dc.contributor.author	Ribeiro, R
dc.contributor.author	Pouwels, S
dc.contributor.author	Parmar, C
dc.contributor.author	Pereira, J
dc.contributor.author	Manaças, L
dc.contributor.author	Guerra, A
dc.contributor.author	Borges, N
dc.contributor.author	Ribeiro, J
dc.contributor.author	Viveiros, O
dc.date.accessioned	2021-04-30T14:54:44Z
dc.date.available	2021-04-30T14:54:44Z
dc.date.issued	2019
dc.description.abstract	Background: One of the most important complications of the one anastomosis gastric bypass (OAGB) is enterobilio acid reflux (EBAR). We report the concept of the long pouch Roux-en-Y gastric bypass (LPRYGB) meaning a Roux-en-Y with a long pouch and a 100-cm alimentary limb to avoid EBAR, with a long biliopancreatic limb to increase metabolic effects. Methods: A total of 300 LPRYGB cases in a 4-year period, with a 90% follow-up rate, were analysed. Anthropometric, technical feasibility, morbidity, weight loss and comorbidity outcomes were analysed. Results: The percentage total weight loss (%TWL) was 30.5% at 4 years of follow-up (32.3% in primary and 28.3% in revisions). Six intra-operative (2%) and 28 postoperative complications (9.3%) were seen. Out of this 28 complications, 11 (3.6%) were late complications. Reoperations were performed in 15 patients (5.0%). Clinically relevant EBAR was present in 3 cases only (1%) 4 years after the operation. Conclusions: The LPRYGB combines the main advantages of the OAGB (light restriction and moderate malabsorption) with the anti-reflux effect from the Roux-en-Y diversion.	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.citation	Obes Surg. 2019 Nov;29(11):3665-3671.	pt_PT
dc.identifier.doi	10.1007/s11695-019-04051-8	pt_PT
dc.identifier.uri	http://hdl.handle.net/10400.17/3681
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	Springer	pt_PT
dc.subject	Comorbidity	pt_PT
dc.subject	Follow-Up Studies	pt_PT
dc.subject	Humans	pt_PT
dc.subject	Postoperative Complications	pt_PT
dc.subject	Treatment Outcome	pt_PT
dc.subject	Weight Loss	pt_PT
dc.subject	Gastric Bypass	pt_PT
dc.subject	Obesity	pt_PT
dc.subject	Reoperation	pt_PT
dc.subject	HCC CIR	pt_PT
dc.title	Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and Revision Cases	pt_PT
dc.type	journal article
dspace.entity.type	Publication
oaire.citation.endPage	3671	pt_PT
oaire.citation.issue	11	pt_PT
oaire.citation.startPage	3665	pt_PT
oaire.citation.title	Obesity Surgery	pt_PT
oaire.citation.volume	29	pt_PT
rcaap.rights	openAccess	pt_PT
rcaap.type	article	pt_PT

Outcomes of Long Pouch Gastric Bypass (LPGB): 4-Year Experience in Primary and Revision Cases

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