Sleeve gastrectomy with one anastomosis bipartition versus one anastomosis gastric bypass: A pilot study

被引：1

作者：

Qin, Xiaoguang ^{[1
,2
]}

Mao, Zhongqi ^{[1
,2
,4
]}

Lee, Wei-Jei ^{[1
,3
]}

Zhang, Min ^{[1
,2
]}

Chen, Shu-Chun ^{[3
]}

Chen, Jung-Chien ^{[3
]}

Wu, Guoqiang ^{[1
,2
]}

Zhou, Xiaoqing ^{[1
]}

Wei, Tiantian ^{[1
]}

Huang, Yan ^{[1
]}

机构：

[1] Nanjing Med Univ, Affiliated BenQ Hosp, Bariatr Med Ctr, Suzhou BenQ Med Ctr,Dept Metab, Suzhou, Jiangsu, Peoples R China

[2] Soochow Univ, Affiliated Hosp 1, Dept Gen Surg, Suzhou, Peoples R China

[3] China Med Univ, Hsinchu Hosp, Med Weight Loss Ctr, Dept Gen Surg, Taichung, Taiwan

[4] Soochow Univ, Affiliated Hosp 1, Dept Gen Surg, 899 Ping Hai Rd, Suzhou, Peoples R China

来源：

ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2024年 / 17卷 / 01期

关键词：

metabolic surgery; one-anastomosis gastric bypass; SG plus one anastomosis bipartition; OBESE-PATIENTS; EXPERIENCE; PLICATION; EFFICACY;

D O I：

10.1111/ases.13258

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: One anastomosis gastric bypass (OAGB) is a new recognized metabolic surgery, but the problem that we cannot screen the excluded stomach is a troubling issue in China. The emergence of sleeve gastrectomy plus one anastomosis bipartition (SG + OAB) makes us see a hope to solve this problem.Objectives: By comparing the efficacy of the two surgical methods, to evaluate whether SG + OAB surgery can solve the dilemma faced by OAGB that the excluded stomach cannot be screened.Methods: A retrospective study to compare the patients who underwent OAGB and SG + OAB was conducted. The main outcome measures were (1) operation risk, (2) weight loss, and (3) diabetes remission at 6 months.Results: This study was conducted in the bariatric/metabolic surgical center. From November 2021 to February 2022, a total of 30 patients with obesity who received SG + OAB surgery were recruited. Another matched 60 patients undergoing OAGB were recruited as control group. There was no difference in preoperative age (32.15 +/- 9.02 vs. 34.47 +/- 7.22; p = .224), female ratio (83% vs. 85%; p = .837), and BMI (36.18 +/- 5.30 vs. 34.68 +/- 5.58; p = .217) between the two groups. OAGB had a shorter mean operation time (121.67 +/- 20.41 vs. 143.50 +/- 25.07 min; p < .001) and a lower intraoperative blood loss (21.92 +/- 12.35 vs. 32.43 +/- 22.01 mL; p = .005), but a longer postoperative flatus passage (2.13 +/- 0.43 vs. 1.87 +/- 0.43 days; p = .007) compared with the SG + OAB group. Two patients (6.7%) developed major surgical complication in SG + OAB group but no major complication developed in OAGB group. At 6 months after surgery, SG + OAB had a higher %total weight loss than OAGB (31.05 +/- 3.12 vs. 28.14 +/- 5.43%; p = .015), but diabetes remission rate was similarly high in both groups.Conclusions: SG + OAB operation had a non-inferior or even better weight loss than OAGB, with a similar glycemic control efficacy. However, the high complication rate of SG + OAB is the major drawback that needs attention.

引用

页数：9

共 30 条

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