Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-e Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Center of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat-e Rasool Hospital, Tehran, Iran.
Sci Rep. 2022 Jun 22;12(1):10507. doi: 10.1038/s41598-022-14485-3.
In patients with BMI ≥ 50 kg/m, it is difficult to select an appropriate procedure that can lead to optimum results. This study aims to evaluate mid-term weight loss outcomes in patients with BMI ≥ 50 kg/m following one anastomosis gastric bypass (OAGB) as a one-stage procedure. A prospective study was conducted on patients with BMI ≥ 50 kg/m, aged 18 years and above who had undergone primary OAGB from January 2016 to February 2019 with at least two years follow-ups. A total of 197 patients with BMI ≥ 50 kg/m had underwent OAGB. The mean age was 38 years and the mean pre-operative BMI was 53.7 kg/m. Mean EWL% were 63.7%, 67.8% and 66.2% at one, two and five years after OAGB respectively. The highest level of EWL% was 68.4%, which was achieved in the 18th month following OAGB. OAGB can be performed safely in patients with BMI ≥ 50 kg/m as a one-stage procedure with acceptable weight loss outcomes and remission of obesity associated medical problems.
对于 BMI≥50kg/m²的患者，很难选择一种能达到最佳效果的合适手术。本研究旨在评估 BMI≥50kg/m²的患者行一期吻合口胃旁路术（OAGB）后的中期减重效果。对 2016 年 1 月至 2019 年 2 月期间接受初次 OAGB 的 BMI≥50kg/m²的患者进行前瞻性研究，这些患者年龄在 18 岁及以上，且至少随访 2 年。共 197 例 BMI≥50kg/m²的患者接受了 OAGB。患者的平均年龄为 38 岁，平均术前 BMI 为 53.7kg/m²。OAGB 术后 1、2、5 年的平均 EWL%分别为 63.7%、67.8%和 66.2%。EWL%最高的是 68.4%，是在 OAGB 后 18 个月达到的。OAGB 可作为一期手术在 BMI≥50kg/m²的患者中安全实施，具有可接受的减重效果和肥胖相关合并症的缓解率。
