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Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and Revision Cases

dc.contributor.authorRibeiro, R
dc.contributor.authorPouwels, S
dc.contributor.authorParmar, C
dc.contributor.authorPereira, J
dc.contributor.authorManaças, L
dc.contributor.authorGuerra, AC
dc.contributor.authorBorges, N
dc.contributor.authorRibeiro, J
dc.contributor.authorViveiros, O
dc.date.accessioned2020-09-14T20:34:06Z
dc.date.available2020-09-14T20:34:06Z
dc.date.issued2019
dc.description.abstractBackground: One of the most important complications of the one anastomosis gastric bypass (OAGB) is enterobilio acid reflux (EBAR). We report the concept of the long pouch Roux-en-Y gastric bypass (LPRYGB) meaning a Roux-en-Y with a long pouch and a 100-cm alimentary limb to avoid EBAR, with a long biliopancreatic limb to increase metabolic effects. Methods: A total of 300 LPRYGB cases in a 4-year period, with a 90% follow-up rate, were analysed. Anthropometric, technical feasibility, morbidity, weight loss and comorbidity outcomes were analysed. Results: The percentage total weight loss (%TWL) was 30.5% at 4 years of follow-up (32.3% in primary and 28.3% in revisions). Six intra-operative (2%) and 28 postoperative complications (9.3%) were seen. Out of this 28 complications, 11 (3.6%) were late complications. Reoperations were performed in 15 patients (5.0%). Clinically relevant EBAR was present in 3 cases only (1%) 4 years after the operation. Conclusions: The LPRYGB combines the main advantages of the OAGB (light restriction and moderate malabsorption) with the anti-reflux effect from the Roux-en-Y diversion.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObes Surg . 2019 Nov;29(11):3665-3671.pt_PT
dc.identifier.doi10.1007/s11695-019-04051-8pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/33298
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectBypass Gástricopt_PT
dc.subjectObesidadept_PT
dc.subjectReoperaçãopt_PT
dc.subjectGastric Bypasspt_PT
dc.subjectObesitypt_PT
dc.subjectReoperationpt_PT
dc.titleOutcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and Revision Casespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage3671pt_PT
oaire.citation.issue11pt_PT
oaire.citation.startPage3665-3671pt_PT
oaire.citation.titleObesity surgerypt_PT
oaire.citation.volume29pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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