Elbanna Abduh, Sultan Ahmed Abd El Aal, Helmy A Yasser, Bakr Ibrahim, El-Din Mohamed Tag, Labib Mohamed Fathy, Khalil Osama Osman, Al-Fattah Mohammed Abd, Safwat El Kady Abd Elrahman, Henish Mohamed I, Anwer Hisham W, Mostafa Ahmed A, Abdelghaffar Ibrahim, Elhossainy Ahmed Fathy, Al-Aziz Mahmoud Abd Alhady Abd, Baheeg Mohamad, Hegab Ahmed M, Mohamed Tarek Zaghloul, Hifny Abdelhamid, Ibrahim Ayman Helmy, Kalmoush Abd-Elfattah, Borham Marwan Mansour, Moghazy Alsayed Basiony, Elkaseer Mohamed Hassan, Shaaban Mohamed Sobhy
Al-Azhar University, Egypt.
Ann Med Surg (Lond). 2022 Nov 26;84:104952. doi: 10.1016/j.amsu.2022.104952. eCollection 2022 Dec.
Obesity is a chronic condition that affects millions globally; consequently, bariatric surgery is the key to this serious issue. Bariatric procedures are rapidly expanding in number and methods to address the recognized problems. So, it would make a sense for surgeons and patients if there is a more physiological bypass surgery technique in Morbid obesity. This study aims to evaluate the outcome proposed technique.
The present study is a retrospective analysis on 256 participants subjected to the proposed bypass procedure from December 1999 to January 2017, the participants were followed up for an interval of 3years.
The findings of the present study revealed a significant Excess Weight Loss (EWL). In addition, patients experienced decreased calcium, iron, vitamin B12, Hemoglobin, zinc, and Prothrombin Concentration. However, three to six months after surgery, they experienced a significant improvement until they reached normal levels without any supplement by the end of 12,18 months, with a three-year follow-up.
This proposed Bypass Operation aims to adequate digestions as well as selective absorption without inducing any vital deficit. Most of study's population showed no elements inadequacies, although few percentages emerged during the interval of maximal weight reduction, and it were transient and minimal. No minerals or vitamins were needed.
肥胖是一种影响全球数百万人的慢性疾病；因此，减肥手术是解决这一严重问题的关键。减肥手术的数量和方法正在迅速扩展，以解决已认识到的问题。所以，如果在病态肥胖中有更符合生理的旁路手术技术，这对外科医生和患者来说是有意义的。本研究旨在评估所提出技术的结果。
本研究是对1999年12月至2017年1月接受所提出的旁路手术的256名参与者进行的回顾性分析，对参与者进行了3年的随访。
本研究的结果显示出显著的超重减轻（EWL）。此外，患者的钙、铁、维生素B12、血红蛋白、锌和凝血酶原浓度降低。然而，手术后三到六个月，他们经历了显著改善，直到在12、18个月结束时无需任何补充剂就达到正常水平，并进行了三年随访。
所提出的旁路手术旨在实现充分消化以及选择性吸收，而不会导致任何重要物质缺乏。尽管在最大体重减轻期间有少数百分比出现，但大多数研究人群没有元素缺乏，且这些缺乏是短暂和轻微的。无需补充矿物质或维生素。
