Comparison of circular- and linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass: a multicenter study
Introduction : Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a common, well-established procedure, but no consensus regarding selection of the gastrojejunostomy (GJ) technique has been reached, and standardization of this precise technique is far from being achieved. Aim : To compare circular-s...
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Medycyna Praktyczna
2017-03-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.termedia.pl/Comparison-of-circular-and-linear-stapled-gastrojejunostomy-in-laparoscopic-Roux-en-Y-gastric-bypass-a-multicenter-study,42,29706,1,1.html |
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| author | Piotr Major Michał R. Janik Michał Wysocki Maciej Walędziak Michał Pędziwiatr Piotr K. Kowalewski Piotr Małczak Krzysztof Paśnik Andrzej Budzyński |
| author_facet | Piotr Major Michał R. Janik Michał Wysocki Maciej Walędziak Michał Pędziwiatr Piotr K. Kowalewski Piotr Małczak Krzysztof Paśnik Andrzej Budzyński |
| author_sort | Piotr Major |
| collection | DOAJ |
| description | Introduction : Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a common, well-established procedure, but no consensus regarding selection of the gastrojejunostomy (GJ) technique has been reached, and standardization of this precise technique is far from being achieved.
Aim : To compare circular-stapled and linear-stapled GJ in LRYGB in terms of operative time and postoperative complications.
Material and methods: This retrospective case-control study compared the perioperative and postoperative outcomes of LRYGB with a circular-stapled (LRYGB-CS) versus linear-stapled (LRYGB-LS) gastrojejunostomy. All patients, operated on in two academic referral care centers for bariatric surgery, were enrolled from April 2013 to June 2016. 457 patients were included (255 and 202 respectively in the LRYGB-CS and LRYGB-LS groups). After matching the groups for age, sex, body mass index, arterial hypertension, and presence of type 2 diabetes in a 1 : 1 ratio, 99 patients were enrolled in each.
Results : The total operative time was longer in the LRYGB-LS group (140 vs. 85 min, p < 0.001). The postoperative hemorrhage and wound infection rates were lower in the LRYGB-LS group (2.1% vs. 10.3%, p = 0.021, and 1.0% vs. 9.3%, p = 0.011). The readmission rates were comparable (8.2% vs. 6.1%, p = 0.593). There was no significant difference in the incidence of gastrojejunostomy leakage, stricture, port-site hernia, or marginal ulcer.
Conclusions : Both anastomosis types for LRYGB are safe and have low and comparable risks of postoperative complications. After LRYGB-CS, postoperative bleeding and wound infections are slightly more frequent; however, the operative time is shorter. |
| format | Article |
| id | doaj-art-419ef184db2c44f0b46f61c745bc7e83 |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-419ef184db2c44f0b46f61c745bc7e832025-08-20T03:55:40ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542017-03-0112214014610.5114/wiitm.2017.6686829706Comparison of circular- and linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass: a multicenter studyPiotr MajorMichał R. JanikMichał WysockiMaciej WalędziakMichał PędziwiatrPiotr K. KowalewskiPiotr MałczakKrzysztof PaśnikAndrzej BudzyńskiIntroduction : Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a common, well-established procedure, but no consensus regarding selection of the gastrojejunostomy (GJ) technique has been reached, and standardization of this precise technique is far from being achieved. Aim : To compare circular-stapled and linear-stapled GJ in LRYGB in terms of operative time and postoperative complications. Material and methods: This retrospective case-control study compared the perioperative and postoperative outcomes of LRYGB with a circular-stapled (LRYGB-CS) versus linear-stapled (LRYGB-LS) gastrojejunostomy. All patients, operated on in two academic referral care centers for bariatric surgery, were enrolled from April 2013 to June 2016. 457 patients were included (255 and 202 respectively in the LRYGB-CS and LRYGB-LS groups). After matching the groups for age, sex, body mass index, arterial hypertension, and presence of type 2 diabetes in a 1 : 1 ratio, 99 patients were enrolled in each. Results : The total operative time was longer in the LRYGB-LS group (140 vs. 85 min, p < 0.001). The postoperative hemorrhage and wound infection rates were lower in the LRYGB-LS group (2.1% vs. 10.3%, p = 0.021, and 1.0% vs. 9.3%, p = 0.011). The readmission rates were comparable (8.2% vs. 6.1%, p = 0.593). There was no significant difference in the incidence of gastrojejunostomy leakage, stricture, port-site hernia, or marginal ulcer. Conclusions : Both anastomosis types for LRYGB are safe and have low and comparable risks of postoperative complications. After LRYGB-CS, postoperative bleeding and wound infections are slightly more frequent; however, the operative time is shorter.https://www.termedia.pl/Comparison-of-circular-and-linear-stapled-gastrojejunostomy-in-laparoscopic-Roux-en-Y-gastric-bypass-a-multicenter-study,42,29706,1,1.html<i>obesity bariatric surgery laparoscopic Roux-en-Y gastric bypass circular-stapled gastrojejunostomy linear-stapled gastrojejunostomy </i> |
| spellingShingle | Piotr Major Michał R. Janik Michał Wysocki Maciej Walędziak Michał Pędziwiatr Piotr K. Kowalewski Piotr Małczak Krzysztof Paśnik Andrzej Budzyński Comparison of circular- and linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass: a multicenter study Videosurgery and Other Miniinvasive Techniques <i>obesity bariatric surgery laparoscopic Roux-en-Y gastric bypass circular-stapled gastrojejunostomy linear-stapled gastrojejunostomy </i> |
| title | Comparison of circular- and linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass: a multicenter study |
| title_full | Comparison of circular- and linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass: a multicenter study |
| title_fullStr | Comparison of circular- and linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass: a multicenter study |
| title_full_unstemmed | Comparison of circular- and linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass: a multicenter study |
| title_short | Comparison of circular- and linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass: a multicenter study |
| title_sort | comparison of circular and linear stapled gastrojejunostomy in laparoscopic roux en y gastric bypass a multicenter study |
| topic | <i>obesity bariatric surgery laparoscopic Roux-en-Y gastric bypass circular-stapled gastrojejunostomy linear-stapled gastrojejunostomy </i> |
| url | https://www.termedia.pl/Comparison-of-circular-and-linear-stapled-gastrojejunostomy-in-laparoscopic-Roux-en-Y-gastric-bypass-a-multicenter-study,42,29706,1,1.html |
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