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العنوان
Evaluation of Laparoscopic Single Anastmosis Gastric Bypass for Morbid Obese Patients /
المؤلف
Zaid, Mohamed Hamdy Mohamed.
هيئة الاعداد
باحث / Mohamed Hamdy Mohamed Zaid
مشرف / Ashraf El-Zoghby Al-Saeed
مشرف / Mohamed Ahmed Helmy
مشرف / Amr Kamel El-Feqy
مشرف / Mahmoud Zakaria El-Ganzory
تاريخ النشر
2016.
عدد الصفحات
148 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2016
مكان الإجازة
جامعة عين شمس - كلية الطب - General Surgery
الفهرس
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Abstract

One-Anastomosis Gastric Bypass (LMGB) consists of constructing a divided 25-ml (estimated) gastric pouch between the esophago-gastric junction and the crow’s foot level, parallel to the lesser curvature, which is anastomosed latero-laterally to a jejunal loop 200 cm distal to the ligament of Treitz.
The results of our first 100 LMGB patients operated from May 2013 to May 2015 are reported. Mean age was 33.15± 10.17 years (20–59), BMI 48.48 ± 8.5 kg/m2 (33.1 – 78.1) and the mean preoperative weight was 136.05 ± 24.58 kg (range, 91.3 – 208). Co morbidities were present in patients include diabetes (18%), hypertension (9%), sleep apnea (12%) and arthritic pain (22%).
Post-operative data of patients 1 year after LMGB body weight changed from 136.05 ± 24.58 kg preoperatively to 89.99 ± 19.02 kg.
The mean initial BMI for studied patients was 48.48 kg/m2 after 1 year BMI decreased to 33.07 kg/m2.
After 1 year mean EBWL 70.08%.
% of resolution of DM at 1year was 88.8%.
% of resolution of HTN at 1 year was 88.8%.
The average operative time was 90 minutes, and the median length of stay was 2 days. There was no mortality. Average weight loss at 1 year 70.08% of excess body weight. One case reported to had bile reflux, medical treatment failed to control symptoms. Laparoscopic conversion to RYGBP was done.
Two cases had anemia one of them iron deficiency and the other due to vit B12 deficiency. Two patients, who developed bloody drainage from their nasogastric tubes and bloody stools after the operation. They were treated medically.
In conclusion, Laparoscopic Mini-gastric bypass offers major benefits with quite satisfactory results over most alternative procedures.
In this study, we have found that the Laparoscopic Mini-gastric bypass provides an innovative approach to one of our major health problems.
Our data, which includes follow up of two years, indicates that Laparoscopic Mini-gastric bypass is:
• An effective procedure for the treatment of morbid obesity.
• Technically feasible.
• Safe operation with a low rate of major postoperative complications.
• Has a significant reduction in patient’s hospital stay.
• Helps in the achievement of a significant weight loss and improvement of obesity related metabolic co morbidities.
• Efficient in loosing excess weight and in maintaining the weight loss.
• Is a promising bariatric procedure.