BACKGROUND: The Roux-en-Y Gastric Bypass on Vertical Banded Gastroplasty (RYGB-on-VBG) technique differs from traditional Gastric Bypass by leaving a small communication between gastric pouch and gastric remnant. The operation demonstred good results in the short-term, allowing the traditional endoscopy of the bypassed stomach. Aim of our study is to verify the outcomes in the long-term. METHODS: Between June 2002 and June 2009, 285 patients, with mean age 42.2 ± 11.9 years, mean BMI 48.0 ± 8.5 kg/m2 and mean EBW% xx underwent RYGB-on-VBG via an open approach. 38.2% of the patients were superobese. Preoperative comorbidities were hypertension (p. 143, 50.1%), OSAS (p. 71, 24.9%) and type II DM (p. 58, 20.3%). RESULTS: At 2 year of follow-up mean BMI and EWL% were 31.0±5.3 and 68.2±16.9 respectively. At 7 year of follow-up, where at the baseline 64% of the patients were superobese, the mean BMI and EWL% were 34.5±7.5 and 61.4±19.8 respectively. The average percentages of comorbidities resolution were: OSAS 90.1%; type II DM 83.5%; hypertension 47.5%; hyperlipidemia 30%. Early surgical complications were 4 (1.4%) and late were 5 (1.7%). CONCLUSIONS: Even in the long-term, the RYGB-on-VBG outcomes in term of weight loss, resolution of comorbidities and surgical complications are comparable to those after standard RYGB as reported in literature. In the follow-up, the RYGB-on-VBG also enables traditional diagnostic evaluation of the gastric remnant, which is only functionally excluded.

AN OUTLET FOR ENDOSCOPIC ACCESS TO THE REMNANT DOES NOT REDUCE THE EFFECTIVENESS OF GASTRIC BYPASS: LONG-TERM OUTCOMES OF ROUX-EN-Y GASTRIC BYPASS ON VERTICAL BANDED GASTROPLASTY (RYGB-ON-VBG).

CARIANI, STEFANO;AGOSTINELLI, LAURA;LEURATTI, LUCA;GIORGINI, ELEONORA
2010

Abstract

BACKGROUND: The Roux-en-Y Gastric Bypass on Vertical Banded Gastroplasty (RYGB-on-VBG) technique differs from traditional Gastric Bypass by leaving a small communication between gastric pouch and gastric remnant. The operation demonstred good results in the short-term, allowing the traditional endoscopy of the bypassed stomach. Aim of our study is to verify the outcomes in the long-term. METHODS: Between June 2002 and June 2009, 285 patients, with mean age 42.2 ± 11.9 years, mean BMI 48.0 ± 8.5 kg/m2 and mean EBW% xx underwent RYGB-on-VBG via an open approach. 38.2% of the patients were superobese. Preoperative comorbidities were hypertension (p. 143, 50.1%), OSAS (p. 71, 24.9%) and type II DM (p. 58, 20.3%). RESULTS: At 2 year of follow-up mean BMI and EWL% were 31.0±5.3 and 68.2±16.9 respectively. At 7 year of follow-up, where at the baseline 64% of the patients were superobese, the mean BMI and EWL% were 34.5±7.5 and 61.4±19.8 respectively. The average percentages of comorbidities resolution were: OSAS 90.1%; type II DM 83.5%; hypertension 47.5%; hyperlipidemia 30%. Early surgical complications were 4 (1.4%) and late were 5 (1.7%). CONCLUSIONS: Even in the long-term, the RYGB-on-VBG outcomes in term of weight loss, resolution of comorbidities and surgical complications are comparable to those after standard RYGB as reported in literature. In the follow-up, the RYGB-on-VBG also enables traditional diagnostic evaluation of the gastric remnant, which is only functionally excluded.
2010
Cariani S; Agostinelli L; Leuratti L; Giorgini E
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/147641
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