MEASURABLE ONE-ANASTOMOSIS DISTAL GASTRIC BYPASS IN THE REVISIONAL SURGERY AFTER SLEEVE GASTRECTOMY: NEW PROCEDURE AND OUR RESULTS


Coşkun H. , Yardımcı E.

14. Laparoskopik Endoskopik Cerrahi Kongresi, Girne, Kıbrıs (Kktc), 19 - 22 April 2019, no.86, ss.93

  • Basıldığı Şehir: Girne
  • Basıldığı Ülke: Kıbrıs (Kktc)
  • Sayfa Sayısı: ss.93

Özet

BACKGROUND

Weight regain and inadequate co-morbidity reducti on are the most important problems in

the long-term results aft er laparoscopic sleeve gastrectomy(LSG) and in these conditi ons

revisional surgery is considered.Our aim is to show the importance of total small bowel

length and appropriate small bowel loop for determine the lenght of common channel for

the revision of LSG to distal gastric bypass.

METHODS

Data from the pati ents who underwent measurable one-anastomosis distal gastric

bypass(MOADGB) in the revision of LSG from May 2017 to January 2019 was retrospecti vely

analyzed.In the surgical technique; all pati ents’ small bowel lenght is measured from the

ligament of treitz to ileocecal valve and gastroenterostomy anastomosis was performed

1/3 distal part of the total small bowel length.

RESULTS

Seventeen pati ents(female n=10) with a mean age of 41±2.3 years and a mean BMI of

39.1±1.7kg/m2 were included in the study.The indicati ons for revisional surgery were

inadequate weight loss (n=5), weight regain (n=11) and inadequate co-morbidity reducti on

(n=1).The mean total small bowel length was 10±0.3 meter.The mean operati on ti me was

126.2±5.1 minutes.There was no mortality.Only one pati ent had bleeding(5.8%).Leakage was


observed one pati ent(5.8%). The mean excess weight loss% was 54.1±4.8% aft er the follow-

up period (mean 11.2±1.4 months).The mean values of iron,ferriti n,protein,vitaminB12


and vitaminD were 59.7±5.6ug/dl, 106.7±25.1ng/ml, 6.8±0.1g/dl, 592±57.2pg/ml and

24.9±3.1ng/ml, respecti vely.

CONCLUSION

In the distal gastric bypass procedure which performed in the revisional surgery aft er LSG,

determining the common canal length by measuring the total small bowel length might

incerease the effi cacy and decrease the rates of complicati ons such as malnutriti on and

vitamin defi ciencies.