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104例迷你胃旁路手术或单吻合口胃旁路手术的短期体重减轻结果:回顾性研究。

Short-Term Weight Loss Outcomes of 104 Mini-Gastric Bypass or One-Anastomosis Gastric Bypass Operations: Retrospective study.

作者信息

Ismael Nabaz H, Shabila Nazar P

机构信息

Rizgary Teaching Hospital, Erbil Directorate of Health, Erbil, Iraq.

College of Health Sciences, Catholic University in Erbil, Erbil, Iraq.

出版信息

Sultan Qaboos Univ Med J. 2024 Nov;24(4):515-522. doi: 10.18295/squmj.7.2024.045. Epub 2024 Nov 27.

Abstract

OBJECTIVES

This study aimed to examine the short-term effects of mini-gastric bypass (MGB) or one-anastomosis gastric bypass (OAGB) procedures on weight loss in individuals with obesity.

METHODS

This retrospective study was conducted in Medicano Hospital, Erbil, Iraq, from January 2019 to May 2020. Preoperative body mass index (BMI), age, height and preoperative weight were recorded as baseline measures. Weight-related changes were evaluated during a follow-up phase of 48 weeks.

RESULTS

A total of 104 patients with obesity underwent MGB or OAGB surgery. The mean baseline parameters of the subjects before surgery included 1.64 m for height, 122.9 kg for weight and 45.6 kg/m for BMI. During the 48-week follow-up period, there was a substantial reduction in mean weight, which dropped from 122.9 kg at baseline to 75.5 kg at week 48. The weight change (in percentage) gradually increased from -11.8% at week 12 to -37.9% at week 48, without statistically significant association with demographic factors or chronic diseases. From week 12 to week 48, the percentage of excess weight loss (%EWL) increased substantially from 26.8% to 86.1%. The results of the subgroup analysis indicated that the %EWL was considerably higher among those aged 30 or older at week 36 and singles at week 48.

CONCLUSION

This study's results illustrate the efficacy of MGB or OAGB procedures in significantly reducing weight in the short term. The %EWL increased with the follow-up time and was significantly associated with age and marital status.

摘要

目的

本研究旨在探讨迷你胃旁路术(MGB)或单吻合口胃旁路术(OAGB)对肥胖个体体重减轻的短期影响。

方法

本回顾性研究于2019年1月至2020年5月在伊拉克埃尔比勒的梅迪卡诺医院进行。术前体重指数(BMI)、年龄、身高和术前体重被记录为基线指标。在48周的随访期内评估体重相关变化。

结果

共有104例肥胖患者接受了MGB或OAGB手术。受试者术前的平均基线参数包括身高1.64米、体重122.9千克和BMI 45.6千克/平方米。在48周的随访期内,平均体重显著下降,从基线时的122.9千克降至第48周时的75.5千克。体重变化(百分比)从第12周的-11.8%逐渐增加到第48周的-37.9%,与人口统计学因素或慢性病无统计学显著关联。从第12周到第48周,超重减轻百分比(%EWL)从26.8%大幅增加到86.1%。亚组分析结果表明,在第36周年龄在30岁及以上者和第48周单身者中,%EWL显著更高。

结论

本研究结果表明MGB或OAGB手术在短期内显著减轻体重方面的有效性。%EWL随随访时间增加,且与年龄和婚姻状况显著相关。

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Obesity Paradox: Fact or Fiction?肥胖悖论:事实还是虚构?
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