Gabriel Diaz Del Gobbo, Nada Mahmoud, Juan S Barajas-Gamboa, Michael Klingler, Paola Barrios, Carlos Abril, Javed Raza, Ali Aminian, Raul J Rosenthal, Ricard Corcelles, Matthew D Kroh
{"title":"套筒胃切除术转化为Roux-en-Y胃旁路术以增强体重减轻:单一企业中期结果和文献综述。","authors":"Gabriel Diaz Del Gobbo, Nada Mahmoud, Juan S Barajas-Gamboa, Michael Klingler, Paola Barrios, Carlos Abril, Javed Raza, Ali Aminian, Raul J Rosenthal, Ricard Corcelles, Matthew D Kroh","doi":"10.1089/bari.2021.0096","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Suboptimal weight loss (SWL) occurs up to 30% after sleeve gastrectomy (SG). Conversion to Roux-en-Y gastric bypass (cRYGB) has shown heterogeneous results in terms of additional weight loss and resolution of weight-related comorbidities. We aim to evaluate mid-term outcomes of cRYGB specifically for SWL after SG.</p><p><strong>Methods: </strong>All patients who underwent cRYGB for SWL from April 2010 to June 2019 from prospective registries at three affiliated tertiary care centers were retrospectively reviewed. Patients who underwent revision or conversion for complications were excluded. Mixed-effects and polynomial regression models were used to evaluate weight loss results after conversion.</p><p><strong>Results: </strong>Thirty-two patients underwent cRYGB from SG. About 68.7% were women with mean age of 46.6 years. Mean body mass index (BMI) before SG was 55.3 kg/m<sup>2</sup>. Before conversion, mean BMI was 44.5 kg/m<sup>2</sup> with 17.3% total weight loss (TWL). All procedures were completed laparoscopically in a median surgical time of 183 min. Three major complications occurred (9.3%), one gastrojejunal (GJ) leak and two reoperations. Four cases (12.5%) of GJ stenosis were diagnosed. No mortality was registered. Mean follow-up time was 24 months and patients had 36 kg/m<sup>2</sup> mean BMI, 17.4% TWL, 27.2% had BMI >35 kg/m<sup>2</sup>.</p><p><strong>Conclusions: </strong>cRYGB after SG for SWL showed good mid-term results, better than those reported in literature.</p>","PeriodicalId":48848,"journal":{"name":"Bariatric Surgical Practice and Patient Care","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807278/pdf/","citationCount":"2","resultStr":"{\"title\":\"Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass to Enhance Weight Loss: Single Enterprise Mid-Term Outcomes and Literature Review.\",\"authors\":\"Gabriel Diaz Del Gobbo, Nada Mahmoud, Juan S Barajas-Gamboa, Michael Klingler, Paola Barrios, Carlos Abril, Javed Raza, Ali Aminian, Raul J Rosenthal, Ricard Corcelles, Matthew D Kroh\",\"doi\":\"10.1089/bari.2021.0096\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Suboptimal weight loss (SWL) occurs up to 30% after sleeve gastrectomy (SG). Conversion to Roux-en-Y gastric bypass (cRYGB) has shown heterogeneous results in terms of additional weight loss and resolution of weight-related comorbidities. We aim to evaluate mid-term outcomes of cRYGB specifically for SWL after SG.</p><p><strong>Methods: </strong>All patients who underwent cRYGB for SWL from April 2010 to June 2019 from prospective registries at three affiliated tertiary care centers were retrospectively reviewed. Patients who underwent revision or conversion for complications were excluded. Mixed-effects and polynomial regression models were used to evaluate weight loss results after conversion.</p><p><strong>Results: </strong>Thirty-two patients underwent cRYGB from SG. About 68.7% were women with mean age of 46.6 years. Mean body mass index (BMI) before SG was 55.3 kg/m<sup>2</sup>. Before conversion, mean BMI was 44.5 kg/m<sup>2</sup> with 17.3% total weight loss (TWL). All procedures were completed laparoscopically in a median surgical time of 183 min. Three major complications occurred (9.3%), one gastrojejunal (GJ) leak and two reoperations. Four cases (12.5%) of GJ stenosis were diagnosed. No mortality was registered. Mean follow-up time was 24 months and patients had 36 kg/m<sup>2</sup> mean BMI, 17.4% TWL, 27.2% had BMI >35 kg/m<sup>2</sup>.</p><p><strong>Conclusions: </strong>cRYGB after SG for SWL showed good mid-term results, better than those reported in literature.</p>\",\"PeriodicalId\":48848,\"journal\":{\"name\":\"Bariatric Surgical Practice and Patient Care\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2022-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807278/pdf/\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Bariatric Surgical Practice and Patient Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1089/bari.2021.0096\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bariatric Surgical Practice and Patient Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1089/bari.2021.0096","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass to Enhance Weight Loss: Single Enterprise Mid-Term Outcomes and Literature Review.
Background: Suboptimal weight loss (SWL) occurs up to 30% after sleeve gastrectomy (SG). Conversion to Roux-en-Y gastric bypass (cRYGB) has shown heterogeneous results in terms of additional weight loss and resolution of weight-related comorbidities. We aim to evaluate mid-term outcomes of cRYGB specifically for SWL after SG.
Methods: All patients who underwent cRYGB for SWL from April 2010 to June 2019 from prospective registries at three affiliated tertiary care centers were retrospectively reviewed. Patients who underwent revision or conversion for complications were excluded. Mixed-effects and polynomial regression models were used to evaluate weight loss results after conversion.
Results: Thirty-two patients underwent cRYGB from SG. About 68.7% were women with mean age of 46.6 years. Mean body mass index (BMI) before SG was 55.3 kg/m2. Before conversion, mean BMI was 44.5 kg/m2 with 17.3% total weight loss (TWL). All procedures were completed laparoscopically in a median surgical time of 183 min. Three major complications occurred (9.3%), one gastrojejunal (GJ) leak and two reoperations. Four cases (12.5%) of GJ stenosis were diagnosed. No mortality was registered. Mean follow-up time was 24 months and patients had 36 kg/m2 mean BMI, 17.4% TWL, 27.2% had BMI >35 kg/m2.
Conclusions: cRYGB after SG for SWL showed good mid-term results, better than those reported in literature.
期刊介绍：
Bariatric Surgical Practice and Patient Care is the essential peer-reviewed journal delivering clinical best practices and quality updates for achieving optimal bariatric surgical outcomes.
Bariatric Surgical Practice and Patient Care coverage includes:
Quality outcomes measurement and reporting
Process innovations and care delivery
Short- and long-term surgical complications
Pre-surgical diagnosis and consultation
Pre-op, peri-op, and post-op standards of practice
Patient access
Patient safety issues
Nutritional and dietary support
Bariatric surgical emergencies
Best practices and current standards for bariatric surgery
Culture and ethics
Body contouring and reconstructive surgery
Bariatric teamwork and communication.
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