Application value of laparoscopic gastric plication combined with duodeno-jejunal omega switch in modified adjustable gastric banding
10.3760/cma.j.issn.1673-9752.2019.09.013
- VernacularTitle: 腹腔镜胃折叠术联合十二指肠空肠Omega转位术在修正可调节胃绑带术中的应用价值
- Author:
Cheng ZHOU
1
;
Zhao GONG
1
;
Wei WANG
1
;
Hui XIA
1
;
Zhenxiong XIA
1
;
Wojciech Konrad KARCZ
2
Author Information
1. Department of Hepatobililary Surgery, Wuhan No.1 Hospital, Wuhan 430022, China
2. Clinic of General, Visceral, Transplantaion and Vascular Surgery, Hospital of Ludwig Maximilian University, Munich 80803, Germany
- Publication Type:Journal Article
- Keywords:
Obesity;
Sleeve gastrectomy;
Gastric plication;
Biliopancreatic diversion;
Adjustable gastric banding;
Gastric bypass;
Omega anastomosis;
Bariatric and metabolic surgery
- From:
Chinese Journal of Digestive Surgery
2019;18(9):879-883
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of laparoscopic gastric plication (LGP) combined with duodeno-jejunal omega switch (DJOS) in modified adjustable gastric banding.
Methods:The retrospective and descriptive study was conducted. The clinical data of a female 46-year-old patient who had failure to undergo the adjustable gastric banding in the Hospital of Ludwig Maximilian University from December 2016 to December 2018 were collected. LGP and DJOS were performed in two-stages after completion of preoperative examinations. Observation indicators: (1) surgical and postoperative situations; (2) follow-up. Follow-up using outpatient examiantion and telephone interview was performed to collect the information of body mass index (BMI), insulin therapy, and long-term complications until December 2018. Count data were represented as absolute numbers.
Results:(1) Surgical and postoperative situations: the patient underwent LGP in the first stage and DJOS in the second stage successfully. For the LGP, the operation time, time of intestinal reconstruction, volume of intraoperative blood loss, time to first flatus, time to drainage tube removal, time to resume to normal diet, and duration of postoperative hospital stay were 96 minutes, 58 minutes, 210 mL, 32 hours, 48 hours, 42 days, and 3 days, respectively. For the DJOS, the above indicators were 148 minutes, 117 minutes, 260 mL, 47 hours, 72 hours, 21 days, and 7 days, respectively. There was no complication occurred in either LGP or DJOS. (2) Follow-up: the patient was followed up for 24 months after LGP. The BMI of this patient decreased to 45.3 kg/m2 at 6 months after LGP, and decreased to 37.2 kg/m2 at 18 months after DJOS. Insulin therapy was discontinued. There was no long-term complication such as malnutrition, dumping syndrome, or biliary reflux.
Conclusion:LGP combined with DJOS can enrich treatment methods of obese patient with BMI >50 kg/m2, which offers a safer surgical procedure option for patients after gastric binding.
