KasrAlainy School of Medicine, Cairo, Egypt.
University Hospitals Dorset NHS Foundation Trust, Poole, UK.
Obes Surg. 2023 Jun;33(6):1846-1856. doi: 10.1007/s11695-023-06556-9. Epub 2023 Apr 6.
This is a systematic review and meta-analysis that assessed the impact of performing OAGB with a 150-cm BPL versus a 200-cm BPL concerning weight loss, comorbidities remission, and adverse nutritional effects. The analysis included studies that compared patients who underwent OAGB with a 150-cm BPL and 200-cm BPL. Eight studies were eligible for this review after searching in the EMBASE, PubMed central database, and Google scholar. The pooled analysis revealed favoring the 200-cm BPL limb length for weight loss, with a highly significant difference in the TWL% (p=0.009). Both groups showed comparable comorbidities remission. Significantly higher ferritin and folate deficiency rates were found in the 200-cm BPL group. Considering a 200-cm BPL when performing OAGB delivers a better weight loss outcome than a 150-cm BPL, which is at the expense of a more severe nutritional deficiency. No significant differences were found regarding the comorbidities' remission.
这是一项系统评价和荟萃分析，评估了在减重手术中使用 150cm 袖状胃和 200cm 袖状胃对比对减重、合并症缓解和不良营养影响。分析纳入了比较使用 150cm 袖状胃和 200cm 袖状胃的患者的研究。经过在 EMBASE、PubMed 中心数据库和 Google Scholar 中搜索，有 8 项研究符合本综述的条件。汇总分析显示，200cm 袖状胃长度在减重方面更具优势，TW L%（p=0.009）差异有高度显著性。两组在合并症缓解方面表现相当。200cm 袖状胃组的铁蛋白和叶酸缺乏率显著更高。考虑到在进行 OAGB 时使用 200cm 袖状胃比使用 150cm 袖状胃能获得更好的减重效果，但代价是更严重的营养缺乏。关于合并症的缓解，未发现显著差异。
