Sleeve Gastrectomy in Canine: Effect on Weight Loss, Inflammation andOxidative Stress Markers while Leaving Blind Intestinal Loop in Place

H. Al-Wadani, M. An, Odeh Am, S. Safaya
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Abstract

The aim of this study was to modify the current Sleeve gastrectomy surgical procedure by leaving behind the blind intestinal loop, with the purpose to overcome the complications of gastric bypass. Accordingly, we evaluated in Canine, the effectiveness of this approach, on the weight loss and markers of inflammation and oxidative stress. Our results suggest that this type of bypass surgery in Canine resulted in significant weight loss that was maintained up to six months. There was no evidence of post-operative leaks, infection or organ adhesion. However, oxidative stress and inflammation markers were elevated in the post-operative stomach but not in the nonfunctional blind intestinal loop, six months after surgery. Elevation of these markers, post surgically in the target organ suggesting that it may take longer time for these markers to come back to healthy pre-operative levels. The purpose of leaving behind the blind intestinal loop may allow reversing the bypass in future date due to any unintended complications such as excessive weight loss.
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犬袖式胃切除术:在保留盲肠环的情况下对体重减轻、炎症和氧化应激指标的影响
本研究的目的是改进目前的Sleeve胃切除术手术方式,留下盲肠袢,以克服胃旁路术的并发症。因此,我们在犬中评估了这种方法在减肥和炎症和氧化应激标志物方面的有效性。我们的研究结果表明,犬类的这种搭桥手术导致体重明显减轻,并维持了长达6个月。没有术后渗漏、感染或器官粘连的证据。然而,术后6个月,氧化应激和炎症标志物在胃中升高,而在无功能盲肠袢中没有升高。手术后靶器官中这些标志物的升高表明这些标志物可能需要更长的时间才能恢复到术前的健康水平。留下盲肠袢的目的是为了在将来由于任何意想不到的并发症(如体重过度减轻)而逆转旁路手术。
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