Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series.

IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM Journal of Obesity Pub Date : 2022-01-29 eCollection Date: 2022-01-01 DOI:10.1155/2022/4942052
Michela Campanelli, Emanuela Bianciardi, Domenico Benavoli, Giulia Bagaglini, Giorgio Lisi, Paolo Gentileschi
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引用次数: 6

Abstract

Introduction: Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication rate. Recent publications suggest that dumping syndrome and weight regain might be reduced by placing a silicone ring over the gastric pouch during the procedure, so called laparoscopic banded one anastomosis gastric bypass (LBOAGB).

Methods: 86 patients undergoing LBOAGB between 2018 and 2020 were enrolled in this retrospective study. Hospital records were used to assess weight loss, comorbidity resolution, and any complications either in the short or medium term.

Results: 54 Female and 32 male patients were included with a mean age of 43 years (25-64), preoperative body mass index of 42 kg/m2 (35-49), and preoperative weight of 114 kg (86-162). Thirty-four patients presented with type 2 diabetes (39.5%), 42 patients (49%) diagnosed with hypertension, 24 presented with OSAS (28%), and 21 (24%) hypercholesterolaemia patients were included. In total, 36 patients were diagnosed with multiple comorbidities. The operative data showed an average operative time of 48 minutes with 3.4% of patients suffering from early (minor) complications and 2.3% with a late (minor) complication. One patient required reoperation due to intra-abdominal bleeding. The median length of hospital stay was 2.5 days. Median follow-up was 18 months (5-36). In that period, no patient required ring removal or conversion to Roux-en-Y gastric bypass surgery. Food intolerance/vomiting was present in 1 patient (1.1%), bile reflux was present in 1 patient (1.1%), and no stomal ulcers were observed. Mean % excess weight loss at 12 and 24 months was 72% and 80%, respectively. Fifty-two out of 86 patients (60%) had a complete resolution of comorbidities. A CONUT score >2 (mild malnutrition) was found in 40% of patients, while a CONUT score 0-1 was found in 60% of patients.

Conclusion: LBOAGB shows promising results in terms of safety and efficacy in the short term. Further prospective studies will be required to evaluate the consistency of the results in the long term.

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腹腔镜带状胃旁路吻合术:单中心系列。
腹腔镜一次吻合胃旁路术(LOAGB)是治疗病态肥胖及相关合并症的一种相对较新的手术方法。平均而言,该手术的术后体重减轻效果良好,并发症发生率低。最近的出版物表明,通过在手术过程中在胃袋上放置硅胶环,即所谓的腹腔镜单吻合术胃旁路术(LBOAGB),可以减少倾倒综合征和体重反弹。方法:回顾性研究了2018 - 2020年间86例LBOAGB患者。使用医院记录来评估体重减轻、合并症的解决以及短期或中期的任何并发症。结果:女性54例,男性32例,平均年龄43岁(25-64岁),术前体重指数42 kg/m2(35-49),术前体重114 kg(86-162)。其中34例为2型糖尿病(39.5%),42例为高血压(49%),24例为OSAS(28%), 21例为高胆固醇血症(24%)。总共有36名患者被诊断患有多种合并症。手术资料显示平均手术时间为48分钟,3.4%的患者出现早期(轻微)并发症,2.3%的患者出现晚期(轻微)并发症。1例患者因腹内出血需要再次手术。住院时间中位数为2.5天。中位随访时间为18个月(5-36)。在此期间,没有患者需要取环或转Roux-en-Y胃旁路手术。1例(1.1%)患者出现食物不耐受/呕吐,1例(1.1%)患者出现胆汁反流,未观察到口溃疡。12个月和24个月的平均超重率分别为72%和80%。86例患者中有52例(60%)的合并症得到完全解决。40%的患者的CONUT评分>2(轻度营养不良),60%的患者的CONUT评分为0-1。结论:LBOAGB在短期内具有良好的安全性和有效性。需要进一步的前瞻性研究来评估长期结果的一致性。
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来源期刊
Journal of Obesity
Journal of Obesity ENDOCRINOLOGY & METABOLISM-
CiteScore
7.50
自引率
3.00%
发文量
19
审稿时长
21 weeks
期刊介绍: Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.
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