根据减肥手术分析报告结果系统（BAROS）对胆胰转流术进行的15年评估。

A 15-year evaluation of biliopancreatic diversion according to the Bariatric Analysis Reporting Outcome System (BAROS).

作者信息

Marinari Giuseppe M, Murelli Federica, Camerini Giovanni, Papadia Francesco, Carlini Flavia, Stabilini Cesare, Adami Gian Franco, Scopinaro Nicola

机构信息

DICMI, Semeiotica Chirurgica R, Università di Genova, Ospedale San Martino, Largo Rosanna Benzi 8, 16132 Genoa, Italy.

出版信息

Obes Surg. 2004 Mar;14(3):325-8. doi: 10.1381/096089204322917828.

DOI:10.1381/096089204322917828

PMID:15072651

Abstract

BACKGROUND

Biliopancreatic diversion (BPD) is the most effective bariatric procedure in terms of weight loss. However, analysis of the quality of life (QoL) has never been reported. The BAROS, giving a score to each operated patient on weight loss, improvement in medical conditions, QoL, complications and reoperations, has proven to be a standard reference for evaluating bariatric surgery outcomes.

METHODS

In order to apply the BAROS to BPD, we sent a questionnaire to 1,800 BPD patients who had been operated between 1984 and 1998. The response-rate was 51.2%. Out of 1,709 questionnaires which actually reached their destination, we had 858 fully compiled returned. There were 615 women. 596 patients had had an ad hoc stomach (AHS) BPD, and 262 had had an ad hoc stomach ad hoc alimentary limb (AHS-AHAL) BPD.

RESULTS

According to the scoring key, 3.5% were classified as a failure, 11% were fair results, 22.8% good, 39.5% very good, and 23.2% excellent results. Considering AHS BPD and AHS-AHAL BPD separately,while the mean excess weight percent loss was 70.5+/-23 and 64.7+/-17 respectively, the failure rate was 6% in the first group and 2% in the AHAL group, while 11% and 6% of cases respectively were fair results, 24% and 20% good, 36% and 47% very good, 23% and 25% excellent results.

CONCLUSION

The BAROS evaluation of BPD highlights the importance of its flexibility: the new policy of adapting the procedure to individual characteristics caused a drop in the failure rate and an increase in good, very good and excellent results.

摘要

背景

就减重效果而言，胆胰转流术（BPD）是最有效的减肥手术。然而，从未有过关于生活质量（QoL）分析的报道。BAROS对每位接受手术患者的体重减轻、医疗状况改善、生活质量、并发症和再次手术情况进行评分，已被证明是评估减肥手术效果的标准参考。

方法

为了将BAROS应用于BPD，我们向1984年至1998年间接受BPD手术的1800名患者发送了问卷。回复率为51.2%。在实际送达的1709份问卷中，我们收到了858份完整填写并返回的问卷。其中有615名女性。596名患者接受了特制胃（AHS）BPD手术，262名患者接受了特制胃特制消化道支（AHS-AHAL）BPD手术。

结果

根据评分标准，3.5%被归类为失败，11%为一般结果，22.8%为良好，39.5%为非常好，23.2%为优秀结果。分别考虑AHS BPD和AHS-AHAL BPD，虽然平均超重百分比下降分别为70.5±23和64.7±17，但第一组的失败率为6%，AHAL组为2%，而分别有11%和6%的病例为一般结果，24%和20%为良好，36%和47%为非常好，23%和25%为优秀结果。