Department of Bariatric Surgery, CHU Felix-Guyon, Saint-Denis, La Réunion, France.
University of La Réunion, UFR santé, Saint-Denis, La Réunion, France.
Obes Surg. 2021 Apr;31(4):1597-1602. doi: 10.1007/s11695-020-05165-0. Epub 2021 Jan 7.
In bariatric surgery, new surgical techniques are continually being developed. The one anastomosis gastric bypass (OAGB) has become increasingly common since 2001. However, some patients experience bile reflux or excessive weight loss. This study aimed to assess a new bariatric procedure designed to avoid some of the drawbacks of conventional OAGB.
To lower the complication rate and pathophysiological impact after OAGB, we performed an omega loop gastroileal bypass (OLGIBP/SAGI) with a 300-cm common limb. We compared this technique with OAGB.
Seventeen patients underwent OLGIBP and 23 underwent OAGB. Mean operative time was 108 min for OLGIBP vs 103 min for OAGB. The mean hospital length of stay was 3 days (1 to 7). No complications related to the gastroenterostomy occurred. At 3 years, among OAGB patients, there were 5 (21.7%) cases of bile reflux including 2 (8.7%) requiring a revision to Roux-en-Y gastric bypass. Among OLGIBP patients, there were 3 (17.6%) cases of bile reflux 1 (5.9%) requiring a revision to Roux-en-Y gastric bypass. There was no albumin deficiency. At 3 years, % of total weight loss (TWL) was 43.6 + - 6.2 in the OAGB group vs 48.2 + - 7.4 in the OLGIBP group.
The bariatric and metabolic outcomes of OLGIBP are expected to be similar to those of OAGB. The OLGIBP technique should reduce the risks of malnutrition and bile reflux. The two techniques can be safely performed and offer alternatives in bariatric surgery.
在减重手术中，新的手术技术不断得到发展。自 2001 年以来，一吻合口胃旁路术（OAGB）变得越来越普遍。然而，一些患者会出现胆汁反流或体重过度减轻的情况。本研究旨在评估一种新的减重手术，旨在避免传统 OAGB 的一些缺点。
为了降低 OAGB 后的并发症发生率和病理生理学影响，我们采用 300cm 共同支襻进行了 omega 环胃空肠旁路术（OLGIBP/SAGI）。我们将这种技术与 OAGB 进行了比较。
17 例患者接受了 OLGIBP，23 例患者接受了 OAGB。OLGIBP 的平均手术时间为 108 分钟，OAGB 为 103 分钟。平均住院时间为 3 天（1 至 7 天）。没有发生与胃肠吻合口相关的并发症。在 3 年时，OAGB 患者中有 5 例（21.7%）出现胆汁反流，其中 2 例（8.7%）需要改为 Roux-en-Y 胃旁路术。OLGIBP 患者中有 3 例（17.6%）出现胆汁反流，其中 1 例（5.9%）需要改为 Roux-en-Y 胃旁路术。没有白蛋白缺乏症。在 3 年时，OAGB 组的总体重减轻百分比（TWL）为 43.6±6.2%，OLGIBP 组为 48.2±7.4%。
OLGIBP 的减重和代谢效果预计与 OAGB 相似。OLGIBP 技术应降低营养不良和胆汁反流的风险。这两种技术都可以安全地进行，并为减重手术提供了替代方案。
