PMID- 33786126
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220421
IS  - 1895-4588 (Print)
IS  - 2299-0054 (Electronic)
IS  - 1895-4588 (Linking)
VI  - 16
IP  - 1
DP  - 2021 Mar
TI  - Short versus long biliopancreatic limb in Roux-en-Y gastric bypass surgery for 
      treatment of type 2 diabetes mellitus.
PG  - 129-138
LID - 10.5114/wiitm.2020.99997 [doi]
AB  - INTRODUCTION: Although laparoscopic Roux-en-Y gastric bypass (RYGB) is still 
      widely accepted as a valid procedure in the treatment of obesity and type 2 
      diabetes mellitus (T2DM), there continues to be a significant controversy about 
      how long the Roux and biliopancreatic limb should be bypassed for optimum 
      results. AIM: To assess the effect of a longer biliopancreatic limb (BPL) length 
      on glycemic control after RYGB in T2DM patients. MATERIAL AND METHODS: 
      Eighty-four patients with uncontrolled T2DM who underwent RYGB between May 2010 
      and April 2017 were collected from the prospectively designed database. Forty 
      patients (S-BPL group) received BPL lengths </= 50 cm, including 30 cm (n = 1), 40 
      cm (n = 1), and 50 cm (n = 38). Forty-four patients (L-BPL group) received 100 cm 
      BPL. Anthropometry, serum glucose and lipid metabolic parameters were measured at 
      baseline and 1, 3, 6, 12, 24 and 36 months after surgery. RESULTS: Comparing the 
      two groups, there were no significant differences in anthropometric and 
      biochemical measures, except the weight and body mass index, which were higher in 
      the S-BPL group (85.91 +/-20.32 vs. 76.25 +/-16.99, p = 0.038; 31.87 +/-6.61 vs. 28.7 
      +/-4.29, p = 0.005) compared to the L-BPL group. The body weight, glucose and lipid 
      metabolic parameters decreased over time and then remained essentially stable 
      from the first year in both groups. Two years after surgery, the remission 
      (HbA(1c)% </= 6%) of T2DM was 31.2% in the S-BPL group and 37.5% in the L-BPL group 
      (p = 0.685). CONCLUSIONS: With consistent total small bowel bypass (AL + BPL) 
      lengths, lengthening of the BPL from 30 to 100 cm did not affect the post-RYGB 
      glycemic control and weight loss.
CI  - Copyright: (c) 2020 Fundacja Videochirurgii.
FAU - Ke, Zhigang
AU  - Ke Z
AD  - Department of General Surgery, Daping Hospital, Army Medical University, 
      Chongqing, China.
FAU - Li, Fan
AU  - Li F
AD  - Department of General Surgery, Daping Hospital, Army Medical University, 
      Chongqing, China.
FAU - Gao, Yu
AU  - Gao Y
AD  - Department of General Surgery, Daping Hospital, Army Medical University, 
      Chongqing, China.
FAU - Zhou, Xunmei
AU  - Zhou X
AD  - Department of Hypertension and Endocrinology, Daping Hospital, Army Medical 
      University, Center for Hypertension and Metabolic Diseases, Chongqing Institute 
      of Hypertension, Chongqing, China.
FAU - Sun, Fang
AU  - Sun F
AD  - Department of Hypertension and Endocrinology, Daping Hospital, Army Medical 
      University, Center for Hypertension and Metabolic Diseases, Chongqing Institute 
      of Hypertension, Chongqing, China.
FAU - Wang, Li
AU  - Wang L
AD  - Department of General Surgery, Daping Hospital, Army Medical University, 
      Chongqing, China.
FAU - Chen, Jing
AU  - Chen J
AD  - Department of Hypertension and Endocrinology, Daping Hospital, Army Medical 
      University, Center for Hypertension and Metabolic Diseases, Chongqing Institute 
      of Hypertension, Chongqing, China.
FAU - Tan, Xin
AU  - Tan X
AD  - Department of Rehabilitation Medicine, Chongqing Bishan People's Hospital, 
      Chongqing, China.
FAU - Zhu, Zhiming
AU  - Zhu Z
AD  - Department of Hypertension and Endocrinology, Daping Hospital, Army Medical 
      University, Center for Hypertension and Metabolic Diseases, Chongqing Institute 
      of Hypertension, Chongqing, China.
FAU - Tong, Weidong
AU  - Tong W
AD  - Department of General Surgery, Daping Hospital, Army Medical University, 
      Chongqing, China.
LA  - eng
PT  - Journal Article
DEP - 20201014
PL  - Poland
TA  - Wideochir Inne Tech Maloinwazyjne
JT  - Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other 
      miniinvasive techniques
JID - 101283175
PMC - PMC7991953
OTO - NOTNLM
OT  - Roux-en-Y gastric bypass
OT  - biliopancreatic limb
OT  - type 2 diabetes mellitus
COIS- The authors declare no conflict of interest.
EDAT- 2021/04/01 06:00
MHDA- 2021/04/01 06:01
PMCR- 2021/03/01
CRDT- 2021/03/31 06:39
PHST- 2020/07/19 00:00 [received]
PHST- 2020/09/12 00:00 [accepted]
PHST- 2021/03/31 06:39 [entrez]
PHST- 2021/04/01 06:00 [pubmed]
PHST- 2021/04/01 06:01 [medline]
PHST- 2021/03/01 00:00 [pmc-release]
AID - 42091 [pii]
AID - 10.5114/wiitm.2020.99997 [doi]
PST - ppublish
SO  - Wideochir Inne Tech Maloinwazyjne. 2021 Mar;16(1):129-138. doi: 
      10.5114/wiitm.2020.99997. Epub 2020 Oct 14.