Re-Do Surgery after Sleeve Gastrectomy: A Single Center Comparison between Roux-en-Y Gastric Bypass and One Anastomosis Gastric Bypass

Surgeries Pub Date : 2022-05-19 DOI:10.3390/surgeries3020014

Pasquale Auricchio, E. Tanay, Christopher Kieninger, J. Köninger, T. Meile

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引用次数: 1

Abstract

Introduction: According to the high rate of patients requiring a Re-Do surgery after a primary Sleeve Gastrectomy, due to failure on weight loss, this study proposes a comparison between RYGB and OAGB as a secondary intervention for morbidly obese patients. Methods: A retrospective review of patients who underwent revisional surgery to convert SG to RYGB or OAGB at our institution from November 2011 to November 2019 was performed. Results: A subset of sixty-three patients with previous SG underwent revisional surgery due to failure of the primary intervention. The OAGB group (n = 17) had a mean BMI at the time of the sleeve of 62 kg/m2 and a mean BMI of 50.7 kg/m2, the length of the Omega was 139.35 cm. The RYGB (n = 46) group showed a mean BMI of 47 kg/m2 at the time of the sleeve and a BMI of 34.8 kg/m2 at the time of the revision. The RYGB was performed according to the 70/120 cm standard for all the patients. One patient also had a revision from secondary OAGB to RYGB due to persistent biliary reflux, in this case the biliary branch was settled at 150 cm and the alimentary at 50 cm. Conclusions: The outcomes in the OAGB group showed a 29%WL and a 47%EWL (out of a 17%WL and 28%EWL at the time of the sleeve), on the other side the RYGB group reached a 33%WL and 72%EWL (out of a 25%WL and a 54%EWL at the time of the sleeve). According to our data we assume that RYGB is more effective in terms of weight loss as a revisional surgery after sleeve

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套筒胃切除术后再做手术:Roux-en-Y胃旁路术与单吻合胃旁路术的单中心比较

引言：鉴于原发性袖状胃切除术后因减肥失败而需要再次手术的患者比例较高，本研究提出将RYGB和OAGB作为病态肥胖患者的二次干预措施进行比较。方法：对2011年11月至2019年11月在我院接受SG转换为RYGB或OAGB的翻修手术的患者进行回顾性分析。结果：63名既往有SG的患者因初次干预失败而接受了翻修手术。OAGB组（n=17）在套管时的平均BMI为62 kg/m2，平均BMI为50.7 kg/m2，Omega长度为139.35 cm。RYGB组（n=46）在套管安装时的平均体重指数为47 kg/m2，在翻修时的体重指数为34.8 kg/m2。所有患者均按照70/120 cm标准进行RYGB。一名患者还因持续性胆汁反流而从继发性OAGB改为RYGB，在这种情况下，胆道分支固定在150 cm处，消化道固定在50 cm处。结论：OAGB组的结果显示29%的WL和47%的EWL（在套管时为17%的WL，28%的EWL），在另一侧，RYGB组达到33%的WL和72%的EWL（在套筒时达到25%的WL或54%的EWL）。根据我们的数据，我们认为RYGB在减肥方面更有效，因为它是袖后的一种改良手术

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgeries

CiteScore

0.80

自引率

0.00%

发文量

审稿时长

11 weeks