Al-Shurafa Haider, Elzaafarany Ahmed H, Albenmousa Ali, Balata Mona G
Department of Surgery, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2016 Oct;37(10):1089-95. doi: 10.15537/smj.2016.10.14043.
To assess the outcomes of different types of bariatric surgeries in a single newly established private obesity center.
Retrospectively, we included patients who were entered in the registry for bariatric surgeries in the Obesity Unit, Riyadh National Hospital, Riyadh, Saudi Arabia between January 2013 and September 2014, and completed one year of follow up. Baseline characteristics, percent excess weight loss, and safety data were collected and analyzed.
A total of 79 patients were included. Based on the type of surgery, patients were divided into 3 groups: laparoscopic Roux-en-Y gastric bypass (RYGB), laparoscopic minigastric bypass (MGBP), and laparoscopic vertical sleeve gastrectomy (SG). After one year, RYGB and MGB patients lost more weight than SG patients. No mortality, or leak were reported and one patient had reoperation after revision laparoscopic RYGB for bleeding. There was one readmission, while 4 patients visited the emergency room for vomiting and dehydration (2 patients), anemia (one patient), and port site infection (one patient).
Bariatric surgeries are safe when carried out by an experienced bariatric surgeon in the private sector. The outcome of this series is similar to the published results from large international obesity databases.
评估在一家新建的私立肥胖症治疗中心进行的不同类型减肥手术的效果。
我们回顾性纳入了2013年1月至2014年9月期间在沙特阿拉伯利雅得市利雅得国家医院肥胖症科进行减肥手术登记并完成一年随访的患者。收集并分析了患者的基线特征、超重减轻百分比和安全性数据。
共纳入79例患者。根据手术类型,患者被分为3组:腹腔镜Roux-en-Y胃旁路术(RYGB)、腹腔镜迷你胃旁路术(MGBP)和腹腔镜垂直袖状胃切除术(SG)。一年后,RYGB组和MGB组患者的体重减轻比SG组患者更多。未报告死亡或渗漏情况,1例患者在腹腔镜RYGB翻修术后因出血接受了再次手术。有1例再次入院,4例患者因呕吐和脱水(2例)、贫血(1例)和切口感染(1例)到急诊室就诊。
在私立机构由经验丰富的减肥外科医生实施减肥手术是安全的。本系列研究结果与大型国际肥胖症数据库公布的结果相似。