Abstract：
BACKGROUND:There is no consensus on the ideal gastrojejunostomy anastomosis (GJA) technique in laparoscopic Roux-en-Y gastric bypass (LRYGB). We reviewed our experience with three GJA techniques (hand-sewn (HSA), linear-stapled (LSA), and 25-mm circular-stapled (CSA)) to determine which anastomosis technique is associated with the lowest early (60-day) anastomotic complication rates. METHODS:From November 2004 through December 2009, 882 consecutive patients underwent LRYGB using three GJA techniques: HSA, LSA, and CSA. All patients had a minimum of 2 months follow-up. Records were reviewed for postoperative gastrojejunostomy leak, stricture, and marginal ulcer, and these early complications were classified according to anastomosis technique. Multivariate analysis was performed to determine associations between complications and anastomosis technique. RESULTS:Preoperative demographics, length of hospital stay, and postoperative follow-up did not differ between the three groups. The majority of patients underwent LSA (n = 514, 61.6%) followed by HSA (n = 180, 21.6%) and CSA (n = 140, 16.8%). Using multivariate analysis, there were no statistically significant differences in the rates of leak (LSA 1.0%, HSA 1.1%, CSA 0.0%, p = 0.480), stricture (LSA 6.0%, HSA 6.1%, CSA 4.3%, p = 0.657), or marginal ulcer (LSA 8.0%, HSA 7.7%, CSA 3.6%, p = 0.180). CONCLUSIONS:The three techniques can be used safely with a low complication rate. Our data do not identify a superior anastomosis technique.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Bendewald FP,Choi JN,Blythe LS,Selzer DJ,Ditslear JH,Mattar SGdoi
10.1007/s11695-011-0470-6subject
Has Abstractpub_date
2011-11-01 00:00:00pages
1671-5issue
11eissn
0960-8923issn
1708-0428journal_volume
21pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract：:The placement of a gastric band (GB) prior to a sleeve gastrectomy (LSG) would increase postoperative complications, whether it is withdrawn or not at the time of the LSG. The purpose of this retrospective study was to evaluate and compare postoperative morbidity and outcome weight for simultaneous GB removal (RGB) an...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0689-x
更新日期：2012-09-01 00:00:00
abstract：:Demand for feasible, safe, and preferably low-cost methods of weight reduction is rising every day. The present study reports findings from laparoscopic gastric plication (LGP), which is a new restrictive bariatric technique, combined with a postoperative follow-up program. A 2-year prospective study was performed fol...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0777-y
更新日期：2013-01-01 00:00:00
abstract：:Ulcer disease in excluded segments after Roux-Y gastric bypass (RYGB) is rare but can evolve into a life-threatening situation. The excluded segments exhibit a different behavior from that of non-altered anatomy; perforated ulcers do not result in pneumoperitoneum or free fluid, and therefore must be met with a low th...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-020-05123-w
更新日期：2020-11-24 00:00:00
abstract：BACKGROUND:Suggested risk factors for postoperative thrombosis such as high fatty acid levels, hypercholesterolemia and diabetes are common in obese patients. METHODS:In a retrospective study, the case records of 328 patients operated for obesity by gastric procedure from September 1977 until December 1993 were analyz...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089297765555575
更新日期：1997-08-01 00:00:00
abstract：BACKGROUND:Vagal nerve stimulation (VNS) has recently been indicated as a novel method for treating obesity. However, the optimal stimulation parameters were unknown and mechanisms were poorly understood. The aim of this study was to investigate the effects of VNS on food intake and body weight in diet-induced obesity ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04365-7
更新日期：2020-03-01 00:00:00
abstract：:The sleeve gastrectomy (SG) is the most popular weight loss procedure in the USA. Despite its popularity, little is definitively known about the variables that correlate with weight loss. We performed a literature search to find studies that reported variables that correlated with weight loss following SG. Forty-eight...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-018-03666-7
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:The effectiveness of post-surgical weight loss in improving body image disturbance (BID) in morbidly obese patients is still unclear. Providing multidimensional measures of BID and controlling for the effect of co-morbid eating psychopathology may help to clarify this issue. This preliminary study explores w...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-007-9145-8
更新日期：2007-06-01 00:00:00
abstract：BACKGROUND:Over 10 years, 88 patients underwent biliopancreatic diversion with transitory gastric restriction (BPD-TGR) as a first choice operation or after gastric restrictive procedures. METHODS:From 1992 to 1999, BPD-TGR was performed on 71 patients as a first choice operation (Group 1 - BMI 41.9 +/- 6.5). The TGR ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/0960892041590836
更新日期：2004-06-01 00:00:00
abstract：:Some centers consider an age over 50 to be a contraindication for obesity surgery. This study was conducted to examine the relationship between age and one-year postoperative weight of patients receiving gastric restrictive surgery (n = 616) for morbid obesity. Patients were divided into four age groups (18-29, 30-39,...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089291765561457
更新日期：1991-03-01 00:00:00
abstract：:Gastric bypass with jejunal interposition is a version of the distal Roux-en-Y. Ninety cm of the jejunum is interposed between the gastric stoma and the ileum. This new procedure initially was used in super-obese patients mainly to facilitate the gastric anastomosis. ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089293765559584
更新日期：1993-05-01 00:00:00
abstract：BACKGROUND:Fatty acids (FAs) and adipokines such as adiponectin or interleukin-6 (IL-6) are known to modulate inflammation and the development of metabolic syndrome. Whether FA composition assessed in plasma triacylglycerols (TAGs), phospholipids (PLs) and non-esterified fatty acids (NEFAs) and adipose tissue (AT) PLs ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0633-0
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:Understanding of the effects of adjustments to laparoscopic adjustable gastric band (LAGB) volume is limited. Changes in intraluminal pressure may be important and explain patients reporting a tighter LAGB after saline is removed and an identical volume replaced. METHODS:Using high-resolution manometry, cha...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-009-9950-3
更新日期：2009-11-01 00:00:00
abstract：:This review examines the energetics and metabolic parameters which influence the effectiveness of gastric restrictive surgery in achieving weight loss in the clinically severely obese patient. Among the subjects discussed are the metabolic determinants and consequences of obesity, energy expenditure and its components...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089294765558700
更新日期：1994-05-01 00:00:00
abstract：:Preoperative interventions aimed at patients referred for bariatric surgery continue to divide funders, commissioners, and practitioners alike. A number of preoperative interventions and variables have been used to influence patient selection. Many of these are believed to lead to better postoperative outcomes by help...
journal_title：Obesity surgery
pub_type： 杂志文章,评审
doi：10.1007/s11695-015-1738-z
更新日期：2015-08-01 00:00:00
abstract：:Bariatric and metabolic surgery (BMS), the only effective option for patients with obesity with or without comorbidities, has been stopped temporarily due to the ongoing novel corona virus disease (COVID-19) pandemic. However, there has been a recent change in the governmental strategy of dealing with this virus from ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04940-3
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Sleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide. However, without a standardised surgical technique, heterogeneous outcomes and complications such as gastro-oesophageal reflux disease (GERD) have been reported. The aim of this study was to identify reproducible anatomical c...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-05156-1
更新日期：2021-01-26 00:00:00
abstract：BACKGROUND:Severely obese type 2 diabetics who undergo Roux-en Y gastric bypass surgery have significant improvements in glycaemic control. Little work has been undertaken to establish the independent predictors of such resolution or to develop a predictive model. The aim of this study was to develop a mathematical mod...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-011-0370-9
更新日期：2011-07-01 00:00:00
abstract：BACKGROUND:Among the treatment options offered to patients with severe obesity are surgery and psychotherapy plus dieting. The treatment choice may reflect differences in the psychology of these patients. The objective was to assess the psychopathological differences between patients with obesity who choose surgery and...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089206779319509
更新日期：2006-12-01 00:00:00
abstract：:Many centers advocate close patient follow-up and a multidisciplinary approach as necessary ingredients for the success of a bariatric surgery program. The military medical environment is not suitable for these conditions. Many patients are referred from great distances to the large regional medical centers, thereby p...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089294765558449
更新日期：1994-08-01 00:00:00
abstract：BACKGROUND:Clinical trials in the field of bariatrics, and specifically laparoscopic adjustable gastric banding (LAGB), have frequently been gender imbalanced, with males representing only 20% of examinees. Long-term gender-oriented results, and specifically quality of life (QOL) parameters, have not been addressed suf...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2916-y
更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:Laparoscopic adjustable gastric banding is a safe and effective treatment method for morbid obesity. Injection port dislocation, tube perforation and access port infection are generally classified among the minor complications, although they can require a reoperation at the port-site or even at the level of ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089202762552791
更新日期：2002-04-01 00:00:00
abstract：:Obesity is an enduring chronic disease, with multifactorial etiology. Many procedures and solutions have been proposed in the last 25 years. If patients do not meet the criteria for bariatric surgery, intragastric balloons may be used to achieve weight reduction. Contraindications to balloon therapy are a large hiatal...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/096089206776944887
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:Early or late pouch dilatations account for a moderate complication rate after restrictive bariatric operations. Various strategies were developed to prevent or treat pouch dilatations. METHODS:A case of necrosis of gastric wall in a concentric dilated pouch following laparoscopic adjustable gastric banding...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1381/09608920160558768
更新日期：2001-12-01 00:00:00
abstract：PURPOSE:Growing evidence in the literature suggests that obesity is capable of altering reproductive hormone levels and male fertility. Effects on classic semen parameters and sperm DNA fragmentation (SDF), however, have not been properly established. Additionally, the impact of bariatric surgery (BS) on those paramete...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-020-04851-3
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Obesity has become a global epidemic. Surgical treatment of obesity and metabolic disorders in China is increasing rapidly, but it is still a new discipline even to health professionals. As an important member of the multidisciplinary team, the knowledge and attitudes of nurses provide crucial health care to...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-019-04173-z
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:Bariatric surgery has become an increasingly popular method for weight loss and mitigation of co-morbidities in the obese population. Like any field, there is a desire to standardize and accelerate the postoperative period while maintaining safe outcomes. METHODS:All laparoscopic sleeve gastrectomies (LSG) ...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-017-2873-5
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:The treatment of pain in obese patients is always a challenge. These patients have low pain thresholds, and the use of opioids can be especially harmful. Intraoperative nervous fiber section and the high temperatures of electrical scalpels probably contribute to the generation of postoperative neuropathic pa...
journal_title：Obesity surgery
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11695-009-9944-1
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are performed in patients with obesity and type 2 diabetes mellitus (T2DM). The aim of this study is to evaluate retrospectively the clinical efficacy of RYGB and SG in two groups of obese T2DM patients. METHODS:From the hospital database, we extra...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-012-0657-5
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:Medium and long-term efficacy of Roux-en-Y gastric bypass (RYGBP) has previously been demonstrated. However, weight-loss success criteria could be influenced by super-obesity prevalence at baseline. Here, we describe a 5-year follow-up concerning weight loss results, comorbidities, and mortality of a RYGBP B...
journal_title：Obesity surgery
pub_type： 杂志文章
doi：10.1007/s11695-008-9669-6
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:The aim of this study was to determine whether the anatomicofunctional changes induced by vertical gastroplasty lead to pH alterations in the esophagus and body and antrum of the stomach. MATERIALS AND METHODS:23 non-smoking volunteers (3 men, 20 women) mean age 35.29 +/- SD 6.85 years, mean weight 163.17 +...
journal_title：Obesity surgery
pub_type： 临床试验,杂志文章
doi：10.1381/096089204322857690
更新日期：2004-02-01 00:00:00
