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Five-year results of endoscopic gastrojejunostomy revision (transoral outlet reduction) for weight gain after gastric bypass.
Callahan, Zachary M; Su, Bailey; Kuchta, Kristine; Linn, John; Carbray, JoAnn; Ujiki, Michael.
Afiliación
  • Callahan ZM; Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA. zmcallahan@gmail.com.
  • Su B; Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
  • Kuchta K; Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
  • Linn J; Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
  • Carbray J; Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
  • Ujiki M; Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
Surg Endosc ; 34(5): 2164-2171, 2020 05.
Article en En | MEDLINE | ID: mdl-31346750
BACKGROUND: The study aim is to determine if patients who have undergone endoscopic gastrojejunostomy revision (EGJR) maintain weight loss up to 5 years postoperatively. METHODS: This is a retrospective review of patients who underwent EGJR with a full-thickness endoscopic suturing device between April 2009 and June 2018. Percent of excess body weight loss (%EBWL) was calculated using the weight on day of EGJR consult as baseline. The paired t test and McNemar's test were used to compare weight and comorbidities between preoperative and postoperative time points. RESULTS: A total of 70 patients regained a mean of 42.8 ± 18.7% of the weight lost after gastric bypass. On day of EGJR consult, average was 116.1 ± 25.2 kg and BMI of 42.3 ± 8.5. Weight loss and %EBWL at follow-up was as follows: 10.7 ± 11.6 kg and 18.5 ± 18.2% at 6 months, 8.5 ± 11.5 kg and 14.9 ± 20.6% at 1 year, 6.9 ± 10.7 kg and 12.2 ± 19.8% at 2 years, 5.3 ± 9.1 kg and 8.7 ± 14.9% at 3 years, 3.1 ± 12.0 kg and 3.2 ± 21.6% at 4 years, and 3.9 ± 13.1 kg and 7.0 ± 23.8% at 5 years. The percentage of patients with obstructive sleep apnea, hypertension, hyperlipidemia, and diabetes did not change over time. Patients who received a pursestring revision or had a greater percent reduction in stoma diameter had more significant %EBWL. CONCLUSIONS: Weight loss after EGJR is sustained up to 5 years after revision with little effect on medical comorbidities. Patients with a greater reduction in stoma diameter experienced superior weight loss.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Derivación Gástrica / Aumento de Peso / Endoscopía Tipo de estudio: Observational_studies Límite: Female / Humans / Male Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Derivación Gástrica / Aumento de Peso / Endoscopía Tipo de estudio: Observational_studies Límite: Female / Humans / Male Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania