One-anastomosis gastric bypass (OAGB) with fixed bypass of the proximal two meters versus tailored bypass of the proximal one-third of small bowel: short-term outcomes
Background One-anastomosis gastric bypass (OAGB) is an effective bariatric procedure that confers satisfactory weight loss and improvement in comorbidities. The present study aimed to compare OAGB with fixed bypass of the proximal 200 cm of small bowel and tailored bypass of the proximal 1/3 of bowe...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2022, Vol.36 (1), p.328-335 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 335 |
|---|---|
| container_issue | 1 |
| container_start_page | 328 |
| container_title | Surgical endoscopy |
| container_volume | 36 |
| creator | Abdallah, Emad Emile, Sameh Hany Zakaria, Mahmoud Fikry, Mohamed Elghandour, Mohamed AbdelMawla, Ahmed Rady, Omar Abdelnaby, Mahmoud |
| description | Background
One-anastomosis gastric bypass (OAGB) is an effective bariatric procedure that confers satisfactory weight loss and improvement in comorbidities. The present study aimed to compare OAGB with fixed bypass of the proximal 200 cm of small bowel and tailored bypass of the proximal 1/3 of bowel.
Methods
Patients with class II/III obesity underwent OAGB with either fixed bypass of the proximal two meters or tailored bypass of the proximal 1/3 of bowel. The main outcomes of the study were weight loss, improvement in comorbidities, complications, and changes in nutritional parameters after each technique.
Results
The present study included 80 patients (62 female) of a mean age of 41 years and mean body mass index (BMI) of 50.9 kg/m
2
. The tailored bypass group was followed by a significantly lower BMI and significantly higher excess weight loss and total weight loss at 6 and 12 months postoperatively. There was no significant difference between the two groups in terms of improvement in comorbidities. The fixed bypass group was associated with a significantly higher complication rate than the tailored bypass group (22.5 vs. 5%,
P
= 0.04). Both groups were associated with similar changes in the nutritional parameters at 12 months postoperatively, except for the higher serum albumin levels after the tailored bypass than the fixed bypass.
Conclusions
OAGB with tailored bypass of the proximal one-third of bowel was associated with greater weight loss and comparable improvement in comorbidities as compared to fixed bypass of the proximal two meters of intestine. |
| doi_str_mv | 10.1007/s00464-020-08284-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2480400998</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2617591954</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-767dfdd6920f0e99643df8275616254a39b828339c9d5c789add97bad6ca0d583</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhi0EokvhBTggS1zKwTCxHTvmViooSJX2AmfLiZ1uqiRePE63-0S8Jl62BQkJLrbl_5t_xv4JeVnB2wpAv0MAqSQDDgwa3ki2f0RWlRSccV41j8kKjADGtZEn5BniDRTeVPVTciKE1KYRakV-rOfA3OwwxynigPS6HNPQ0Xa_dYj0bH1--eEN3Q15Q_vhLvgHIfY0bwLdpng3TG6keRfpFHJISG_LsiDNbhhj-ndFLJ3zZkj-oGC5GWkbd2F8T3ETU2bFa6JxyV2cAj4nT3o3Ynhxv5-Sb58-fr34zK7Wl18uzq9YJ3SdmVba994rw6GHYIySwvcN17WqFK-lE6YtPyWE6YyvO90Y573RrfOqc-DrRpySs6NvGfP7EjDbacAujKObQ1zQctmABDDmgL7-C72JS5rLdJarStemMrUsFD9SXYqIKfR2m8rz095WYA8x2mOMtsRof8Vo96Xo1b310k7B_y55yK0A4ghgkebrkP70_o_tT914qyU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2617591954</pqid></control><display><type>article</type><title>One-anastomosis gastric bypass (OAGB) with fixed bypass of the proximal two meters versus tailored bypass of the proximal one-third of small bowel: short-term outcomes</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Abdallah, Emad ; Emile, Sameh Hany ; Zakaria, Mahmoud ; Fikry, Mohamed ; Elghandour, Mohamed ; AbdelMawla, Ahmed ; Rady, Omar ; Abdelnaby, Mahmoud</creator><creatorcontrib>Abdallah, Emad ; Emile, Sameh Hany ; Zakaria, Mahmoud ; Fikry, Mohamed ; Elghandour, Mohamed ; AbdelMawla, Ahmed ; Rady, Omar ; Abdelnaby, Mahmoud</creatorcontrib><description>Background
One-anastomosis gastric bypass (OAGB) is an effective bariatric procedure that confers satisfactory weight loss and improvement in comorbidities. The present study aimed to compare OAGB with fixed bypass of the proximal 200 cm of small bowel and tailored bypass of the proximal 1/3 of bowel.
Methods
Patients with class II/III obesity underwent OAGB with either fixed bypass of the proximal two meters or tailored bypass of the proximal 1/3 of bowel. The main outcomes of the study were weight loss, improvement in comorbidities, complications, and changes in nutritional parameters after each technique.
Results
The present study included 80 patients (62 female) of a mean age of 41 years and mean body mass index (BMI) of 50.9 kg/m
2
. The tailored bypass group was followed by a significantly lower BMI and significantly higher excess weight loss and total weight loss at 6 and 12 months postoperatively. There was no significant difference between the two groups in terms of improvement in comorbidities. The fixed bypass group was associated with a significantly higher complication rate than the tailored bypass group (22.5 vs. 5%,
P
= 0.04). Both groups were associated with similar changes in the nutritional parameters at 12 months postoperatively, except for the higher serum albumin levels after the tailored bypass than the fixed bypass.
Conclusions
OAGB with tailored bypass of the proximal one-third of bowel was associated with greater weight loss and comparable improvement in comorbidities as compared to fixed bypass of the proximal two meters of intestine.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-020-08284-y</identifier><identifier>PMID: 33479836</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Adult ; Body mass index ; Endoscopy ; Esophagus ; Female ; Gastric Bypass - methods ; Gastroenterology ; Gastrointestinal surgery ; Gynecology ; Hepatology ; Hospitals ; Humans ; Intestine, Small - surgery ; Laparoscopy ; Medicine ; Medicine & Public Health ; Obesity ; Obesity, Morbid - surgery ; Patients ; Proctology ; Retrospective Studies ; Small intestine ; Stomach ; Surgery ; Weight control ; Weight Loss</subject><ispartof>Surgical endoscopy, 2022, Vol.36 (1), p.328-335</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021. corrected publication 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021. corrected publication 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-767dfdd6920f0e99643df8275616254a39b828339c9d5c789add97bad6ca0d583</citedby><cites>FETCH-LOGICAL-c375t-767dfdd6920f0e99643df8275616254a39b828339c9d5c789add97bad6ca0d583</cites><orcidid>0000-0001-7854-5244</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-020-08284-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-020-08284-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33479836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abdallah, Emad</creatorcontrib><creatorcontrib>Emile, Sameh Hany</creatorcontrib><creatorcontrib>Zakaria, Mahmoud</creatorcontrib><creatorcontrib>Fikry, Mohamed</creatorcontrib><creatorcontrib>Elghandour, Mohamed</creatorcontrib><creatorcontrib>AbdelMawla, Ahmed</creatorcontrib><creatorcontrib>Rady, Omar</creatorcontrib><creatorcontrib>Abdelnaby, Mahmoud</creatorcontrib><title>One-anastomosis gastric bypass (OAGB) with fixed bypass of the proximal two meters versus tailored bypass of the proximal one-third of small bowel: short-term outcomes</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
One-anastomosis gastric bypass (OAGB) is an effective bariatric procedure that confers satisfactory weight loss and improvement in comorbidities. The present study aimed to compare OAGB with fixed bypass of the proximal 200 cm of small bowel and tailored bypass of the proximal 1/3 of bowel.
Methods
Patients with class II/III obesity underwent OAGB with either fixed bypass of the proximal two meters or tailored bypass of the proximal 1/3 of bowel. The main outcomes of the study were weight loss, improvement in comorbidities, complications, and changes in nutritional parameters after each technique.
Results
The present study included 80 patients (62 female) of a mean age of 41 years and mean body mass index (BMI) of 50.9 kg/m
2
. The tailored bypass group was followed by a significantly lower BMI and significantly higher excess weight loss and total weight loss at 6 and 12 months postoperatively. There was no significant difference between the two groups in terms of improvement in comorbidities. The fixed bypass group was associated with a significantly higher complication rate than the tailored bypass group (22.5 vs. 5%,
P
= 0.04). Both groups were associated with similar changes in the nutritional parameters at 12 months postoperatively, except for the higher serum albumin levels after the tailored bypass than the fixed bypass.
Conclusions
OAGB with tailored bypass of the proximal one-third of bowel was associated with greater weight loss and comparable improvement in comorbidities as compared to fixed bypass of the proximal two meters of intestine.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Body mass index</subject><subject>Endoscopy</subject><subject>Esophagus</subject><subject>Female</subject><subject>Gastric Bypass - methods</subject><subject>Gastroenterology</subject><subject>Gastrointestinal surgery</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intestine, Small - surgery</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Patients</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Small intestine</subject><subject>Stomach</subject><subject>Surgery</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kcFu1DAQhi0EokvhBTggS1zKwTCxHTvmViooSJX2AmfLiZ1uqiRePE63-0S8Jl62BQkJLrbl_5t_xv4JeVnB2wpAv0MAqSQDDgwa3ki2f0RWlRSccV41j8kKjADGtZEn5BniDRTeVPVTciKE1KYRakV-rOfA3OwwxynigPS6HNPQ0Xa_dYj0bH1--eEN3Q15Q_vhLvgHIfY0bwLdpng3TG6keRfpFHJISG_LsiDNbhhj-ndFLJ3zZkj-oGC5GWkbd2F8T3ETU2bFa6JxyV2cAj4nT3o3Ynhxv5-Sb58-fr34zK7Wl18uzq9YJ3SdmVba994rw6GHYIySwvcN17WqFK-lE6YtPyWE6YyvO90Y573RrfOqc-DrRpySs6NvGfP7EjDbacAujKObQ1zQctmABDDmgL7-C72JS5rLdJarStemMrUsFD9SXYqIKfR2m8rz095WYA8x2mOMtsRof8Vo96Xo1b310k7B_y55yK0A4ghgkebrkP70_o_tT914qyU</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Abdallah, Emad</creator><creator>Emile, Sameh Hany</creator><creator>Zakaria, Mahmoud</creator><creator>Fikry, Mohamed</creator><creator>Elghandour, Mohamed</creator><creator>AbdelMawla, Ahmed</creator><creator>Rady, Omar</creator><creator>Abdelnaby, Mahmoud</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7854-5244</orcidid></search><sort><creationdate>2022</creationdate><title>One-anastomosis gastric bypass (OAGB) with fixed bypass of the proximal two meters versus tailored bypass of the proximal one-third of small bowel: short-term outcomes</title><author>Abdallah, Emad ; Emile, Sameh Hany ; Zakaria, Mahmoud ; Fikry, Mohamed ; Elghandour, Mohamed ; AbdelMawla, Ahmed ; Rady, Omar ; Abdelnaby, Mahmoud</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-767dfdd6920f0e99643df8275616254a39b828339c9d5c789add97bad6ca0d583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Body mass index</topic><topic>Endoscopy</topic><topic>Esophagus</topic><topic>Female</topic><topic>Gastric Bypass - methods</topic><topic>Gastroenterology</topic><topic>Gastrointestinal surgery</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intestine, Small - surgery</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Patients</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Small intestine</topic><topic>Stomach</topic><topic>Surgery</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdallah, Emad</creatorcontrib><creatorcontrib>Emile, Sameh Hany</creatorcontrib><creatorcontrib>Zakaria, Mahmoud</creatorcontrib><creatorcontrib>Fikry, Mohamed</creatorcontrib><creatorcontrib>Elghandour, Mohamed</creatorcontrib><creatorcontrib>AbdelMawla, Ahmed</creatorcontrib><creatorcontrib>Rady, Omar</creatorcontrib><creatorcontrib>Abdelnaby, Mahmoud</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdallah, Emad</au><au>Emile, Sameh Hany</au><au>Zakaria, Mahmoud</au><au>Fikry, Mohamed</au><au>Elghandour, Mohamed</au><au>AbdelMawla, Ahmed</au><au>Rady, Omar</au><au>Abdelnaby, Mahmoud</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One-anastomosis gastric bypass (OAGB) with fixed bypass of the proximal two meters versus tailored bypass of the proximal one-third of small bowel: short-term outcomes</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2022</date><risdate>2022</risdate><volume>36</volume><issue>1</issue><spage>328</spage><epage>335</epage><pages>328-335</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
One-anastomosis gastric bypass (OAGB) is an effective bariatric procedure that confers satisfactory weight loss and improvement in comorbidities. The present study aimed to compare OAGB with fixed bypass of the proximal 200 cm of small bowel and tailored bypass of the proximal 1/3 of bowel.
Methods
Patients with class II/III obesity underwent OAGB with either fixed bypass of the proximal two meters or tailored bypass of the proximal 1/3 of bowel. The main outcomes of the study were weight loss, improvement in comorbidities, complications, and changes in nutritional parameters after each technique.
Results
The present study included 80 patients (62 female) of a mean age of 41 years and mean body mass index (BMI) of 50.9 kg/m
2
. The tailored bypass group was followed by a significantly lower BMI and significantly higher excess weight loss and total weight loss at 6 and 12 months postoperatively. There was no significant difference between the two groups in terms of improvement in comorbidities. The fixed bypass group was associated with a significantly higher complication rate than the tailored bypass group (22.5 vs. 5%,
P
= 0.04). Both groups were associated with similar changes in the nutritional parameters at 12 months postoperatively, except for the higher serum albumin levels after the tailored bypass than the fixed bypass.
Conclusions
OAGB with tailored bypass of the proximal one-third of bowel was associated with greater weight loss and comparable improvement in comorbidities as compared to fixed bypass of the proximal two meters of intestine.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33479836</pmid><doi>10.1007/s00464-020-08284-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7854-5244</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2022, Vol.36 (1), p.328-335 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2480400998 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Adult Body mass index Endoscopy Esophagus Female Gastric Bypass - methods Gastroenterology Gastrointestinal surgery Gynecology Hepatology Hospitals Humans Intestine, Small - surgery Laparoscopy Medicine Medicine & Public Health Obesity Obesity, Morbid - surgery Patients Proctology Retrospective Studies Small intestine Stomach Surgery Weight control Weight Loss |
| title | One-anastomosis gastric bypass (OAGB) with fixed bypass of the proximal two meters versus tailored bypass of the proximal one-third of small bowel: short-term outcomes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T18%3A34%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=One-anastomosis%20gastric%20bypass%20(OAGB)%20with%20fixed%20bypass%20of%20the%20proximal%20two%20meters%20versus%20tailored%20bypass%20of%20the%20proximal%20one-third%20of%20small%20bowel:%20short-term%20outcomes&rft.jtitle=Surgical%20endoscopy&rft.au=Abdallah,%20Emad&rft.date=2022&rft.volume=36&rft.issue=1&rft.spage=328&rft.epage=335&rft.pages=328-335&rft.issn=0930-2794&rft.eissn=1432-2218&rft_id=info:doi/10.1007/s00464-020-08284-y&rft_dat=%3Cproquest_cross%3E2617591954%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2617591954&rft_id=info:pmid/33479836&rfr_iscdi=true |