单吻合口/迷你胃旁路术后体重减轻——胆胰支的影响：一项回顾性队列研究
Weight loss after one-anastomosis/mini-gastric bypass - The impact of biliopancreatic limb: A retrospective cohort study.
作者信息
Kermansaravi Mohammad, Pishgahroudsari Mohadeseh, Kabir Ali, Abdolhosseini Mohammad Reza, Pazouki Abdolreza
机构信息
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Center of Excellence of International Federation for Surgery of Obesity and Metabolic Disorders, Tehran, Iran.
出版信息
J Res Med Sci. 2020 Jan 20;25:5. doi: 10.4103/jrms.JRMS_117_19. eCollection 2020.
Abstract
BACKGROUND
One-anastomosis/mini-gastric bypass (OAGB/MGB), as a popular bariatric surgery method, has many advantages; however, the biliopancreatic limb length (BPL) in this surgery is under debate. The aim of the study was to evaluate the effect of BPL on weight-loss outcome after OAGB/MGB.
MATERIALS AND METHODS
A retrospective cohort study was performed on 653 patients who underwent OAGB/MGB with adjusted BPL based on preoperative body mass index (BMI) and patient's age, between 2010 and 2015 with 12-month follow-ups. Weight-loss outcomes and complications were analyzed in these patients, considering BPL.
RESULTS
Weight, age, sex, and type 2 diabetes mellitus were the most contributory predictors as independent predictors of 12-month excess weight loss, respectively, and BPL was the least contributory predictor.
CONCLUSION
Tailoring BPL in OAGB/MGB based on patient's age and preoperative BMI seems to have acceptable results.
摘要
背景
单吻合口/迷你胃旁路术（OAGB/MGB）作为一种流行的减肥手术方法，有诸多优点；然而，该手术中胆胰支长度（BPL）存在争议。本研究旨在评估BPL对OAGB/MGB术后减肥效果的影响。
材料与方法
对2010年至2015年间接受OAGB/MGB且根据术前体重指数（BMI）和患者年龄调整BPL的653例患者进行回顾性队列研究，并进行12个月的随访。考虑BPL因素，分析这些患者的减肥效果和并发症。
结果
体重、年龄、性别和2型糖尿病分别是12个月超重减轻的最主要预测因素，而BPL是最次要的预测因素。
结论
根据患者年龄和术前BMI调整OAGB/MGB中的BPL似乎能取得可接受的效果。
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