کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3303308 1210313 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comparison of a superficial suturing device with a full-thickness suturing device for transoral outlet reduction (with videos)
ترجمه فارسی عنوان
مقایسه ی یک دستگاه دوختی سطحی با یک دستگاه دوخت کامل ضخامت برای کاهش جریان خروجی (با فیلم)
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
چکیده انگلیسی

BackgroundLarger gastrojejunal (GJ) anastomosis aperture is one independent predictor for weight regain after Roux-en-Y gastric bypass. Transoral outlet reduction (TORe) has proven safe and effective for treatment of weight regain by using a superficial-thickness (ST) suturing device. Full-thickness (FT) suturing devices are now available, potentially providing more effective results.ObjectiveTo compare effectiveness of superficial-thickness with full-thickness TORe.DesignMatched cohort study: patients were matched sequentially by GJ anastomosis aperture, body mass index, and age.SettingTertiary-care center.PatientsA total of 59 consecutive patients undergoing full-thickness TORe were matched with 59 patients undergoing superficial-thickness TORe. All had GJ anastomosis apertures >20 mm.InterventionTransoral outlet reduction.Main Outcome MeasurementsWeight loss and rate of adverse events.ResultsPost-TORe GJ anastomosis apertures were similar between groups (ST 6.9 ± 0.2 mm vs FT 7.1 ± 0.3 mm). Weight loss was greater at 6 months in the FT group (10.6 ± 1.8 kg in FT vs 4.4 ± 0.8 kg in ST; P < .01) and at 1 year (8.6 ± 2.5 kg in FT vs 2.9 ± 1.0 kg in ST; P < .01). Excess weight loss was greater in the FT group at 6 months (20.4 ± 3.3% in FT vs 8.1 ± 2.5% in ST; P < .01) and at 1 year (18.9 ± 5.4% in FT vs 9.1 ± 2.3% in ST; P = .03).LimitationsThis was a single-center, retrospective, cohort study.ConclusionThere is level 1b evidence for effectiveness of TORe by using a superficial mucosal suturing device. This matched cohort study compared TORe by using the same ST suturing device with TORe by using a newer, FT suturing device and the same operative methods. FT TORe resulted in significantly more weight loss than ST TORe at 6 months and at 1 year. Full-thickness TORe is a significant improvement over ST TORe for endoscopic therapy of weight regain in patients with dilated GJ anastomosis.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gastrointestinal Endoscopy - Volume 79, Issue 6, June 2014, Pages 984–989
نویسندگان
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