Publicação
One Anastomosis Transit Bipartition (OATB): rational and mid-term outcomes
| dc.contributor.author | Ribeiro, Rui | |
| dc.contributor.author | Viveiros, Octávio | |
| dc.contributor.author | Taranu, Viorel | |
| dc.contributor.author | Rossoni, Carina | |
| dc.date.accessioned | 2024-01-10T12:14:36Z | |
| dc.date.available | 2024-01-10T12:14:36Z | |
| dc.date.issued | 2023 | |
| dc.description | © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023 | pt_PT |
| dc.description.abstract | Background: The "One-anastomosis transit bipartition" (OATB) is a promising emerging technique in the metabolic syndrome treatment. Objective: To demonstrate the results achieved with OATB in the first 5 years after surgery. Method: Cross-sectional, retrospective study, with individuals undergoing primary OATB. Individuals included in the study were: ≥ 18 years, BMI ≥ 35 kg/m2; and excluded smoking habits, drug dependence, inflammatory bowel diseases. The data analyzed demographic, anthropometric, surgical, clinical, and nutritional. Results: Sixty eight participants, 75% women, average age 45.5 years and BMI 41 kg/m2. Associated diseases: osteoarthritis (52.9%), hypertension (48.5%) and type 2 diabetes mellitus-T2DM (39.7%). All underwent laparoscopy, without conversions. Average operative time is 122.6 ± 31.7 min, and hospital stay is 2.2 ± 0.8 days. The common channel length 27 and 41 patients with 250 cm and 300 cm respectively. We registered no intraoperative complications, 2 (2.9%) early complications, and 14 (20.6%) late complications. In the first 6 months, 94.7% (250 cm) and 88.9% (300 cm) of the patients no longer used medication for T2DM, with no statistical difference between the two groups. The incidence of nutritional disorders at any time during follow-up: hypovitaminosis D (14.7%), folate hypovitaminosis (14.7%), elevated PTH (7.4%), hypoproteinemia (5.9%) and anemia (5.9%). We found no statistically significant difference between 250 and 300 cm common channel groups. Conclusion: We conclude that OATB is a safe and effective technique, demonstrating good control of T2DM and metabolic syndrome. There is a requirement to treat previous nutritional deficits. We need more long-term evidence and comparison to other surgical techniques. Keywords: Bariatric surgery; Metabolic surgery; OATB; Obesity; One-anastomosis transit bipartition; SASI; Single anastomosis sleeve-ileostomy; Transit bipartition. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Obes Surg. 2023 Dec 23 | pt_PT |
| dc.identifier.doi | 10.1007/s11695-023-06988-3 | pt_PT |
| dc.identifier.eissn | 1708-0428 | |
| dc.identifier.issn | 0960-8923 | |
| dc.identifier.uri | http://hdl.handle.net/10451/61690 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Springer Nature | pt_PT |
| dc.relation.publisherversion | https://link.springer.com/journal/11695 | pt_PT |
| dc.subject | Bariatric surgery | pt_PT |
| dc.subject | Metabolic surgery | pt_PT |
| dc.subject | OATB | pt_PT |
| dc.subject | Obesity | pt_PT |
| dc.subject | SASI | pt_PT |
| dc.subject | Single anastomosis sleeve-ileostomy | pt_PT |
| dc.subject | Transit bipartition | pt_PT |
| dc.title | One Anastomosis Transit Bipartition (OATB): rational and mid-term outcomes | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.title | Obesity Surgery | pt_PT |
| person.familyName | Rossoni | |
| person.givenName | Carina | |
| person.identifier.ciencia-id | 3213-C529-AE7F | |
| person.identifier.orcid | 0000-0002-6494-4639 | |
| rcaap.rights | restrictedAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | a644afb6-3ed9-4e13-94b7-0d473119807d | |
| relation.isAuthorOfPublication.latestForDiscovery | a644afb6-3ed9-4e13-94b7-0d473119807d |