Journal of Isfahan Medical School

Journal of Isfahan Medical School

The Effect of Anastomosis Gastro-Jejunostomy with Two Diameters of 30 and 45 mm on Mini-Gastric Bypass Surgery on Weight Changes in Obese Patients: A Clinical Trial Study

Document Type : Original Article (s)

Authors
Mohsen Mahmoudieh 1
Behrouz Keleidari 1
Mohamad Harandizadeh 2
1 Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Fellowship Resident, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
10.22122/jims.v38i586.12839
Abstract
Background: Obesity is one of the most common problems in community. Bariatric surgery is widely used to treat obesity. The aim of this study was compare the weight loss and body mass index (BMI) in obese patients undergoing single bariatric surgery with Single anastomosis gastric bypass (SAGB) with 3.5 mm linear stapler anastomosis with 30 mm and 45 mm diameters.Methods: In a randomized clinical trial study in 2019 in Alzahra and Kashani hospitals in Isfahan, Iran, 80 patients undergoing gastric bypass surgery with an anastomosis with gastrojejunostomy with linear shear stapler were divided into two groups of 40. The first group underwent SAGB surgery with 30 mm for their diameter of gastrojejunostomy anastomosis, and in the second group, this diameter was considered 40 mm. Patients were followed for 6 months after surgery, and the amount of weight loss and BMI changes were determined and compared in two groups.Findings: The mean decrease of BMI in gastrojejunostomy diameter of 30 and 45 millimeters was 12.79 ± 4.79 and 12.37 ± 5.37 kg/m2, and the decrease of BMI was significant in both groups (P < 0.001), but no significant difference were seen between the two groups (P = 0.71).Conclusion: The results show that gastroesophageal anastomosis with both diameters of 30 and 45 mm reduce the weight of patients during the next six months of operation, and there is no difference between these two diameters of anastomosis.
Keywords
Gastric bypass
Body Mass Index
Gastrojejunostomy
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Journal of Isfahan Medical School
Volume 38, Issue 586 - Serial Number 586
July and August 2020
Pages 557-562

  • Receive Date 10 March 2020
  • Accept Date 06 April 2022