套筒胃切除术加单吻合术套筒回肠双隔与单用套筒胃切除术：双隔的作用。

IF 0.9 Q4 ORTHOPEDICS

Asian Journal of Endoscopic Surgery Pub Date : 2024-12-05 DOI:10.1111/ases.13398

Xiaoguang Qin, Zhongqi Mao, Wei-Jei Lee, Min Zhang, Guoqiang Wu, Xiaoqing Zhou

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引用次数: 0

摘要

背景：套筒胃切除术（SG）与单吻合术套筒回肠双裂（SASI）是一种提高严重肥胖患者SG抗代谢疗效的新方法。目的：本研究旨在比较SASI和SG之间1年的结果，从而评估双分区的作用。环境：本研究在医科大学附属医院进行。方法：2021年11月至2022年12月，39例患者接受了SG + SASI手术，35例患者术后完成1年随访。他们与一组70名年龄、性别和体重指数（BMI）相同的SG患者相匹配。12个月后评估手术风险、体重减轻和合并症缓解情况。结果：SASI组手术时间明显长于SG组（140.3±22.8 min vs 114.9±21.6 min）；p2 vs. 24.6±2.9 kg/m2；p = .046)。SASI组A1C的降低和T2D的缓解更大。SASI组术后尿酸、低密度脂蛋白、总胆固醇和甘油三酯水平的降低高于SG组。然而，SG组在平均红细胞体积、钙和铁水平上优于SASI组。结论：在本研究中，在SG中添加回肠双分区只会增加SG的体重减轻、血糖和血脂控制。

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Sleeve gastrectomy plus single anastomosis sleeve ileal bipartition versus sleeve gastrectomy alone: The role of bipartition

Background

Sleeve gastrectomy (SG) with single anastomosis sleeve ileal bipartition (SASI) is a novel procedure for increasing the anti-metabolic efficacy of SG in severely people with obesity.

Objectives

This study aimed to compare 1-year results between SASI and SG, thereby assessing the role of bipartition.

Setting

The study was conducted at the Medical University hospital.

Methods

Between November 2021 and December 2022, 39 patients received an SG + SASI surgery, a total of 35 patients completed 1-year follow-up after the surgery. They were matched with a group of 70 patients with SG that were equal in age, sex, and body mass index (BMI). Operative risk, weight loss, and remission of comorbidities were evaluated after 12 months.

Results

The operation time of the SASI group was significantly longer than the SG group (140.3 ± 22.8 vs. 114.9 ± 21.6 min; p < .001). At 12 months after surgery, the SASI group had better weight loss (total weight loss: 37.0% vs. 29.7%; p = .001) and achieved a lower BMI than SG (23.4 ± 2.6 kg/m² vs. 24.6 ± 2.9 kg/m²; p = .046). Reduction of A1C and remission of T2D was greater in the SASI group. The SASI group had a higher reduction in uric acid, low-density lipoprotein, total cholesterol, and triglyceride levels after operation than the SG group. However, the SG group is superior to the SASI group in mean corpuscular volume, calcium, and iron levels.