[Revision of Vertical Banded Gastroplasty to Roux-En-Y Gastric Bypass with 2 Years of Follow-Up].

IF 1.8 3区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Digestive Surgery Pub Date : 2023-01-01 DOI:10.1159/000529603

Medhat Mohamed Helmy Khalil, Gad Behairy, Ahmed Farrag, Mohab G Elbarbary

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引用次数: 0

Abstract

Background: Due to weight regain and GIT symptoms associated with vertical banded gastroplasty (VBG), revisional surgery is necessary. Roux-en-Y gastric bypass (RYGB) is one of the best options as a revision procedure but comes with a high complication rate.

Methods: This prospective study included 80 patients undergoing RYGB surgery at Ain Shams University Hospitals after failed VBG surgery, with up to 2 years of follow-up.

Results: Eighty patients underwent RYGB correction after VBG. The mean age was 42 ± 6.45 (39-58) years and the mean preoperative body mass index was 45.46 ± 4.135 (38-55) kg/m2. The median length of hospital stay for the patients was 4.78 ± 1.84 days. The early postoperative complication rate was 8.7% and the reoperation rate within 30 days was 3.75%, with no mortality. Leakage and bowel injury were detected in 2 patients. After an average follow-up of 2 years, the percentage of EWL was 64.47 ± 19.3, and complete resolution of VBG-related GIT symptoms was achieved in approximately all patients. Late complications occurred in 7.5% of patients, of whom 3.75% required surgery.

Conclusion: Conversion to RYGB is feasible with a limited short-term complication and reoperation rate; long-term results show a nearly complete resolution of VBG-related symptoms and a statistically significant positive impact on weight loss.

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[垂直带状胃成形术改为Roux-En-Y胃旁路术，随访2年]。

背景:由于垂直带状胃成形术(VBG)相关的体重恢复和GIT症状，翻修手术是必要的。Roux-en-Y胃旁路术(RYGB)是最好的修复手术之一，但其并发症发生率很高。方法:本前瞻性研究纳入了80例VBG手术失败后在艾因沙姆斯大学医院接受RYGB手术的患者，随访时间长达2年。结果:80例患者行VBG后RYGB矫正。平均年龄42±6.45(39 ~ 58)岁，术前平均体重指数45.46±4.135 (38 ~ 55)kg/m2。患者住院时间中位数为4.78±1.84天。术后早期并发症发生率为8.7%，30 d内再手术率为3.75%，无死亡病例。2例患者出现肠漏和肠损伤。平均随访2年后，EWL百分比为64.47±19.3，几乎所有患者的vbg相关GIT症状均得到完全缓解。7.5%的患者出现晚期并发症，其中3.75%的患者需要手术治疗。结论:转RYGB是可行的，短期并发症少，再手术率低;长期结果显示，与vbg相关的症状几乎完全消失，并且对减肥有统计学上显著的积极影响。

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

Digestive Surgery 医学-外科

CiteScore

4.90

自引率

3.70%

发文量

审稿时长

3 months

期刊介绍： ''Digestive Surgery'' presents a comprehensive overview in the field of gastrointestinal surgery. Interdisciplinary in scope, the journal keeps the specialist aware of advances in all fields that contribute to improvements in the diagnosis and treatment of gastrointestinal disease. Particular emphasis is given to articles that evaluate not only recent clinical developments, especially clinical trials and technical innovations such as new endoscopic and laparoscopic procedures, but also relevant translational research. Each contribution is carefully aligned with the need of the digestive surgeon. Thus, the journal is an important component of the continuing medical education of surgeons who want their practice to benefit from a familiarity with new knowledge in all its dimensions.