单吻合胃旁路术与袖状胃切除术后的贫血率：一项回顾性队列研究。

IF 1.7 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2024-10-09 DOI:10.1007/s00595-024-02946-3

Orly Romano-Zelekha, Dean Keren, Yael Herskovitz, Adi Vinograd, Inbal Globus, Lital Keinan-Boker

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引用次数: 0

摘要

目的：在一项全国性大型人群队列研究中，比较单吻合胃旁路术（OAGB）和袖状胃切除术（SG）术后贫血率：我们从以色列减肥手术登记处获取数据。研究对象包括 2013 年至 2017 年期间接受减肥手术 (BS) 的成年人。术前测量血红蛋白 (Hb)，术后 1 年和 2 年测量血红蛋白 (Hb)。使用多变量分析比较了接受 OAGB 和接受 SG 的患者的贫血率：研究包括 1,052 名接受 OAGB 的患者和 5,885 名接受 SG 的患者。其中，男性和女性分别占 24.1% 和 23.6%，术前平均体重指数分别为 41.7 ± 5.0 kg/m2 和 42.1 ± 5.1 kg/m2。经年龄、术前体重指数、性别和其他协变量调整后，OAGB 术后 1 年和 2 年的贫血率明显高于 SG（1 年：37.5% 对 20.2%）：37.5% vs. 20.2%；adj-OR = 2.43；95% CI 2.08-2.86；2 年：结论：结论：接受 OAGB 的患者术后 1 年和 2 年的贫血率明显高于接受 SG 的患者。因此，OAGB术后应考虑警惕性监测和干预策略，以降低贫血及其相关并发症的发生率。

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Anemia rates after one-anastomosis gastric bypass versus sleeve gastrectomy: a retrospective cohort study.

Purpose: To compare postoperative anemia rates after one-anastomosis gastric bypass (OAGB) with those after sleeve gastrectomy (SG) in a large nationwide, population-based cohort study.

Methods: We sourced data from the Israeli Bariatric Surgery Registry. The study included a cohort of adults who underwent bariatric surgery (BS) between 2013 and 2017. Hemoglobin (Hb) was measured preoperatively and then 1 and 2 years post-BS. Anemia rates were compared between the patients who underwent OAGB and those who underwent SG, using multivariable analyses.

Results: The study comprised 1,052 patients who underwent OAGB and 5,885 patients who underwent SG. Among them, 24.1% and 23.6% were men, respectively, and the preoperative mean body mass index values were 41.7 ± 5.0 and 42.1 ± 5.1 kg/m2, respectively. The 1-year and 2-year postoperative anemia rates were significantly higher after OAGB than after SG, when adjusted for age, pre-surgery BMI, sex and other covariates (1 year: 37.5% vs. 20.2%; adj-OR = 2.43; 95% CI 2.08-2.86; 2 years: 45.1% vs. 28.5%; adj-OR = 1.92; 95% CI 1.59-2.32).

Conclusions: Patients who underwent OAGB had significantly higher anemia rates 1 year and 2 years postoperatively than those who underwent SG. Consequently, vigilant surveillance and intervention strategies post-OAGB should be considered to mitigate the incidence of anemia and its associated complications.

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.