Additional gastric resection after one anastomosis gastric bypass–are there benefi
Turkish Journal of Medical Sciences, cilt.52, sa.2, ss.420-426, 2022 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 52 Sayı: 2
- Basım Tarihi: 2022
- Doi Numarası: 10.3906/sag-2201-185
- Dergi Adı: Turkish Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.420-426
- Anahtar Kelimeler: Morbid obesity, one anastomosis gastric bypass, bariatric surgery, weight loss, mini gastric bypass, metabolic surgery
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background/aim: Mini/one anastomosis gastric bypass (MGB-OAGB) is a bariatric surgery procedure that has proved effective foweight loss and the resolution of metabolic disorders. The present study evaluates the effect on postoperative outcomes of resecting thcorpus and fundus as an addition to OAGB. Materials and methods: This retrospective study recorded and evaluated the data of 83 patients who underwent laparoscopic OAGB due to morbid obesity (Body Mass Index-BMI ≥ 40 kg/m2) in our clinic between January 2018 and January 2020. The patients were divided into two groups: the first group comprised patients undergoing standard OAGB (n = 49), while the second group included those undergoing OAGB plus (OAGB with additional corpus and fundus resection) (n = 34). The patient data recorded for comparison included demographic characteristics, comorbidities, preoperative and postoperative weight (at 6 and 12 months), body mass index (BMI), excess weight loss% (EWL%), excess BMI loss% (EBL%), and total body weight loss% (TBWL%), hemoglobin, fasting blood glucose (FBG), albumin and HbA1c levels. Results: There was no statistically significant difference between the two groups with regard to age, gender or comorbidities. The operating time, the number of cartridges used during the operation and the length of hospital stay were statistically higher in the OAGB plus group (p = 0.039, p < 0.001, p < 0.001, respectively). No statistically significant difference was seen between the groups regarding weight, BMI, EBL% and TBWL% preoperatively and at 6-and 12-months postsurgery. There was also no statistically significant difference in preoperative and postoperative (at months 6 and 12) levels of hemoglobin, FBG, albumin, and HbA1c between the two groups. Conclusion: The addition of resection of the gastric fundus and corpus to an OAGB has no impact on postoperative weight loss metabolic outcomes.