WFRF:(Abdulrazzaq Sama)
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- Abdulrazzaq, SamaDepartment of Bariatric Surgery/Bariatric Medicine, Hamad General Hospital, Doha, Qatar (författare)
Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
- 2019-12-21
- Springer,2020
- electronicrdacarrier
Nummerbeteckningar
- LIBRIS-ID:oai:DiVA.org:his-18125
- https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-18125URI
- https://doi.org/10.1007/s11695-019-04280-xDOI
Kompletterande språkuppgifter
- Språk:engelska
- Sammanfattning på:engelska
Ingår i deldatabas
- SwePubSwePub
Klassifikation
Anmärkningar
- Background: Revisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared to R-RYGB (e.g., post sleeve gastrectomy or gastric banding) are controversial. Methods: Retrospective chart review of all patients who received P-RYGB and R-RYGB (January 2011 - June 2015) at our center. One hundred and twenty patients who underwent P-RYGB and 34 R-RYGB who completed 18 months follow-up were included. We compared the effectiveness of P-RYGB with R-RYGB by assessing four anthropometric, two glycemic, and four lipid parameters, as well as the control of type 2 diabetes (T2DM), hypertension and dyslipidemia in terms of remission, improvement, persistence, relapse and de novo. The current study also assessed mortality and complications rates. Results: There were no significant differences in the baseline characteristics of patients who received P-RYGB with those who received R-RYGB in terms of age, gender and preoperative BMI. However, at 18 months: a) Patients who received P-RYGB had lower mean weight (P = 0.001) and BMI (P <0.001), reflected by a higher mean delta BMI (P = 0.02), TWL%(P <0.0001) and EWL%(P < 0.0001); b) No differences were observed between the two patients groups in terms of glycemic parameters, lipid profiles, and control of T2DM, hypertension, and dyslipidemia; and, c) No deaths were reported among both patients groups, and complication rates were comparable. Conclusion: Although R-RYGB effectively addressed inadequate weight loss, weight regain and recurrence of comorbidities after restrictive bariatric surgery, R-RYGB resulted in inferior weight loss compared to P-RYGB. There were no significant differences between the two procedures in terms of their clinical control of T2DM, hypertension and dyslipidemia. Both procedures exhibited comparable complication rates.
Ämnesord och genrebeteckningar
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
- Dyslipidemia
- Hypertension
- Primary gastric bypass
- Revisional Gastric bypass
- Type 2 diabetes
- Weight loss outcome
- Individual and Society VIDSOC
- Individ och samhälle VIDSOC
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Elhag, WahibaDepartment of Bariatric Surgery/Bariatric Medicine, Hamad General Hospital, Doha, Qatar (författare)
- El Ansari, WalidHögskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,Department of Surgery, Hamad General Hospital, Doha, Qatar / College of Medicine, Qatar University, Doha, Qatar,Individ och samhälle VIDSOC, Individual and Society(Swepub:his)alaw (författare)
- Mohammad, Amjad SalahDepartments of General Surgery, Hamad General Hospital, Doha, Qatar (författare)
- Sargsyan, DavitDepartment of Metabolic and Bariatric Surgery, Hamad General Hospital, Doha, Qatar / Weill Cornell Medicine-Qatar, Doha, Qatar (författare)
- Bashah, MoatazDepartment of Metabolic and Bariatric Surgery, Hamad General Hospital, Doha, Qatar / Weill Cornell Medicine-Qatar, Doha, Qatar (författare)
- Department of Bariatric Surgery/Bariatric Medicine, Hamad General Hospital, Doha, QatarInstitutionen för hälsovetenskaper (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Obesity Surgery: Springer30, s. 1219-12290960-89231708-0428
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