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Is the Primary Obesity Surgery Endolumenal as Effective and Reliable as the Surgical Procedures?

机译：是主要肥胖手术的卵醇和外科手术有效和可靠吗？

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Background: In cases of morbid obesity, treatment is generally applied as either a surgical or endoscopic approach. The number of Primary Obesity Surgery Endolumenal (POSE) procedures is increasing but the reliability and effectiveness is unclear as yet. The aim of this study was to present a series of cases that required revision surgery due to POSE failure and to reveal possible alternative surgeries.Materials and Methods: A retrospective comparison was made of the data of obese patients with POSE failure and conversion to surgical procedures between 2016 and 2018 in respect of operation, medical illness, and body mass index results.Results: The patients comprised 60% females, 40% males with a mean age of 43.4?±?13.2 years and mean follow-up period of 11?±?8.6 months. On average, patients lost 22.8?±?9.2?kg, with an average excess weight loss of 48.6%.Conclusion: No firm conclusions can be drawn from such a small group. Although sleeve gastrectomy seems to be a safe procedure and should be considered as the first technique to be applied following POSE failure, it is possible to perform gastric bypass on patients with this endoscopic precursor.
机译：背景：在病态肥胖的情况下，治疗通常用手术或内窥镜方法施用。初级肥胖手术尾橄榄木（姿势）程序的数量正在增加，但可靠性和有效性尚不清楚。本研究的目的是提出一系列案例，这些病例需要由于姿势故障而要求修订手术，并揭示可能的替代手术。材料和方法是：回顾性比较是对肥胖患者的姿势失败和转化为外科手术的数据在2016年和2018年期间，在操作，医疗疾病和体重指数结果方面。结果：患者组成60％的女性，40％的男性，平均年龄为43.4？±13.2岁，平均随访11？ ±8.6个月。平均而言，患者损失22.8？±9.2？kg，平均减肥损失48.6％。结论：无牢固的结论可以从这样一个小组中抽出。虽然套筒胃切除术似乎是一种安全的程序，并且应该被认为是伴随姿势失败后的第一技术，但是可以对这种内窥镜前兆的患者进行胃旁路。

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