The Whittington Hospital, Magdala Avenue, London, N19 5NF, UK.
Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
Obes Surg. 2018 Sep;28(9):2956-2967. doi: 10.1007/s11695-018-3382-x.
The One Anastomosis (Mini) Gastric Bypass is rapidly gaining acceptance. This review reports cumulative results of 12,807 procedures in obese patients with a mean age of 41.18 years and BMI of 46.6 kg/m. The overall mortality was 0.10% and the leak rate was 0.96%. The follow-up duration ranged from 6 months to 12 years. A marginal ulceration rate of 2.7% and an anaemia rate of 7.0% were reported. Approximately 2.0% of patients reported postoperative gastro-oesophageal reflux and 0.71% developed malnutrition. Excess weight loss at 6, 12, 24 and 60 months was 60.68, 72.56, 78.2 and 76.6% respectively. Type 2 diabetes mellitus and hypertension resolved in 83.7 and 66.94% respectively. We conclude that there is now sufficient evidence to include MGB-OAGB as a mainstream bariatric procedure.
单吻合口(迷你)胃旁路术正在迅速被接受。这篇综述报告了 12807 例肥胖患者的累积结果,患者平均年龄为 41.18 岁,BMI 为 46.6kg/m²。总的死亡率为 0.10%,漏诊率为 0.96%。随访时间从 6 个月到 12 年不等。报告的边缘溃疡发生率为 2.7%,贫血发生率为 7.0%。大约 2.0%的患者报告术后胃食管反流,0.71%出现营养不良。术后 6、12、24 和 60 个月的超重减轻率分别为 60.68%、72.56%、78.2%和 76.6%。2 型糖尿病和高血压的缓解率分别为 83.7%和 66.94%。我们得出结论,现在有足够的证据将 MGB-OAGB 作为一种主流的减肥手术。