Comparing the Outcome of One-Anastomosis Gastric Bypass with a Biliopancreatic Limb of 150 and 180 cm in Patient by Obesity Class III

Abstract

Since the body mass index before gastric bypass surgery is one of the effective and very important and vital factors in choosing the length of the bilopancreatic arm and the length of the bilopancreatic arm is effective on the final results of patients, in this study we decided to only We will include patients with class III obesity in the study and compare the length of the bilopancreatic arm in 150 cm and 180 cm anastomoses in order to compare the effectiveness of these two methods in these patients and in a single method for these patients. to arrive; Therefore, the present study was conducted with the aim of comparing the results of gastric bypass of a bilopancreatic arm length of 150 and 180 cm in patients with class 3 obesity. Materials and Methods: This study is a randomized and blinded clinical trial. Before the intervention, the variables of age, gender, education level, marital status, smoking, underlying diseases, weight, height, body mass index, biochemical tests such as albumin, total protein (T.pr) and ferritin levels were measured. became; Then they were admitted to the hospital and randomly divided into the following two groups: Group 1: Laparoscopic gastric bypass with a 150 cm bilopancreatic arm length Group 2: Laparoscopic gastric bypass with a 180 cm bilopancreatic arm length Meter. After surgery, routine care was performed for all patients. The patients were followed up for one year, the duration of the follow-up periods was three, six and twelve months after the surgery and at each time, the mentioned variables were recorded and finally a comparison was made between the two groups. Results: We measured weight, body mass index, serum albumin, serum total protein, serum ferritin, serum iron and serum vitamin D before the intervention and it was observed that there is no significant difference between the two groups; None of these variables had statistically significant changes between the two groups after surgery; However, the patients in the group of bilopancreatic arm length of 180 cm compared to the bilopancreatic arm length of 150 cm were initially associated with a greater decrease in weight, body mass index and absorption of microbeads, after three months, the changes between the two groups were less and at the end of one year The results between the two groups were close to each other.