Roux-en-Y divided gastric bypass results in the same weight loss as duodenal switch for morbid obesity

被引:28
作者
Deveney, CW [1 ]
MacCabee, D [1 ]
Marlink, K [1 ]
Welker, K [1 ]
Davis, J [1 ]
McConnell, DB [1 ]
机构
[1] Oregon Hlth & Sci Univ, Portland, OR 97239 USA
关键词
duodenal switch; morbid obesity; Roux-en-Y gastric bypass; weight loss;
D O I
10.1016/j.amjsurg.2004.01.001
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: The 2 weight loss procedures most commonly performed in the United States are Roux-en-Y gastric bypass (RYGBP) and lateral gastrectomy with duodenal switch (BPD/DS). RYGB is a restrictive procedure, whereas BPD/DS relies on mild restriction of intake as well as malabsorption. Many physicians believe that weight loss is greater after BPD/DS than after RYGBP. However, these procedures have not been compared using groups of patients operated on by the same surgeons at the same institution. Methods: We compared weight loss (expressed as percent of excess body weight [%EBW]) after I and 2 years in patients who underwent open RYGB or BPD/DS at our institution. Results: Average length of stay was longer in BPD/DS patients than in those undergoing RYGBP (8.7 vs. 5.9 days, P <0.05). Anastomotic leaks were higher after BPD/DS (6% vs. 3%), but the difference did not achieve statistical significance. Mortality did not differ between the 2,groups (0.8% vs. 0.9%). In the group of patients followed-up for I to 2 years, age and distribution of men and women did not differ. Those patients undergoing BPD/DS had higher body mass index (59 vs. 55, P <0.05). Weight loss expressed as %EBW was similar between the 2 groups: 54% versus 53% at 1 year and 67% versus 64% at 2 years. Conclusions: Our data suggested that weight loss expressed as %EBW is similar between patients undergoing RYGBP and those undergoing BPD/DS. However, BPD/DS was associated with a longer hospital stay. (C) 2004 Excerpta Medica, Inc. All rights reserved.
引用
收藏
页码:655 / 659
页数:5
相关论文
共 19 条
[1]  
[Anonymous], 1998, NIH PUBL
[2]  
[Anonymous], RES POP EST US AG SE
[3]   Long-term results of laparoscopic adjustable gastric banding for the treatment of morbid obesity [J].
Belachew, M ;
Belva, PH ;
Desaive, C .
OBESITY SURGERY, 2002, 12 (04) :564-568
[4]   Gastric bypass [J].
Brolin, RE .
SURGICAL CLINICS OF NORTH AMERICA, 2001, 81 (05) :1077-+
[5]   A bariatric surgery algorithm [J].
Buchwald, H .
OBESITY SURGERY, 2002, 12 (06) :733-746
[6]   Body-mass index and mortality in a prospective cohort of US adults [J].
Calle, EE ;
Thun, MJ ;
Petrelli, JM ;
Rodriguez, C ;
Heath, CW .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (15) :1097-1105
[7]   Surgical treatment of severe obesity with a low-pressure adjustable gastric band - Experimental data and clinical results in 625 patients [J].
Ceelen, W ;
Walder, J ;
Cardon, A ;
Van Renterghem, K ;
Hesse, U ;
El Malt, M ;
Pattyn, P .
ANNALS OF SURGERY, 2003, 237 (01) :10-16
[8]   Comparing the outcomes after laparoscopic versus open gastric bypass: a matched paired analysis [J].
Courcoulas, A ;
Perry, Y ;
Buenaventura, P ;
Luketich, J .
OBESITY SURGERY, 2003, 13 (03) :341-346
[9]   A critical look at laparoscopic adjustable silicone gastric banding for surgical treatment of morbid obesity - Does it measure up? [J].
DeMaria, EJ ;
Sugerman, HJ .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2000, 14 (08) :697-699
[10]  
GRIMM IS, 1992, AM J GASTROENTEROL, V87, P775