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Outcomes and Effects of 250-cm Biliopancreatic Limb One Anastomosis Gastric Bypass in Patients with BMI > 50 kg/m(2) with Total Bowel Length > 6 m: a 2-Year Follow-up

BACKGROUND: There is a controversy on the suitable bariatric procedure for patients with BMI > 50 kg/m(2). Many surgeons prefer the Roux en-Y gastric bypass (RYGB) while others resort to long biliopancreatic limb (BPL) one anastomosis gastric bypass (OAGB). METHODS: This study included patients w...

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Autor principal: Eskandaros, Moheb S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276573/
https://www.ncbi.nlm.nih.gov/pubmed/35488110
http://dx.doi.org/10.1007/s11695-022-06078-w
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author Eskandaros, Moheb S.
author_facet Eskandaros, Moheb S.
author_sort Eskandaros, Moheb S.
collection PubMed
description BACKGROUND: There is a controversy on the suitable bariatric procedure for patients with BMI > 50 kg/m(2). Many surgeons prefer the Roux en-Y gastric bypass (RYGB) while others resort to long biliopancreatic limb (BPL) one anastomosis gastric bypass (OAGB). METHODS: This study included patients with BMI > 50 kg/m(2) who underwent 250-cm BPL OAGB with total bowel length (TBL) > 6 m and completed 24-month follow-up from July 2015 to November 2021. Demographic data with preoperative weight, BMI, hypertension (HTN), DM (HbA1C), Hb, iron, calcium, albumin, vitamin D, and parathormone levels (PTH) were recorded. Operative time, total bowel length (TBL), residual length (RBL), complications and postoperative weight, BMI, % of total weight loss (%TWL), HTN, DM, and alkaline reflux as well as Hb, iron, calcium, albumin, vitamin D, and PTH levels were recorded at 6, 12, 18, and 24 months. RESULTS: OAGB had a significant decrease in weight, BMI (25.6 ± 3.4 kg/m(2) at 24 months) with %TWL of 48 ± 5% at 24 months. TBL and RBL were 6.7 ± 0.65 and 4.2 ± 0.65 m respectively. %BL (RBL/TBL*100) was 62.4 ± 3.3%. The HbA1C, HTN, and alkaline reflux incidence were 5.5 ± 0.29 gm%, 1.4%, and 3.7% respectively at 24 months. Hb, iron, calcium, albumin, and vitamin D showed a significant decrease but still within normal range, and PTH showed a significant increase at 24 months. CONCLUSION: Long BP (250 cm) OAGB in patients with BMI > 50 kg/m(2) with TWL > 6 m had good results in the achievement of weight loss and weight maintenance goals with remission of associated comorbidities as HTN and DM. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-92765732022-07-14 Outcomes and Effects of 250-cm Biliopancreatic Limb One Anastomosis Gastric Bypass in Patients with BMI > 50 kg/m(2) with Total Bowel Length > 6 m: a 2-Year Follow-up Eskandaros, Moheb S. Obes Surg Original Contributions BACKGROUND: There is a controversy on the suitable bariatric procedure for patients with BMI > 50 kg/m(2). Many surgeons prefer the Roux en-Y gastric bypass (RYGB) while others resort to long biliopancreatic limb (BPL) one anastomosis gastric bypass (OAGB). METHODS: This study included patients with BMI > 50 kg/m(2) who underwent 250-cm BPL OAGB with total bowel length (TBL) > 6 m and completed 24-month follow-up from July 2015 to November 2021. Demographic data with preoperative weight, BMI, hypertension (HTN), DM (HbA1C), Hb, iron, calcium, albumin, vitamin D, and parathormone levels (PTH) were recorded. Operative time, total bowel length (TBL), residual length (RBL), complications and postoperative weight, BMI, % of total weight loss (%TWL), HTN, DM, and alkaline reflux as well as Hb, iron, calcium, albumin, vitamin D, and PTH levels were recorded at 6, 12, 18, and 24 months. RESULTS: OAGB had a significant decrease in weight, BMI (25.6 ± 3.4 kg/m(2) at 24 months) with %TWL of 48 ± 5% at 24 months. TBL and RBL were 6.7 ± 0.65 and 4.2 ± 0.65 m respectively. %BL (RBL/TBL*100) was 62.4 ± 3.3%. The HbA1C, HTN, and alkaline reflux incidence were 5.5 ± 0.29 gm%, 1.4%, and 3.7% respectively at 24 months. Hb, iron, calcium, albumin, and vitamin D showed a significant decrease but still within normal range, and PTH showed a significant increase at 24 months. CONCLUSION: Long BP (250 cm) OAGB in patients with BMI > 50 kg/m(2) with TWL > 6 m had good results in the achievement of weight loss and weight maintenance goals with remission of associated comorbidities as HTN and DM. GRAPHICAL ABSTRACT: [Image: see text] Springer US 2022-04-29 2022 /pmc/articles/PMC9276573/ /pubmed/35488110 http://dx.doi.org/10.1007/s11695-022-06078-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Contributions
Eskandaros, Moheb S.
Outcomes and Effects of 250-cm Biliopancreatic Limb One Anastomosis Gastric Bypass in Patients with BMI > 50 kg/m(2) with Total Bowel Length > 6 m: a 2-Year Follow-up
title Outcomes and Effects of 250-cm Biliopancreatic Limb One Anastomosis Gastric Bypass in Patients with BMI > 50 kg/m(2) with Total Bowel Length > 6 m: a 2-Year Follow-up
title_full Outcomes and Effects of 250-cm Biliopancreatic Limb One Anastomosis Gastric Bypass in Patients with BMI > 50 kg/m(2) with Total Bowel Length > 6 m: a 2-Year Follow-up
title_fullStr Outcomes and Effects of 250-cm Biliopancreatic Limb One Anastomosis Gastric Bypass in Patients with BMI > 50 kg/m(2) with Total Bowel Length > 6 m: a 2-Year Follow-up
title_full_unstemmed Outcomes and Effects of 250-cm Biliopancreatic Limb One Anastomosis Gastric Bypass in Patients with BMI > 50 kg/m(2) with Total Bowel Length > 6 m: a 2-Year Follow-up
title_short Outcomes and Effects of 250-cm Biliopancreatic Limb One Anastomosis Gastric Bypass in Patients with BMI > 50 kg/m(2) with Total Bowel Length > 6 m: a 2-Year Follow-up
title_sort outcomes and effects of 250-cm biliopancreatic limb one anastomosis gastric bypass in patients with bmi > 50 kg/m(2) with total bowel length > 6 m: a 2-year follow-up
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276573/
https://www.ncbi.nlm.nih.gov/pubmed/35488110
http://dx.doi.org/10.1007/s11695-022-06078-w
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