Efficacy of One-Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass for Gastroesophageal Reflux Disease: A Systematic Review and Meta-analysis of Randomized Controlled Trials

被引：0

作者：

Kapellas, Nikolaos ^{[1
]}

Alkhalil, Samer ^{[1
]}

Senkal, Metin ^{[1
]}

机构：

[1] Marien Hosp Witten, Witten, Germany

来源：

OBESITY SURGERY | 2024年 / 34卷 / 12期

关键词：

One-anastomosis gastric bypass; Roux-en-Y gastric bypass; Gastroesophageal reflux disease; Meta-analysis; WEIGHT-LOSS; OBESITY; ESOPHAGUS;

D O I：

10.1007/s11695-024-07571-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

This study aimed to investigate the efficacy of one-anastomosis gastric bypass (OAGB) on gastroesophageal reflux disease (GERD) compared with Roux-en-Y gastric bypass (RYGB) in patients with obesity. Three databases (Medline, Cochrane Central, and Scopus) were searched for relevant articles published until August 12, 2024. A total of nine randomized controlled trials, including 643 patients, were selected. OAGB was statistically significantly associated with a higher risk of GERD than RYGB (OR = 3.14, 95% CI 1.23-8.03, p < 0.05). The odds for de novo GERD after OAGB are almost six times higher than after RYGB (OR = 5.65, 95% CI 1.53-20.82, p < 0.05). RYGB has a lower incidence of de novo GERD cases and is more effective than OAGB in reducing GERD.

引用

页码：4563 / 4572

页数：10

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