Length of biliopancreatic limb in Roux-en-Y gastric bypass and its impact on post-operative outcomes in metabolic and


  • Sarma S, Sockalingam S, Dash S. Obesity as a multisystem disease: trends in obesity rates and obesity-related complications. Diabetes Obes Metab. 2021;23(Suppl 1):S3–16.

    Article 
    CAS 

    Google Scholar
     

  • Collaborators GBDO, Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377:13–27.

    Article 

    Google Scholar
     

  • Ikramuddin S, Korner J, Lee WJ, Thomas AJ, Connett JE, Bantle JP, et al. Lifestyle intervention and medical management with vs without Roux-en-Y gastric bypass and control of hemoglobin A1c, LDL cholesterol, and systolic blood pressure at 5 years in the diabetes surgery study. JAMA. 2018;319:266–78.

    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Simonson DC, Halperin F, Foster K, Vernon A, Goldfine AB. Clinical and patient-centered outcomes in obese patients with type 2 diabetes 3 years after randomization to Roux-en-Y gastric bypass surgery versus intensive lifestyle management: the SLIMM-T2D study. Diabetes Care. 2018;41:670–9.

    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, et al. Bariatric surgery versus intensive medical therapy for diabetes—5-year outcomes. N Engl J Med. 2017;376:641–51.

    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Cummings DE, Arterburn DE, Westbrook EO, Kuzma JN, Stewart SD, Chan CP, et al. Gastric bypass surgery vs intensive lifestyle and medical intervention for type 2 diabetes: the CROSSROADS randomised controlled trial. Diabetologia. 2016;59:945–53.

    CAS 
    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Nanni G, et al. Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial. Lancet. 2015;386:964–73.

    PubMed 
    Article 

    Google Scholar
     

  • Hsu CC, Almulaifi A, Chen JC, Ser KH, Chen SC, Hsu KC, et al. Effect of bariatric surgery vs medical treatment on type 2 diabetes in patients with body mass index lower than 35: five-year outcomes. JAMA Surg. 2015;150:1117–24.

    PubMed 
    Article 

    Google Scholar
     

  • Sjostrom L, Peltonen M, Jacobson P, Ahlin S, Andersson-Assarsson J, Anveden A, et al. Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications. JAMA. 2014;311:2297–304.

    PubMed 
    Article 
    CAS 

    Google Scholar
     

  • Courcoulas AP, Belle SH, Neiberg RH, Pierson SK, Eagleton JK, Kalarchian MA, et al. Three-year outcomes of bariatric surgery vs lifestyle intervention for type 2 diabetes mellitus treatment: a randomized clinical trial. JAMA Surg. 2015;150:931–40.

    PubMed 
    PubMed Central 
    Article 
    CAS 

    Google Scholar
     

  • Halperin F, Ding SA, Simonson DC, Panosian J, Goebel-Fabbri A, Wewalka M, et al. Roux-en-Y gastric bypass surgery or lifestyle with intensive medical management in patients with type 2 diabetes: feasibility and 1-year results of a randomized clinical trial. JAMA Surg. 2014;149:716–26.

    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Liang Z, Wu Q, Chen B, Yu P, Zhao H, Ouyang X. Effect of laparoscopic Roux-en-Y gastric bypass surgery on type 2 diabetes mellitus with hypertension: a randomized controlled trial. Diabetes Res Clin Pract. 2013;101:50–6.

    PubMed 
    Article 

    Google Scholar
     

  • Hofso D, Nordstrand N, Johnson LK, Karlsen TI, Hager H, Jenssen T, et al. Obesity-related cardiovascular risk factors after weight loss: a clinical trial comparing gastric bypass surgery and intensive lifestyle intervention. Eur J Endocrinol. 2010;163:735–45.

    CAS 
    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Sjostrom L, Narbro K, Sjostrom CD, Karason K, Larsson B, Wedel H, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741–52.

    PubMed 
    Article 

    Google Scholar
     

  • Mason EE, Ito C. Gastric bypass in obesity. Surg Clin N Am. 1967;47:1345–51.

    CAS 
    PubMed 
    Article 

    Google Scholar
     

  • Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4:353–7.

    CAS 
    PubMed 
    Article 

    Google Scholar
     

  • NBSR. The UK National Bariatric Surgery Registry Second Repoprt 2014 [http://www.bomss.org.uk/wp-content/uploads/2018/11/Extract_from_the_NBSR_2014_Report-2.pdf.

  • Dixon JB, le Roux CW, Rubino F, Zimmet P. Bariatric surgery for type 2 diabetes. Lancet. 2012;379:2300–11.

    PubMed 
    Article 

    Google Scholar
     

  • Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Leccesi L, et al. Bariatric surgery versus conventional medical therapy for type 2 diabetes. N Engl J Med. 2012;366:1577–85.

    CAS 
    PubMed 
    Article 

    Google Scholar
     

  • Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012;366:1567–76.

    CAS 
    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Ikramuddin S, Korner J, Lee W-J, Connett JE, Inabnet WB, Billington CJ, et al. Roux-en-Y gastric bypass vs intensive medical management for the control of type 2 diabetes, hypertension, and hyperlipidemia: the Diabetes Surgery Study randomized clinical trial. JAMA. 2013;309:2240–9.

    CAS 
    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Mahawar KK, Kumar P, Parmar C, Graham Y, Carr WRJ, Jennings N, et al. Small bowel limb lengths and roux-en-y gastric bypass: a systematic review. Obes Surg. 2016;26:660–71.

    PubMed 
    Article 

    Google Scholar
     

  • Tacchino RM. Bowel length: measurement, predictors, and impact on bariatric and metabolic surgery. Surg Obes Relat Dis. 2015;11:328–34.

    PubMed 
    Article 

    Google Scholar
     

  • Orci L, Chilcott M, Huber O. Short versus long roux-limb length in roux-en-y gastric bypass surgery for the treatment of morbid and super obesity: a systematic review of the literature. Obes Surg. 2011;21:797–804.

    PubMed 
    Article 

    Google Scholar
     

  • Stefanidis D, Kuwada TS, Gersin KS. The importance of the length of the limbs for gastric bypass patients—an evidence-based review. Obes Surg. 2011;21:119–24.

    PubMed 
    Article 

    Google Scholar
     

  • Sarhan M, Choi JJ, Al Sawwaf M, Murtaza G, Getty JLZ, Ahmed L. Is weight loss better sustained with long-limb gastric bypass in the super-obese? Obes Surg. 2011;21:1337–43.

    PubMed 
    Article 

    Google Scholar
     

  • Nergaard BJ, Leifsson BG, Hedenbro J, Gislason H. Gastric bypass with long alimentary limb or long pancreato-biliary limb—long-term results on weight loss, resolution of co-morbidities and metabolic parameters. Obes Surg. 2014;24:1595–602.

    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Nergard BJ, Lindqvist A, Gislason HG, Groop L, Ekelund M, Wierup N, et al. Mucosal glucagon-like peptide-1 and glucose-dependent insulinotropic polypeptide cell numbers in the super-obese human foregut after gastric bypass. Surg Obes Relat Dis. 2015;11:1237–46.

    PubMed 
    Article 

    Google Scholar
     

  • Nora M, Guimarães M, Almeida R, Martins P, Gonçalves G, Freire MJ, et al. Metabolic laparoscopic gastric bypass for obese patients with type 2 diabetes. Obes Surg. 2011;21:1643–9.

    PubMed 
    Article 

    Google Scholar
     

  • Shah K, Nergard BJ, Fagerland MW, Gislason H. Limb length in gastric bypass in super-obese patients-importance of length of total alimentary small bowel tract. Obes Surg. 2019;29:2012–21.

    PubMed 
    Article 

    Google Scholar
     

  • Zorrilla-Nunez LF, Campbell A, Giambartolomei G, Lo Menzo E, Szomstein S, Rosenthal RJ. The importance of the biliopancreatic limb length in gastric bypass: a systematic review. Surg Obes Relat Dis. 2019;15:43–9.

    PubMed 
    Article 

    Google Scholar
     

  • Higgins JP TJ, Chandler J, Cumpston M, Li T, Page MJ, Welch VA. Cochrane handbook for systematic reviews of interventions version 6.2 (updated February 2021). Cochrane, 2021.2021.

  • Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ (Clin Res ed). 1997;315:629–34.

    CAS 
    Article 

    Google Scholar
     

  • Miras AD, Kamocka A, Perez-Pevida B, Purkayastha S, Moorthy K, Patel A, et al. The effect of standard versus longer intestinal bypass on GLP-1 regulation and glucose metabolism in patients with type 2 diabetes undergoing Roux-en-Y gastric bypass: the long-limb study. Diabetes Care. 2021;44:1082–90.

    CAS 
    PubMed 
    PubMed Central 
    Article 

    Google Scholar
     

  • Hopkins J, Welbourn R. The importance of national registries/databases in metabolic surgery: the UK experience. Surg Obes Relat Dis. 2016;12:1178–85.

    Length of biliopancreatic limb in Roux-en-Y gastric bypass and its impact on post-operative outcomes in metabolic and

    2022-08-04 09:08:07

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