COMPARISON OF THE RESULTS OF LAPAROSCOPIC MINI-GASTRIC BYPASS WITH VARIOUS THE GASTRIC POUCH SIZE: RANDOMIZED CLINICAL TRIAL
https://doi.org/10.17238/issn2072-3180.2020.3.79-86
Abstract
The aim of this study was to compare the results of mini-gastric bypass surgery with different lengths and widths of the gastric pouch.
Methods. The author conducted a prospective clinical study with a random distribution of patients into comparison groups. The study included 500 patients who underwent laparoscopic mini-gastric bypass surgery — one anastomosis gastric bypass (MGB—OAGB). The first group included 248 patients, where the standard Carbajo MGB—OAGB technique with a long and wide gastric pouch was used. And in the second group there were 252 patients, where a shortened and narrower small stomach was created.
Results. The second group showed a more pronounced bariatric effect compared to the first group. After surgery, the change in body mass index in the second group was 16.1±5.7 kg / m2 compared to 12.4±3.08 kg / m2 in the first group (p <0.01). There were no complications after MGB—OAGB in the form of biliary entero-gastric reflux. There were also fewer cases of peptic ulcers of gastroenteroanastomosis. The average number of stapler cassettes per operation in the second group was less: 5.4±0.4 reloads versus 7.2±0.9 reloads in the first group (p <0.05).
Conclusions. Implementation of a narrower and shorter along the length of the gastric pouch with MGB—OAGB leads to an increase in the bariatric effect, while the likelihood of developing marginal ulcers of gastroenteroanastomosis and biliary reflux decreases. And also the need for reloads for the stapler is reduced.
About the Author
O. B. Ospanov
Department of Surgical Diseases and Bariatric Surgery, Medical University «Astana»;
University Medical Center «University Medical Center»
Kazakhstan
Kazakhstan
Ospanov Oral Bazarbaevich, prof., MD, chief researcher of the research project AP05135241 of the «University Medical Center»;
Professor of the Department of Surgical Diseases and Bariatric Surgery, «Astana» Medical University
NurSultan, 010000. 49a Beibitshilik street
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Review
For citations:
Ospanov O.B. COMPARISON OF THE RESULTS OF LAPAROSCOPIC MINI-GASTRIC BYPASS WITH VARIOUS THE GASTRIC POUCH SIZE: RANDOMIZED CLINICAL TRIAL. Moscow Surgical Journal. 2020;(3):79-86. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.3.79-86
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