A 6-Year Experience with 1,054 Mini-Gastric Bypasses-First Study from Indian Subcontinent
A 6-Year Experience with 1,054 Mini-Gastric Bypasses-First Study from Indian Subcontinent
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DOI：
10.1007/s11695-014-1220-3
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发表时间：
2014-09-01
期刊：
影响因子：
2.9
通讯作者：
Rutledge, R.
中科院分区：
文献类型：
--
作者：
Kular, K. S.;Manchanda, N.;Rutledge, R.
我们于2007年2月在印度首次开展了微型胃分流术，以其安全性、有效性和可逆性为标准。我们对2007年2月至2013年1月在我所接受微型胃分流术的1,054例患者(男342例，女712例)的前瞻性资料进行了回顾分析。平均年龄38.4岁，术前平均体重128.5 kg，平均体重43.2 kg/m(2)，平均手术时间52±18.5min，平均住院2.5±1.3d。早期轻微并发症49例(4.6%)，严重并发症14例(1.3%)，漏2例(0.2%)。在晚期并发症中，一名患者出现低白蛋白，一名患者体重减轻过多；MGB在两种情况下都很容易逆转(0.2%)。在对症状性消化不良的随访中，5名患者(0.6%)出现边缘溃疡，68名患者(7.6%)以贫血为最常见的晚期并发症。患者满意度很高，在1到6岁时，平均超重减重分别为84%、91%、88%、86%、87%和85%。这项研究证实了以前的文献显示MGB相当安全，住院时间短，并发症风险低。它的结果是有效和持续的体重减轻，高分辨率的并发症和并发症，易于管理。
We started laparoscopic mini-gastric bypass (MGB) for the first time in India in February 2007 for its reported safety, efficacy, and easy reversibility.A retrospective review of prospectively maintained data of all 1,054 consecutive patients (342 men and 712 women) who underwent MGB at our institute from February 2007 to January 2013 was done.Mean age was 38.4 years, preoperative mean weight was 128.5 kg, mean BMI was 43.2 kg/m(2), mean operating time was 52 +/- 18.5 min, and mean hospital stay was 2.5 +/- 1.3 days. There were 49 (4.6 %) early minor complications, 14 (1.3 %) major complications, and 2 leaks (0.2 %). In late complications, one patient had low albumin and one had excess weight loss; MGB was easily reversed in both (0.2 %). Marginal ulcers were noted in five patients (0.6 %) during follow-up for symptomatic dyspepsia, and anemia was the most frequent late complication occurring in 68 patients (7.6 %). Patient satisfaction was high, and mean excess weight loss was 84, 91, 88, 86, 87, and 85 % at years 1 to 6, respectively.This study confirms previous publications showing that MGB is quite safe, with a short hospital stay and low risk of complications. It results in effective and sustained weight loss with high resolution of comorbidities and complications that are easily managed.