 to June 2018 in our hospitals were included in this observational cohort study. Outcomes were measured in percentage total weight loss (%TWL).
Results: A total of 37 patients who underwent SGP and 21 patients who underwent RGJ as revisional BS were included in this study. The median body mass index before revisional BS was 37.6 kg/m 2 versus 35.7 kg/m 2 (SGP vs RGJ, respectively, P = 0.115). There was no significant difference in %TWL between the two cohorts 1 and 2 years after revisional BS, respectively; SGP 14.5% vs RGJ 11.0%, P = 0.885 and SGP 12.3% vs RGJ 10.8%, P = 0.604. Comparing %TWL based on weight at LRYGB, there was also no significant difference two years after revisional BS (SGP 22.0% vs RGJ 22.2%, P = 0.885). The average use of surgical disposables for the SGP technique were lower compared to the RGJ technique.
Conclusions: Resizing a large pouch leads to additional weight loss. Both techniques have comparable outcomes in terms of weight loss. However, based on average surgical costs, the SGP technique may be preferable.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Enlarged gastric pouch; Gastric bypass; Resizing gastric pouch; Revisional bariatric surgery
تواريخ الأحداث: Date Created: 20210810 Date Completed: 20220414 Latest Revision: 20220523
رمز التحديث: 20231215
DOI: 10.1007/s00464-021-08671-z
PMID: 34374871
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2218
DOI:10.1007/s00464-021-08671-z