Publication
Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and Revision Cases
dc.contributor.author | Ribeiro, R | |
dc.contributor.author | Pouwels, S | |
dc.contributor.author | Parmar, C | |
dc.contributor.author | Pereira, J | |
dc.contributor.author | Manaças, L | |
dc.contributor.author | Guerra, AC | |
dc.contributor.author | Borges, N | |
dc.contributor.author | Ribeiro, J | |
dc.contributor.author | Viveiros, O | |
dc.date.accessioned | 2020-09-14T20:34:06Z | |
dc.date.available | 2020-09-14T20:34:06Z | |
dc.date.issued | 2019 | |
dc.description.abstract | Background: 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.version | info:eu-repo/semantics/publishedVersion | pt_PT |
dc.identifier.citation | Obes Surg . 2019 Nov;29(11):3665-3671. | pt_PT |
dc.identifier.doi | 10.1007/s11695-019-04051-8 | pt_PT |
dc.identifier.uri | http://hdl.handle.net/10400.26/33298 | |
dc.language.iso | eng | pt_PT |
dc.peerreviewed | yes | pt_PT |
dc.subject | Bypass Gástrico | pt_PT |
dc.subject | Obesidade | pt_PT |
dc.subject | Reoperação | pt_PT |
dc.subject | Gastric Bypass | pt_PT |
dc.subject | Obesity | pt_PT |
dc.subject | Reoperation | pt_PT |
dc.title | Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and Revision Cases | pt_PT |
dc.type | journal article | |
dspace.entity.type | Publication | |
oaire.citation.endPage | 3671 | pt_PT |
oaire.citation.issue | 11 | pt_PT |
oaire.citation.startPage | 3665-3671 | pt_PT |
oaire.citation.title | Obesity surgery | pt_PT |
oaire.citation.volume | 29 | pt_PT |
rcaap.rights | openAccess | pt_PT |
rcaap.type | article | pt_PT |
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