One Anastomosis Gastric Bypass (OAGB) with a 150-cm Biliopancreatic Limb (BPL) Versus a 200-cm BPL, a Systematic Review and Meta-analysis

被引：22

作者：

Salman, Mohamed AbdAlla ^{[1
]}

Salman, Ahmed ^{[1
]}

Assal, Mohamed Moustafa ^{[2
]}

Elsherbiney, Mohammed ^{[3
]}

Tourky, Mohamed ^{[4
]}

Elewa, Ahmed ^{[5
]}

Khalaf, Adel Mohamed ^{[6
]}

Gadallah, Mohamed A. ^{[6
]}

Gebril, Mahmoud ^{[7
]}

Khalid, Sadaf ^{[8
]}

Shaaban, Hossam ^{[9
]}

Mohammed, Aboalgasim Alamin ^{[9
]}

Osman, Mohamed Hosny Abdo ^{[9
]}

Hassan, Haitham ^{[1
]}

机构：

[1] Kasr Alainy Sch Med, Cairo, Egypt

[2] Univ Hosp Dorset NHS Fdn Trust, Poole, England

[3] United Lincolnshire NHS Trust, Lincoln, England

[4] Great Western Hosp, Swindon, England

[5] Natl Hepatol & Trop Med Res Inst, Cairo, Egypt

[6] Al Azhar Univ, Assuit branch, Assiut, Egypt

[7] Glangwill Gen Hosp, Carmarthen, Wales

[8] Royal Free London Hosp, NHS, London, England

[9] Cumberland Infirm Hosp, North Cumbria Integrated Care NHS Fdn Trust, Carlisle, England

来源：

OBESITY SURGERY | 2023年 / 33卷 / 06期

关键词：

Obesity; One anastomosis gastric bypass; Biliopancreatic limb length; 150; cm; 200; MORBID-OBESITY; WEIGHT-LOSS; EXPERIENCE; CM;

D O I：

10.1007/s11695-023-06556-9

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：1846 / 1856

页数：11

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