Long and Narrow Gastric Pouch versus Classic Globular Pouch in Laparoscopic Proximal Gastric Bypass: Effect on Weight Loss and Dumping Syndrome

摘要: Background: Laparoscopic proximal gastric bypass Roux-en-Y (LPGBRY) has been regarded for a long time as the gold standard treatment morbid obesity and its comorbidities. With presence of newer strong options, like sleeve mini bypass, refinements in technique are taking place to avoid current problems. Early late dumping known problems after bypass. Modifications by providing patient with narrow pouch might help problem slowing emptying time, also should it keep weight loss acceptable range. Aim: The aim this study is evaluate whether constructing can decrease incidence early laparoscopic likely impact such on rates. Patients methods: included 79 morbidly obese patients who received primary LPGBRY their obesity. They were divided into two groups; 42 (the [LN] group), 37 classic globular [G] group). Their 6 12 months’ percentage excess (%EWL) recorded. Also, one year surgery, all required fill an Arabic translation Sigstad score questionnaire, followed hour later Arts symptoms dumping, only if they scored 7 or more. Results: No significant differences found %EWL between both groups. In most commonly recorded need lie down frequent eructation, dizziness, distension. Frequent eructation was significantly higher group, while dizziness palpitation more common group (p 0.05). Half had symptoms. than < Conclusion: Long pouches achieve similar rates pouches. Constructing produces overall rate, but added less when compared