https://scholars.lib.ntu.edu.tw/handle/123456789/572925
標題: | Laparoscopic single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy (SADJB-SG): Surgical risk and long-term results | 作者: | Ser K.-H Lee W.-J JEN-CHIH CHEN Tsai P.-L Chen S.-C Lee Y.-C. |
關鍵字: | hemoglobin A1c; proton pump inhibitor; adolescent; adult; Article; bariatric surgery; body mass; body weight loss; clinical evaluation; data base; female; follow up; gastroesophageal reflux; hospitalization; human; ileus; major clinical study; male; middle aged; multidisciplinary team; peritonitis; peroperative complication; postoperative period; priority journal; remission; reoperation; Roux-en-Y gastric bypass; single anastomosis duodenal jejunal bypass; sleeve gastrectomy; surgical risk; telephone interview; weight; young adult; adverse event; anastomosis; duodenum; gastrectomy; gastric bypass surgery; jejunum; laparoscopy; morbid obesity; operation duration; postoperative complication; retrospective study; time factor; treatment outcome; Adult; Anastomosis, Surgical; Duodenum; Female; Gastrectomy; Gastric Bypass; Humans; Jejunum; Laparoscopy; Male; Middle Aged; Obesity, Morbid; Operative Time; Postoperative Complications; Retrospective Studies; Time Factors; Treatment Outcome; Weight Loss | 公開日期: | 2019 | 卷: | 15 | 期: | 2 | 起(迄)頁: | 236-243 | 來源出版物: | Surgery for Obesity and Related Diseases | 摘要: | Background: Single-anastomosis duodeno-jejunal bypass with sleeve gastrectomy (SADJB-SG) was developed as a simplified technique of DJB-SG, but long-term data are lacking. Objective: To report the long-term data of SADJB-SG. Setting: Tertiary Teaching Hospital. Methods: A total of 148 SADJB-SG was performed from 2011 to 2016 with mean age of 42.0 ± 10.9-years old (14–71), female 64.9%, and mean body mass index 34.2 ± 5.9 kg/m 2 . All patients were evaluated and managed under a strict multidisciplinary team approach. A retrospective analysis of a prospective bariatric database and telephone interview of patients who defaulted clinic follow-up at 5-year was conducted. Results: The mean operating time, intraoperative blood loss, and hospital stay of SADJB-SG were 189.6 ± 32.1 minutes, 43.5 ± 17.9 mL, and 5.0 ± 5.1 days, respectively. The 30-days postoperative major complication occurred in 7(4.7%) patients, all in patients with type 2 diabetes (T2D). At postoperative 1, 2, and 5 years, the mean percentage of total weight loss and excess weight loss of SADJB-SG patients were 25.5%, 22.8%, 22.5%, and 83.9%, 76.1%, 58.6%, respectively. Among 118 patients with T2D, 62 (52.5%) achieved complete remission (hemoglobin A1C <60%) at 1 year and 36.5% at 5 years after surgery. A total of 15 patients needed reoperation at follow-up, due to reflux disease (n = 11), weight regain, and recurrent of T2D (n = 2), ileus (n = 1), and peritonitis (n = 1). Among them, 8 were converted to RYGB and the others remained in same anatomy. At 5 years, the overall revision rate was 12.9% (8/62) and 24.5% (14/57) of the remaining required proton pump inhibitor for reflux symptoms. Conclusion: Our results show that primary SADJB-SG is a durable primary bariatric procedure with sustained weight loss and a high resolution of T2D at 5 years, but de novo GERD is the major side effect. ? 2019 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85060102112&doi=10.1016%2fj.soard.2018.11.020&partnerID=40&md5=3625a07449a4513a7b76406a7966fa94 https://scholars.lib.ntu.edu.tw/handle/123456789/572925 |
ISSN: | 15507289 | DOI: | 10.1016/j.soard.2018.11.020 |
顯示於: | 生物科技研究所 |
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