Comparative nutritional, metabolic and body composition effect in patients of Roux-en-Y Gastric Bypass with Long or Short Pancreato-Biliary Limb
DOI:
https://doi.org/10.36105/psrua.2023v3n6.01Palabras clave:
Cirugía bariátrica, Obesidad mórbida, Asa biliopancreática larga, Asa biliopancreática cortaResumen
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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Derechos de autor 2023 Leticia del Carmen Guajardo-Montemayor, Rosendo Andrés Rojas-Alvarado, Israel Augusto González-González, Raúl Marín-Domínguez, Francisco José Campos-Pérez, Andrea Ibarra-García, Antonio Ibarra
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