METHODS: Patients with a body mass index (BMI) of ≥35.0 to 50.0 kg/m2 underwent side-to-side DI bipartition with the magnet anastomosis system (MS) with sleeve gastrectomy (SG). By endoscopic positioning, a distal magnet (250 cm proximal to the ileocecal valve) and a proximal magnet (first part of the duodenum) were aligned with laparoscopic assistance to inaugurate MCA. An isotopic study assessed transit through the bipartition.
RESULTS: Between March 14, 2022 to June 1, 2022, 10 patients (BMI of 44.2 ± 1.3 kg/m2) underwent side-to-side MS DI. In 9 of 10 patients, an SG was performed concurrently. The median operative time was 161.0 minutes (IQR, 108.0-236.0), and the median hospital stay was 3 days (IQR, 2-40). Paired magnets were expelled at a median of 43 days (IQR, 21-87). There was no device-related serious advanced event within 1 year. All anastomoses were patent with satisfactory diameters after magnet expulsion and at 1 year. Respective BMI, BMI reduction, and total weight loss were 28.9 ± 1.8 kg/m2, 15.2 ± 1.8 kg/m2, and 34.2% ± 4.1%, respectively. Of note, 70.0% of patients reported that they were very satisfied. The isotopic study found a median of 19.0% of the meal transited through the ileal loop.
CONCLUSIONS: Side-to-side MCA DI bipartition with SG in adults with class II to III obesity was feasible, safe, and efficient with good QoL at 1-year follow-up. Moreover, 19% of ingested food passed directly into the ileum.
方法:身体质量指数(BMI)≥35.0至50.0kg/m2的患者接受了磁铁吻合系统(MS)和袖状胃切除术(SG)的左右DI分配。通过内窥镜定位,在腹腔镜辅助下将远端磁铁(回盲瓣近端250厘米)和近端磁铁(十二指肠的第一部分)对齐,以启动MCA。一项同位素研究评估了通过双分区的过境。
结果:在2022年3月14日至2022年6月1日之间,有10名患者(BMI为44.2±1.3kg/m2)接受了侧向MSDI。在10名患者中,有9名同时进行SG。中位手术时间为161.0分钟(IQR,108.0-236.0),中位住院时间为3天(IQR,2-40).配对磁体在中位数为43天的时间内排出(IQR,21-87).1年内未发生与器械相关的严重晚期事件。在磁铁排出后和1年时,所有吻合均为专利,直径令人满意。各自的BMI,BMI降低,和总重量损失分别为28.9±1.8kg/m2,15.2±1.8kg/m2和34.2%±4.1%,分别。值得注意的是,70.0%的患者表示非常满意。同位素研究发现,通过回肠环转运的餐食的中位数为19.0%。
结论:在II级至III级肥胖的成年人中,与SG并排分配MCADI是可行的,安全,1年随访时QoL良好,效率高。此外,19%的摄入食物直接进入回肠。