Roux-en-Y胃旁路术后体重减轻失败的预测因素。
Predictors for weight loss failure following Roux-en-Y gastric bypass.
作者信息
Cazzo Everton, da Silva Flávio Pinto, Pareja José Carlos, Chaim Elinton Adami
机构信息
Departamento de Cirurgia, Faculdade de Ciências Médicas, Universidade de Campinas - UNICAMP, Campinas, SP, Brasil.
出版信息
Arq Gastroenterol. 2014 Oct-Dec;51(4):328-30. doi: 10.1590/S0004-28032014000400011.
CONTEXT
Weight loss failure is a widely recognized occurrence following Roux-en-Y gastric bypass.
OBJECTIVES
This study aims to identify predictors associated with weight loss failure.
METHODS
It is a retrospective cohort which enrolled 187 subjects who underwent RYGB. Comparisons were made between patients' features at baseline and 24 months after surgery.
RESULTS
A weight loss failure rate of 11.2% was found. Advanced age and diabetes were statistically associated with failure.
CONCLUSIONS
The results found were close to previous reports. As weight loss failure represents an important concern, there is the possibility to perform revisional surgeries, which may emphasize the restrictive or malabsorptive characteristics of RYGB, leading to varied results. It is reinforced that weight loss cannot be used as the unique outcome to evaluate the success of surgery.
背景
胃旁路术后体重减轻失败是一种广泛认可的现象。
目的
本研究旨在确定与体重减轻失败相关的预测因素。
方法
这是一项回顾性队列研究，纳入了187例行胃旁路术的受试者。对患者基线时和术后24个月的特征进行了比较。
结果
发现体重减轻失败率为11.2%。高龄和糖尿病与失败在统计学上相关。
结论
所发现的结果与先前的报告相近。由于体重减轻失败是一个重要问题，有可能进行翻修手术，这可能会强化胃旁路术的限制或吸收不良特性，从而导致不同的结果。需要强调的是，体重减轻不能作为评估手术成功的唯一结果。
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