Kular K S, Manchanda N, Rutledge R
Kular Medical Education & Research Society, Kular Group of Institutes, National Highway 1, Bija, Khanna, 141412, Ludhiana, Punjab, India,
Obes Surg. 2014 Oct;24(10):1724-8. doi: 10.1007/s11695-014-1264-4.
Few reports have compared laparoscopic sleeve gastrectomy (LSG) to laparoscopic Roux-en-Y procedure (LRNY). This study aims at comparing the 5-year follow-up results of mini gastric bypass (MGB or omega gastric bypass (OGB)) and LSG in terms of weight loss, weight regain, complications, and resolution of co-morbidities.
A retrospective analysis of the prospectively collected database was done from the start of our bariatric practice from February 2007 to August 2008 (minimum 5-year follow-up). During this period, 118 patients underwent LSG. These patients were matched in age, gender, preoperative weight, and BMI to 104 patients who underwent MGB in the same time period. The results were compared.
Follow-up was achieved in 72 MGB vs 76 LSG patients up to 5 years. The mean BMI for the MGB and LSG group was 44 ± 3.1 and 42 ± 5.2 kg/m(2), respectively (P < 0.001). The average percentage of excess weight loss (%EWL) for MGB vs LSG was 63 vs 69 % at 1 year and 68 vs 51.2 % at 5 years (P = 0.166), respectively. Post-op gastro-esophageal reflux disease (GERD) was seen in 2.8 % MGB patients and marginal ulcer was diagnosed in 1 MGB patient (1.4 %). GERD was seen in 21 % post-LSG patients.
Both MGB and LSG are safe, short, and simple operations. Weight loss is similar in MGB and LSG in the first years, but lesser %EWL with LSG at 5 years (68 % in MGB vs 51 % in LSG). Post-op GERD is more common after LSG.
很少有报告将腹腔镜袖状胃切除术（LSG）与腹腔镜 Roux-en-Y 手术（LRNY）进行比较。本研究旨在比较迷你胃旁路手术（MGB 或ω胃旁路手术（OGB））和 LSG 在减重、体重反弹、并发症及合并症缓解方面的 5 年随访结果。
对 2007 年 2 月至 2008 年 8 月我们开展肥胖症治疗工作开始时前瞻性收集的数据库进行回顾性分析（至少 5 年随访）。在此期间，118 例患者接受了 LSG。这些患者在年龄、性别、术前体重和体重指数方面与同期接受 MGB 的 104 例患者进行匹配。对结果进行比较。
72 例 MGB 患者和 76 例 LSG 患者完成了长达 5 年的随访。MGB 组和 LSG 组的平均体重指数分别为 44±3.1 和 42±5.2kg/m²（P<0.001）。MGB 组与 LSG 组在 1 年时的平均超重体重减轻百分比（%EWL）分别为 63%和 69%，在 5 年时分别为 68%和 51.2%（P = 0.166）。2.8%的 MGB 患者术后出现胃食管反流病（GERD），1 例 MGB 患者被诊断为边缘性溃疡（1.4%）。21%的 LSG 术后患者出现 GERD。
MGB 和 LSG 都是安全、简短且简单的手术。在最初几年，MGB 和 LSG 的减重效果相似，但在 5 年时 LSG 的%EWL 较低（MGB 为 68%，LSG 为 51%）。LSG 术后 GERD 更常见。
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