The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index

Introduction. Obesity is among the newest health matters that human beings are struggling with. Length of bypassed intestine is important in achievement of most weight loss and least nutritional and absorptive disorders. This study has aimed to assess short-term metabolic and nutritional effects of...

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Main Authors: Mohsen Mahmoudieh, Behrouz Keleidari, Naser Afshin, Masoud Sayadi Shahraki, Shahab Shahabi Shahmiri, Erfan Sheikhbahaei, Hamid Melali
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Obesity
Online Access:http://dx.doi.org/10.1155/2020/7572153
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author Mohsen Mahmoudieh
Behrouz Keleidari
Naser Afshin
Masoud Sayadi Shahraki
Shahab Shahabi Shahmiri
Erfan Sheikhbahaei
Hamid Melali
author_facet Mohsen Mahmoudieh
Behrouz Keleidari
Naser Afshin
Masoud Sayadi Shahraki
Shahab Shahabi Shahmiri
Erfan Sheikhbahaei
Hamid Melali
author_sort Mohsen Mahmoudieh
collection DOAJ
description Introduction. Obesity is among the newest health matters that human beings are struggling with. Length of bypassed intestine is important in achievement of most weight loss and least nutritional and absorptive disorders. This study has aimed to assess short-term metabolic and nutritional effects of laparoscopic mini-gastric bypass/one anastomosis gastric bypass (MGB/OAGB) with a loop bypass length of 180 centimeters (cm) and compare these factors among patients with a body mass index (BMI) of 40–45 and 45–50 kilograms per square meter (kg/m2). Methods. 25 patients were put in group 1 (BMI = 40–45 kg/m2) and 25 patients in group 2 (BMI = 45–50 kg/m2). Patients’ BMI, postoperative weight, excess weight loss, and laboratory tests including fasting blood sugar (FBS), lipid profile, serum iron (Fe), ferritin, total iron-binding capacity (TIBC), 25-OH vitamin D, vitamin B12, liver function tests, and albumin were recorded preoperatively and within 3- and 6-month follow-up. Results. Weight loss and BMI reduction was significantly more in patients with higher BMI level (P=0.007), and excess weight loss was higher in patients with lower preoperative BMI level (P=0.007). Six-month follow-up showed statistically significant reduction in total cholesterol, total triglyceride, Fe, and vitamin B12 among patients with higher BMI level (P value <0.05). Conclusion. Based on this study, 180-cm intestinal bypassed length works for patients with a BMI level of 40–45 and 45–50 kg/m2, according to their significant decrease in weight, BMI, and improving glycolipid profile.
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institution Kabale University
issn 2090-0708
2090-0716
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publishDate 2020-01-01
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spelling doaj-art-77252e65f70941a7a17c012e4548ab722025-02-03T01:26:25ZengWileyJournal of Obesity2090-07082090-07162020-01-01202010.1155/2020/75721537572153The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass IndexMohsen Mahmoudieh0Behrouz Keleidari1Naser Afshin2Masoud Sayadi Shahraki3Shahab Shahabi Shahmiri4Erfan Sheikhbahaei5Hamid Melali6Department of Surgery, Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Surgery, Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Surgery, Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Surgery, Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center, Kashani University Hospital, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Surgery, Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, IranStudent Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Surgery, Laparoscopic Surgery Fellowship, Isfahan Minimally Invasive Surgery and Obesity Research Center, Amin University Hospital, Isfahan University of Medical Sciences, Isfahan, IranIntroduction. Obesity is among the newest health matters that human beings are struggling with. Length of bypassed intestine is important in achievement of most weight loss and least nutritional and absorptive disorders. This study has aimed to assess short-term metabolic and nutritional effects of laparoscopic mini-gastric bypass/one anastomosis gastric bypass (MGB/OAGB) with a loop bypass length of 180 centimeters (cm) and compare these factors among patients with a body mass index (BMI) of 40–45 and 45–50 kilograms per square meter (kg/m2). Methods. 25 patients were put in group 1 (BMI = 40–45 kg/m2) and 25 patients in group 2 (BMI = 45–50 kg/m2). Patients’ BMI, postoperative weight, excess weight loss, and laboratory tests including fasting blood sugar (FBS), lipid profile, serum iron (Fe), ferritin, total iron-binding capacity (TIBC), 25-OH vitamin D, vitamin B12, liver function tests, and albumin were recorded preoperatively and within 3- and 6-month follow-up. Results. Weight loss and BMI reduction was significantly more in patients with higher BMI level (P=0.007), and excess weight loss was higher in patients with lower preoperative BMI level (P=0.007). Six-month follow-up showed statistically significant reduction in total cholesterol, total triglyceride, Fe, and vitamin B12 among patients with higher BMI level (P value <0.05). Conclusion. Based on this study, 180-cm intestinal bypassed length works for patients with a BMI level of 40–45 and 45–50 kg/m2, according to their significant decrease in weight, BMI, and improving glycolipid profile.http://dx.doi.org/10.1155/2020/7572153
spellingShingle Mohsen Mahmoudieh
Behrouz Keleidari
Naser Afshin
Masoud Sayadi Shahraki
Shahab Shahabi Shahmiri
Erfan Sheikhbahaei
Hamid Melali
The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index
Journal of Obesity
title The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index
title_full The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index
title_fullStr The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index
title_full_unstemmed The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index
title_short The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index
title_sort early results of the laparoscopic mini gastric bypass one anastomosis gastric bypass on patients with different body mass index
url http://dx.doi.org/10.1155/2020/7572153
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