袖状胃切除术后作为修正手术的单吻合口胃旁路术与 Roux-en-Y 胃旁路术：一项系统评价和荟萃分析
One-Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass as Revisional Surgery After Sleeve Gastrectomy: a Systematic Review and Meta-analysis.
作者信息
Dantas Anna Carolina Batista, Branco Leonardo Torres, Tustumi Francisco, de Oliveira Daniel Riccioppo Cerqueira Ferreira, Pajecki Denis, Santo Marco Aurelio
机构信息
Unidade de Cirurgia Bariátrica E Metabólica, Disciplina de Cirurgia Do Aparelho Digestivo E Coloproctologia, Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, SP, Brazil.
Disciplina de Cirurgia Do Aparelho Digestivo E Coloproctologia, Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, SP, Brazil.
出版信息
Obes Surg. 2022 Dec;32(12):4082-4088. doi: 10.1007/s11695-022-06326-z. Epub 2022 Oct 19.
The demand for revisional bariatric surgery after sleeve gastrectomy (SG) has increased, but the ideal procedure remains unclear. A systematic review and meta-analysis were performed to compare the outcomes of weight loss and safety of one-anastomosis gastric bypass (OAGB) and Roux-en-Y gastric bypass (RYGB) as revisional procedures for failed SG. Four retrospective comparative studies were included, comprising 499 individuals. Patients submitted to OAGB had a more significant total weight loss (TWL) (MD = - 5.89%; 95% CI - 6.80 to - 4.97) after revisional surgery. Overall early complication rate was similar between procedures (RD = 0.04; 95% CI: - 0.05 to 0.12). Limited and heterogeneous data prevent meaningful conclusions, but the present analysis suggests that OAGB has a better TWL after revisional surgery.
袖状胃切除术（SG）后翻修减重手术的需求有所增加，但理想的手术方式仍不明确。进行了一项系统评价和荟萃分析，以比较单吻合口胃旁路术（OAGB）和 Roux-en-Y 胃旁路术（RYGB）作为 SG 失败后的翻修手术在减重效果和安全性方面的差异。纳入了四项回顾性比较研究，共 499 例个体。接受 OAGB 翻修手术的患者术后总体体重减轻（TWL）更显著（MD = -5.89%；95%CI -6.80 至 -4.97）。各手术方式的总体早期并发症发生率相似（RD = 0.04；95%CI：-0.05 至 0.12）。有限且异质性的数据妨碍得出有意义的结论，但目前的分析表明，OAGB 翻修手术后的 TWL 更好。
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