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Obes Surg ; 33(6): 1846-1856, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37022609

RESUMO

This is a systematic review and meta-analysis that assessed the impact of performing OAGB with a 150-cm BPL versus a 200-cm BPL concerning weight loss, comorbidities remission, and adverse nutritional effects. The analysis included studies that compared patients who underwent OAGB with a 150-cm BPL and 200-cm BPL. Eight studies were eligible for this review after searching in the EMBASE, PubMed central database, and Google scholar. The pooled analysis revealed favoring the 200-cm BPL limb length for weight loss, with a highly significant difference in the TWL% (p=0.009). Both groups showed comparable comorbidities remission. Significantly higher ferritin and folate deficiency rates were found in the 200-cm BPL group. Considering a 200-cm BPL when performing OAGB delivers a better weight loss outcome than a 150-cm BPL, which is at the expense of a more severe nutritional deficiency. No significant differences were found regarding the comorbidities' remission.


Assuntos
Derivação Gástrica , Obesidade Mórbida , Desnutrição Proteico-Calórica , Humanos , Derivação Gástrica/efeitos adversos , Obesidade Mórbida/cirurgia , Comorbidade , Desnutrição Proteico-Calórica/etiologia , Redução de Peso , Estudos Retrospectivos
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