胃旁路术中Roux肢体长度变化与体重减轻的关系

Sukhyung Lee MD, Kirk G. Sahagian DO, John P. Schriver MD
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引用次数: 36

摘要

背景胃旁路手术的最佳Roux肢长度尚不清楚。因此,研究Roux肢体长度对Roux-en- y胃旁路手术后体重减轻和营养缺乏的影响。方法自2000年9月至2004年2月,在威廉·博蒙特陆军医疗中心进行了165例Roux-en-Y胃旁路手术。对97例患者进行了为期一年的随访。Roux四肢根据患者的身体质量指数(BMI)从100厘米到150厘米不等。比较Roux肢体长度1年内绝对体重、BMI和营养水平的变化。结果97例患者手术时平均年龄44岁(范围20 ~ 63岁)。术前平均BMI为46.7±6.6 kg/m2,随访1年平均BMI为30.9±5.8 kg/m2。1年平均绝对减重43.7±12.8 kg。Roux肢体长度与BMI和绝对体重下降之间存在统计学上显著的线性关系。Roux肢长与营养水平变化无相关性。结论Roux肢体长度与1年减重呈线性关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between Varying Roux Limb Lengths and Weight Loss in Gastric Bypass

Background

The optimal Roux limb length for gastric bypass is unknown. Therefore, the effect of Roux limb length on weight loss and nutritional deficiency after a Roux-en-Y gastric bypass procedure was studied.

Methods

From September 2000 to February 2004, 165 Roux-en-Y gastric bypass surgeries were performed at William Beaumont Army Medical Center. One-year follow-ups were completed on 97 patients. Roux limbs varied from 100 cm to 150 cm, based on the patient’s body mass index (BMI). Roux limb lengths were compared with 1-year changes in absolute weight, BMI, and nutritional levels.

Results

In the 97 patients, average age at the time of surgery was 44 years (range, 20-63). Average BMI was 46.7 ± 6.6 kg/m2 before surgery and 30.9 ± 5.8 kg/m2 at 1-year follow-up. Average absolute weight loss at 1 year was 43.7 ± 12.8 kg. A statistically significant linear relationship existed between Roux limb length and reductions in BMI and absolute weight. No relationship existed between Roux limb length and changes in nutrient levels.

Conclusion

A linear relationship exists between Roux limb length and 1-year weight loss.

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