肥胖是一个日益增长的全球健康负担,这对管理特别具有挑战性。减肥手术被认为是持续减肥的最有效手段,Roux-en-Y胃旁路术被认为是治疗病态肥胖最有效的方法。放置不可调节的带以形成带状Roux-en-Y胃旁路术的额外好处已引起人们的兴趣,作为改善体重减轻的措施;但是,比较数据很少,并发症可能很高。
我们对484名年龄在18岁及以上的患者进行了前瞻性病例对照研究,这些患者接受了带不可调节硅橡胶环的带状Roux-en-Y胃旁路术或Roux-en-Y胃旁路术。对患者进行了五年的随访,并评估了体重减轻,过量重量损失百分比(%EWL),BMI,和乐队相关的并发症。
在BRYGB和RYGB之间的%EWL或BMI没有检测到显著差异。平均原始体重减轻,%EWL,BRYGB与RYGB的BMI如下:27.49SD(17.11)kg与34.46SD(18.18)kg,65.7%SD(30%)和62.2%SD(37%),32.33SD(6.9)kg/m2和32.43SD(7.2)kg/m2。共有80例(21.7%)患者因并发症而摘除了不可调节带。
将BRYGB与RYGB进行比较时,体重减轻结果几乎没有差异,并且不可调节带可能会导致明显的并发症。
Obesity is a growing global health burden which is particularly challenging to manage. Bariatric surgery is considered the most effective means of sustained weight loss, and Roux-en-Y gastric bypass is considered the most effective treatment for morbid obesity. The additional benefit of placing a non-adjustable band to form a banded Roux-en-Y gastric bypass has gained interest as a measure to improve weight loss; however, comparative data are few, and complications can be high.
We conducted a prospective
case-control study of 484 patients aged 18 and over who received either banded Roux-en-Y gastric bypass with a non-adjustable silastic ring or Roux-en-Y gastric bypass. Patients were followed up for five years and evaluated for weight loss, percentage excess weight loss (%EWL), BMI, and band-related complications.
No significant difference was detected in %EWL or BMI between BRYGB and RYGB. The mean raw weight loss, %EWL, and BMI for BRYGB verse RYGB were as follows: 27.49 SD (17.11) kg verse 34.46 SD (18.18) kg, 65.7% SD (30%) verse 62.2% SD (37%), and 32.33 SD (6.9) kg/m2 verse 32.43 SD (7.2) kg/m2. A total of 80 (21.7%) patients had the non-adjustable band removed for complications.
There is little difference in weight-loss results when comparing BRYGB to RYGB and non-adjustable bands may cause significant complications.