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腹腔镜迷你胃旁路/单吻合口胃旁路手术治疗不同体重指数患者的早期结果。

The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index.

机构信息

Department of Surgery, Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Surgery, Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center, Kashani University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Obes. 2020 Mar 12;2020:7572153. doi: 10.1155/2020/7572153. eCollection 2020.

Abstract

UNLABELLED

. Obesity is among the newest health matters that human beings are struggling with. Length of bypassed intestine is important in achievement of most weight loss and least nutritional and absorptive disorders. This study has aimed to assess short-term metabolic and nutritional effects of laparoscopic mini-gastric bypass/one anastomosis gastric bypass (MGB/OAGB) with a loop bypass length of 180 centimeters (cm) and compare these factors among patients with a body mass index (BMI) of 40-45 and 45-50 kilograms per square meter (kg/m).

METHODS

25 patients were put in group 1 (BMI = 40-45 kg/m) and 25 patients in group 2 (BMI = 45-50 kg/m). Patients' BMI, postoperative weight, excess weight loss, and laboratory tests including fasting blood sugar (FBS), lipid profile, serum iron (Fe), ferritin, total iron-binding capacity (TIBC), 25-OH vitamin D, vitamin B12, liver function tests, and albumin were recorded preoperatively and within 3- and 6-month follow-up.

RESULTS

Weight loss and BMI reduction was significantly more in patients with higher BMI level (=0.007), and excess weight loss was higher in patients with lower preoperative BMI level (=0.007), and excess weight loss was higher in patients with lower preoperative BMI level (=0.007), and excess weight loss was higher in patients with lower preoperative BMI level (.

CONCLUSION

Based on this study, 180-cm intestinal bypassed length works for patients with a BMI level of 40-45 and 45-50 kg/m, according to their significant decrease in weight, BMI, and improving glycolipid profile.

摘要

目的

评估腹腔镜迷你胃旁路/单吻合口胃旁路(MGB/OAGB)中 180 厘米(cm)旁路长度的短期代谢和营养影响,并比较体质量指数(BMI)为 40-45 和 45-50 千克/平方米(kg/m)的患者之间的这些因素。

方法

25 例患者分为 1 组(BMI=40-45kg/m)和 2 组(BMI=45-50kg/m)。记录患者 BMI、术后体重、超重减轻量以及包括空腹血糖(FBS)、血脂谱、血清铁(Fe)、铁蛋白、总铁结合能力(TIBC)、25-羟维生素 D、维生素 B12、肝功能检查和白蛋白在内的实验室检查,分别于术前和术后 3 个月和 6 个月随访时进行。

结果

BMI 水平较高的患者体重减轻和 BMI 降低更为显著(=0.007),而术前 BMI 水平较低的患者超重减轻更为显著(=0.007)。

结论

根据本研究,180cm 肠旁路长度适用于 BMI 为 40-45 和 45-50kg/m 的患者,因为他们的体重、BMI 和糖脂谱均显著下降,改善明显。

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