Revisional Gastric Bypass Is Inferior to Primary Gastric Bypass in Terms of Short- and Long-term Outcomes-Systematic Review and Meta-Analysis

被引：51

作者：

Pedziwiatr, Michal ^{[1
,2
]}

Malczak, Piotr ^{[1
,2
]}

Wierdak, Mateusz ^{[1
,2
]}

Rubinkiewicz, Mateusz ^{[1
]}

Pisarska, Magdalena ^{[1
,2
]}

Major, Piotr ^{[1
,2
]}

Wysocki, Michal ^{[1
,2
]}

Karcz, W. Konrad ^{[3
]}

Budzynski, Andrzej ^{[1
,2
]}

机构：

[1] Jagiellonian Univ, Coll Med, Dept Gen Surg 2, Krakow, Poland

[2] Ctr Res Training & Innovat Surg CERTAIN Surg, Krakow, Poland

[3] Ludwig Maximilians Univ Munchen, Dept Gen Abdominal Vasc Thoracic & Transplantat S, Munich, Germany

来源：

OBESITY SURGERY | 2018年 / 28卷 / 07期

关键词：

RYGB; Bariatric surgery; Revisional surgery; Obesity; Gastric bypass; BARIATRIC SURGERY; WEIGHT-LOSS; CO-MORBIDITIES; COMPLICATIONS; RISK; EXPERIENCE; SAFETY;

D O I：

10.1007/s11695-018-3300-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose Although Roux-en-Y gastric bypass (RYGB) is the main primary bariatric procedure, it has also been utilized as revisional bariatric surgery. Our aim is to compare revisionary gastric bypass with primary gastric bypass through systematic review with meta-analysis. Methods Available literature was searched for eligible studies up to December 2017. Inclusion criteria were reports on morbidity, %EWL, or diabetes remission. Secondary outcomes involved mortality, anastomotic leakage, operative time, and length of hospital stay. Random effect meta-analyses were undertaken. Results Initial search yielded 1164 references. Final meta-analysis involved 21 studies and revealed significant differences in terms of morbidity (RR1.54, p < 0.001) and EWL (WMD-19.9, p < 0.001). There were no differences in diabetes remission. Conclusion Revisionary RYGB has worse weight loss effect with greater morbidity rate than primary RYGB.

引用

页码：2083 / 2091

页数：9

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