Abstract:
One-anastomosis gastric bypass (OAGB) complications include inadequate weight loss, recurrent weight gain (RWG), and gastroesophageal reflux disease (GERD). Conversion to distal Roux-en-Y gastric bypass (D-RYGB) may be an effective conversional approach. A 38-year-old female underwent OAGB with a body mass index (BMI) of 53 kg/m2 and 43% initial total weight loss but had RWG to BMI of 44 kg/m2 over 5 years with refractory GERD symptoms. She underwent D-RYGB conversion, creating a 330 cm biliopancreatic limb, 75 cm Roux limb, and 400 cm total alimentary limb length to decrease the chance of malnutrition. At 2 weeks, GERD symptoms were resolved completely. By 12 months, 42% total weight loss was achieved with normal nutritional parameters. For RWG and refractory GERD after OAGB, conversion to D-RYGB can promote weight loss and GERD symptom control while preventing nutritional deficiencies.
摘要:
一次吻合胃旁路术(OAGB)并发症包括体重减轻不足,经常性体重增加(RWG),胃食管反流病(GERD)。转换为远端Roux-en-Y胃旁路术(D-RYGB)可能是一种有效的转换方法。一名38岁的女性接受了OAGB,体重指数(BMI)为53kg/m2,初始总体重减轻了43%,但在5年内RWG至BMI为44kg/m2,伴有难治性GERD症状。她接受了D-RYGB转换,创建一个330厘米的胆胰肢,75厘米Roux肢体,和400厘米的总消化道长度,以减少营养不良的机会。两周后,GERD症状完全缓解。到12个月,在正常营养参数下实现42%的总体重减轻。对于RWG和OAGB后的耐火GERD,转换为D-RYGB可以促进体重减轻和GERD症状控制,同时防止营养缺乏。