Management of Super-super Obese Patients: Comparison Between Mini (One Anastomosis) Gastric Bypass and Sleeve Gastrectomy

被引:0
|
作者
Brijesh Madhok
Kamal K. Mahawar
Maureen Boyle
William R. J. Carr
Neil Jennings
Norbert Schroeder
Shlok Balupuri
Peter K. Small
机构
[1] Sunderland Royal Hospital,Bariatric Unit
来源
Obesity Surgery | 2016年 / 26卷
关键词
Super-super obese; Mini gastric bypass; One anastomosis gastric bypass; Single anastomosis gastric bypass; Omega loop gastric bypass; Sleeve gastrectomy;
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学科分类号
摘要
Management of super-super obese patients poses a particular challenge for bariatric surgeons. Many staged algorithms exist for these patients. Essentially all of these involve a lower-risk procedure like sleeve gastrectomy first before a definitive second-stage procedure like gastric bypass or duodenal switch. This study compares our results with 19 mini (one anastomosis) gastric bypass and 56 sleeve gastrectomy in super-super obese patients. Sleeve gastrectomy patients were significantly older. There was no mortality or major complication in either group. There was no minor complication in mini (one anastomosis) gastric bypass group compared to two in the sleeve gastrectomy group. Mini (one anastomsosis) gastric bypass patients experienced significantly higher weight loss compared to sleeve gastrectomy patients at 6 months, 1 year, and 2 years after surgery.
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页码:1646 / 1649
页数:3
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