Comparing the Efficacy and Safety of Roux-en-Y Gastric Bypass with One-Anastomosis Gastric Bypass with a Biliopancreatic Limb of 200 or 160 cm: 1-Year Results of the Tehran Obesity Treatment Study (TOTS)
| Autor: | Farhad Hosseinpanah, Maryam Mahdavi, Majid Valizadeh, Maryam Barzin, Pouria Mousapour, Alireza Khalaj, Mohammad Ali Kalantar Motamedi |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism Gastric Bypass 030209 endocrinology & metabolism Anastomosis Iran 03 medical and health sciences 0302 clinical medicine Weight loss medicine Humans Obesity Retrospective Studies Surgical team Nutrition and Dietetics business.industry nutritional and metabolic diseases Retrospective cohort study medicine.disease Roux-en-Y anastomosis Surgery Obesity Morbid Diabetes Mellitus Type 2 Cohort 030211 gastroenterology & hepatology medicine.symptom business Complication Dyslipidemia Follow-Up Studies |
| Zdroj: | Obesity surgery. 30(9) |
| ISSN: | 1708-0428 |
| Popis: | One-anastomosis gastric bypass (OAGB) has raised concerns about nutritional complications possibly attributed to the biliopancreatic limb (BPL) length. We aimed to assess the results of a conservative approach of OAGB compared with the original OAGB and Roux-en-Y gastric bypass (RYGB) in a 1-year follow-up study. This retrospective study was conducted based on prospectively maintained data in a cohort of patients who underwent either RYGB with a Roux limb of a 150 cm and a BPL of 50 cm (n = 145), OAGB with a 200-cm BPL (n = 272), or OAGB with a 160-cm BPL (n = 383), from March 2013 to 2017 at three university hospitals by a single surgical team. Groups were comparable regarding age and sex. Mean preoperative body mass indexes of the RYGB, OAGB-160, and OAGB-200 groups were 44.5 ± 5.8, 45.6 ± 6.3, and 46.7 ± 6.4 kg/m2, respectively. One-year follow-up rates were 83.4%, 85.3%, and 82.5% for the RYGB, OAGB-200, and OAGB-160 groups, respectively. One-year percent total weight loss values were 33.8 ± 6.7 after OAGB-160 and 35.3 ± 6.9 after OAGB-200 (P = 0.056), which were significantly greater compared with 30.9 ± 8.9 after RYGB (P |
| Databáze: | OpenAIRE |
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