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首页> 外文期刊>Obesity facts : the European journal of obesity. >Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures
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Roux-en-Y Gastric Bypass as an Effective Bariatric Revisional Surgery after Restrictive Procedures

机译：Roux-en-Y胃旁路作为限制性程序后有效的肥胖症急性手术

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Introduction: Revisional surgery must be considered when insufficient weight loss is attained or weight is subsequently regained. This study aimed to investigate the value of Roux-en-Y gastric bypass (RYGB) as a revisional procedure after restrictive surgery. Materials and Methods: An observational, retrospective study including patients initially operated on for morbid obesity with restrictive techniques (vertical-banded gastroplasty [VBG], adjustable gastric band [AGB], and sleeve gastrectomy) and reoperated with RYGB in our centre between December 1994 and January 2019. Demographic and anthropometric data, associated comorbidities (diabetes mellitus type II, arterial hypertension, dyslipidaemia, and chronic obstructive pulmonary disease) and surgery-related data (approach, complications, and hospital stay) were evaluated at 5 different time points: initial (prior to first intervention), after the first surgical intervention, before the second intervention (gastric bypass), after the gastric bypass, and at present. Results: A total of 63 patients were included. VBG was the most frequent initial procedure ( n = 33). The mean age was 39 ± 9.52 years, and the average initial weight was 143.53 ± 28.6 kg. Weight loss was achieved in all groups, with a median excess weight loss of 58% after the first surgery and 40.3% after gastric bypass. In terms of weight loss, the best results after the second surgery were obtained when the first surgery was AGB, with statistically significant differences. Conclusions: RYGB is effective as a conversion procedure after a previous restrictive surgery, obtaining a significant reduction in weight and BMI. It has an acceptable morbidity rate and is more effective after an AGB.
机译：介绍：当达到不足的体重损失或随后重新获得重量时，必须考虑搬迁手术。本研究旨在探讨Roux-Zh-Y胃旁路（RYGB）作为限制性手术后的重新诉讼的价值。材料和方法：一种观察性，回顾性研究，包括初期对病态肥胖的患者具有限制性技术（垂直带状胃置换术[VBG]，可调节胃带[AGB]和套管胃切除术），并在1994年12月之间与RYGB重新进入2019年1月。在5个不同的时间点评估人口统计和人体计量数据，相关的合并症（糖尿病II型，动脉高压，动脉高压，慢性阻塞性肺病）和手术相关数据（方法，并发症和住院住宿）：初始（在第一次干预之前），在第一次手术干预后，在第二次干预（胃旁路）之前，胃旁路后，目前。结果：共用63名患者。 VBG是最常见的初始过程（n = 33）。平均年龄为39±9.52岁，平均初始重量为143.53±28.6千克。在所有群体中达到体重减轻，在第一次手术后的58％的中位体重减轻58％，胃旁路后40.3％。就体重减轻而言，当第一次手术是AGB时获得第二次手术后的最佳效果，具有统计学上的显着差异。结论：RYGB在先前的限制性手术后作为转化程序有效，获得重量和BMI的显着减少。它具有可接受的发病率，并且在AGB之后更有效。

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