Comparative nutritional, metabolic and body composition effect in patients of Roux-en-Y Gastric Bypass with Long or Short Pancreato-Biliary Limb

Autores/as

  • Leticia del Carmen Guajardo-Montemayor Universidad Anáhuac México Campus Norte Centro de Investigación en Ciencias de la Salud (CICSA), Estado de México, México https://orcid.org/0000-0003-3308-1460
  • Rosendo Andrés Rojas-Alvarado Universidad Autónoma de Baja California, Departamento de Epidemiología, Baja California, México https://orcid.org/0000-0001-5055-8342
  • Israel Augusto González-González Hospital General "Dr. Rubén Leñero", Clínica Integral de Cirugía para la Obesidad y Enfermedades Metabólicas, Ciudad de México, México https://orcid.org/0000-0001-6155-6027
  • Raúl Marín-Domínguez Hospital General "Dr. Rubén Leñero", Clínica Integral de Cirugía para la Obesidad y Enfermedades Metabólicas, Ciudad de México, México https://orcid.org/0000-0001-8906-8965
  • Francisco José Campos-Pérez Hospital General "Dr. Rubén Leñero", Clínica Integral de Cirugía para la Obesidad y Enfermedades Metabólicas, Ciudad de México, México
  • Andrea Ibarra-García Universidad Anáhuac México Campus Norte, Centro de Investigación en Ciencias de la Salud (CICSA), Estado de México, México
  • Antonio Ibarra Universidad Anáhuac México Campus Norte, Centro de Investigación en Ciencias de la Salud (CICSA), Estado de México, México https://orcid.org/0000-0003-2489-4689

DOI:

https://doi.org/10.36105/psrua.2023v3n6.01

Palabras clave:

Cirugía bariátrica, Obesidad mórbida, Asa biliopancreática larga, Asa biliopancreática corta

Resumen

Introducción: El bypass gástrico laparoscópico en Y de Roux (BPGYR) es una de las técnicas empleada en el tratamiento de la obesidad mórbida. Este estudio comparó el impacto metabólico del la técnica quirúrgica con asa biliopancreática larga (LBP-limb) versus un asa biliopancreática corta (SBP-limb) en pacientes sometidos a BPGYR a los seis, nueve y doce meses después de la cirugía comparando los cambios entre los dos procedimientos. Métodos: Sesenta y cuatro pacientes con obesidad sometidos a BPGYR en dos grupos, uno con asa biliopancreática de 100 cm (SBP-limb) y asa alimentaria de 150 cm (n = 31) y otro con una asa biliopancreática de 200 cm (LBP-limb) y asa alimentaria de 50 cm (n = 33). El peso corporal, grasa corporal (Fat mass), masa libre de grasa (Lean Mass), peso total perdido y parámetros bioquímicos de glucosa, hemoglobina glucosilada (HbA1c), colesterol total, colesterol de baja densidad (c-LDL), colesterol de alta densidad (c-HDL), albúmina fueron comparados a los seis, nueve y doce meses después de la cirugía.
Resultados: Después de la cirugía se observó que en el grupo de LBP-limb existió una mayor pérdida de peso total (P = 0,004) a los doce meses después de la cirugía y un aumento significativo en los niveles de c-HDL a los seis meses (P = 0,001) en comparación con el grupo SBP-limb. Sin embargo, no se encontraron diferencias en la remisión de comorbilidades entre los dos grupos.
Conclusiones: Al finalizar el primer año posoperatorio la técnica LBP-limb generó mayor pérdida de peso.

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Vol. 3 Núm. 6

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Publicado

2023-12-31

Cómo citar

Guajardo-Montemayor, L. del C. ., Rojas-Alvarado, R. A. ., González-González, I. A. ., Marín-Domínguez, R. ., Campos-Pérez, F. J. ., Ibarra-García, A. ., & Ibarra, A. . (2023). Comparative nutritional, metabolic and body composition effect in patients of Roux-en-Y Gastric Bypass with Long or Short Pancreato-Biliary Limb. Proceedings of Scientific Research Universidad Anáhuac. Multidisciplinary Journal of Healthcare, 3(6), 5–13. https://doi.org/10.36105/psrua.2023v3n6.01