Management of Super-super Obese Patients: Comparison Between Mini (One Anastomosis) Gastric Bypass and Sleeve Gastrectomy

被引:0
作者
Brijesh Madhok
Kamal K. Mahawar
Maureen Boyle
William R. J. Carr
Neil Jennings
Norbert Schroeder
Shlok Balupuri
Peter K. Small
机构
[1] Sunderland Royal Hospital,Bariatric Unit
来源
Obesity Surgery | 2016年 / 26卷
关键词
Super-super obese; Mini gastric bypass; One anastomosis gastric bypass; Single anastomosis gastric bypass; Omega loop gastric bypass; Sleeve gastrectomy;
D O I
暂无
中图分类号
学科分类号
摘要
Management of super-super obese patients poses a particular challenge for bariatric surgeons. Many staged algorithms exist for these patients. Essentially all of these involve a lower-risk procedure like sleeve gastrectomy first before a definitive second-stage procedure like gastric bypass or duodenal switch. This study compares our results with 19 mini (one anastomosis) gastric bypass and 56 sleeve gastrectomy in super-super obese patients. Sleeve gastrectomy patients were significantly older. There was no mortality or major complication in either group. There was no minor complication in mini (one anastomosis) gastric bypass group compared to two in the sleeve gastrectomy group. Mini (one anastomsosis) gastric bypass patients experienced significantly higher weight loss compared to sleeve gastrectomy patients at 6 months, 1 year, and 2 years after surgery.
引用
收藏
页码:1646 / 1649
页数:3
相关论文
共 25 条
  • [1] Mehaffey JH(2015)Outcomes of laparoscopic Roux-en-Y gastric bypass in super-super-obese patients Surg Obes Relat Dis 11 814-9
  • [2] LaPar DJ(2014)Body mass index is predictive of higher in-hospital mortality in patients undergoing laparoscopic gastric bypass but not laparoscopic sleeve gastrectomy or gastric banding Am Surg 80 1039-43
  • [3] Turrentine FE(2003)Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient Obes Surg 13 861-4
  • [4] Villamere J(2008)Laparoscopic sleeve gastrectomy for the super-super-obese (body mass index >60 kg/m(2)) Surg Today 38 399-403
  • [5] Gebhart A(2013)“Mini” gastric bypass: systematic review of a controversial procedure Obes Surg 23 1890-8
  • [6] Vu S(2005)Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial Ann Surg 242 20-8
  • [7] Regan JP(2011)Failure of laparoscopic sleeve gastrectomy—further procedure? Obes Facts 4 42-6
  • [8] Inabnet WB(2008)Laparoscopic mini-gastric bypass (LMGB) in the super-super obese: outcomes in 16 patients Obes Surg 18 1126-9
  • [9] Gagner M(2016)Mini gastric bypass: first report of 125 consecutive cases from United Kingdom Clin Obes 6 61-7
  • [10] Gagner M(undefined)undefined undefined undefined undefined-undefined