Rafael C Katayama, Carlos H Arasaki, Fernando A M Herbella, Ricardo A Neto, Gaspar de Jesus Lopes Filho
{"title":"一吻合术和Roux-en-Y胃旁路术在短期随访中促进相似的体重减轻、患者满意度、生活质量、炎症等级和食管和胃袋细胞损伤。","authors":"Rafael C Katayama, Carlos H Arasaki, Fernando A M Herbella, Ricardo A Neto, Gaspar de Jesus Lopes Filho","doi":"10.7570/jomes21040","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>One-anastomosis gastric bypass (OAGB) is a simpler procedure than Roux-en-Y gastric bypass (RYGB); however, biliary reflux can occur and impair outcomes. This study aimed to compare outcomes of OAGB and RYGB.</p><p><strong>Methods: </strong>Twenty patients with morbid obesity were randomized prospectively into two groups: OAGB (n=10) or RYGB (n=10). Quality of life (36-item short-form health survey [SF-36]), satisfaction (Visick scale), and body mass index (BMI) were evaluated before and 6 months after the operation. All patients underwent esophagogastroduodenoscopy with gastric and esophageal mucosal biopsies at 3 and 6 months after their operation.</p><p><strong>Results: </strong>The study found no significant difference in BMI before surgery (OAGB, 43.2 kg/m<sup>2</sup>; RYGB, 43.1 kg/m<sup>2</sup>; <i>P</i>=0.90) or at 6 months postoperative (OAGB, 32.1 kg/m<sup>2</sup>; RYGB, 31.8 kg/m<sup>2</sup>; <i>P</i>=0.91). There was no significant difference in improvement of quality of life (four SF-36 domains) or satisfaction (<i>P</i>=0.08) between groups at 6 months. There was no statistical difference between gastric (<i>P</i>=0.10) and esophageal (<i>P</i>=0.76) inflammation grade at three or 6 months between the two groups.</p><p><strong>Conclusion: </strong>OAGB and RYGB are equally effective in terms of weight loss, patient satisfaction, and quality of life improvement at 6 months after the procedures. Inflammation grade and cellular damage in the gastric pouch and in the esophagus were similar.</p>","PeriodicalId":45386,"journal":{"name":"Journal of Obesity & Metabolic Syndrome","volume":"30 4","pages":"396-402"},"PeriodicalIF":4.7000,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/e3/jomes-30-4-396.PMC8735828.pdf","citationCount":"8","resultStr":"{\"title\":\"One-Anastomosis and Roux-en-Y Gastric Bypass Promote Similar Weight Loss, Patient Satisfaction, Quality of Life, Inflammation Grade, and Cellular Damage in the Esophagus and Gastric Pouch in a Short-term Follow-up.\",\"authors\":\"Rafael C Katayama, Carlos H Arasaki, Fernando A M Herbella, Ricardo A Neto, Gaspar de Jesus Lopes Filho\",\"doi\":\"10.7570/jomes21040\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>One-anastomosis gastric bypass (OAGB) is a simpler procedure than Roux-en-Y gastric bypass (RYGB); however, biliary reflux can occur and impair outcomes. This study aimed to compare outcomes of OAGB and RYGB.</p><p><strong>Methods: </strong>Twenty patients with morbid obesity were randomized prospectively into two groups: OAGB (n=10) or RYGB (n=10). Quality of life (36-item short-form health survey [SF-36]), satisfaction (Visick scale), and body mass index (BMI) were evaluated before and 6 months after the operation. All patients underwent esophagogastroduodenoscopy with gastric and esophageal mucosal biopsies at 3 and 6 months after their operation.</p><p><strong>Results: </strong>The study found no significant difference in BMI before surgery (OAGB, 43.2 kg/m<sup>2</sup>; RYGB, 43.1 kg/m<sup>2</sup>; <i>P</i>=0.90) or at 6 months postoperative (OAGB, 32.1 kg/m<sup>2</sup>; RYGB, 31.8 kg/m<sup>2</sup>; <i>P</i>=0.91). There was no significant difference in improvement of quality of life (four SF-36 domains) or satisfaction (<i>P</i>=0.08) between groups at 6 months. There was no statistical difference between gastric (<i>P</i>=0.10) and esophageal (<i>P</i>=0.76) inflammation grade at three or 6 months between the two groups.</p><p><strong>Conclusion: </strong>OAGB and RYGB are equally effective in terms of weight loss, patient satisfaction, and quality of life improvement at 6 months after the procedures. Inflammation grade and cellular damage in the gastric pouch and in the esophagus were similar.</p>\",\"PeriodicalId\":45386,\"journal\":{\"name\":\"Journal of Obesity & Metabolic Syndrome\",\"volume\":\"30 4\",\"pages\":\"396-402\"},\"PeriodicalIF\":4.7000,\"publicationDate\":\"2021-12-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/e3/jomes-30-4-396.PMC8735828.pdf\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Obesity & Metabolic Syndrome\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.7570/jomes21040\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Obesity & Metabolic Syndrome","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7570/jomes21040","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
One-Anastomosis and Roux-en-Y Gastric Bypass Promote Similar Weight Loss, Patient Satisfaction, Quality of Life, Inflammation Grade, and Cellular Damage in the Esophagus and Gastric Pouch in a Short-term Follow-up.
Background: One-anastomosis gastric bypass (OAGB) is a simpler procedure than Roux-en-Y gastric bypass (RYGB); however, biliary reflux can occur and impair outcomes. This study aimed to compare outcomes of OAGB and RYGB.
Methods: Twenty patients with morbid obesity were randomized prospectively into two groups: OAGB (n=10) or RYGB (n=10). Quality of life (36-item short-form health survey [SF-36]), satisfaction (Visick scale), and body mass index (BMI) were evaluated before and 6 months after the operation. All patients underwent esophagogastroduodenoscopy with gastric and esophageal mucosal biopsies at 3 and 6 months after their operation.
Results: The study found no significant difference in BMI before surgery (OAGB, 43.2 kg/m2; RYGB, 43.1 kg/m2; P=0.90) or at 6 months postoperative (OAGB, 32.1 kg/m2; RYGB, 31.8 kg/m2; P=0.91). There was no significant difference in improvement of quality of life (four SF-36 domains) or satisfaction (P=0.08) between groups at 6 months. There was no statistical difference between gastric (P=0.10) and esophageal (P=0.76) inflammation grade at three or 6 months between the two groups.
Conclusion: OAGB and RYGB are equally effective in terms of weight loss, patient satisfaction, and quality of life improvement at 6 months after the procedures. Inflammation grade and cellular damage in the gastric pouch and in the esophagus were similar.
期刊介绍：
The journal was launched in 1992 and diverse studies on obesity have been published under the title of Journal of Korean Society for the Study of Obesity until 2004. Since 2017, volume 26, the title is now the Journal of Obesity & Metabolic Syndrome (pISSN 2508-6235, eISSN 2508-7576). The journal is published quarterly on March 30th, June 30th, September 30th and December 30th. The official title of the journal is now "Journal of Obesity & Metabolic Syndrome" and the abbreviated title is "J Obes Metab Syndr". Index words from medical subject headings (MeSH) list of Index Medicus are included in each article to facilitate article search. Some or all of the articles of this journal are included in the index of PubMed, PubMed Central, Scopus, Embase, DOAJ, Ebsco, KCI, KoreaMed, KoMCI, Science Central, Crossref Metadata Search, Google Scholar, and Emerging Sources Citation Index (ESCI).
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
