Key result
The Elbanna bypass operation achieved 80% excess weight loss at 3 years follow-up, with transient nutritional deficiencies that resolved without supplementation.
Why the study?
Bariatric procedures are expanding to address recognized problems, prompting the evaluation of a proposed more physiological bypass surgery technique in morbid obesity.
Does a proposed physiological bypass surgery technique improve weight loss and nutritional outcomes in patients with morbid obesity?
Cohort (n=256)
Yes
Does a proposed physiological bypass surgery technique improve weight loss and nutritional outcomes in patients with morbid obesity?
p-value: p=<0.0001
A proposed physiological bypass surgery for morbid obesity achieves significant weight loss with only transient, self-resolving nutritional deficiencies.
Proposed bypass linked to durable weight loss with transient nutrient shortfalls; leaves open need for RCTs before clinical consideration.
Background: Obesity is a chronic condition that affects millions globally; consequently, bariatric surgery is the key to this serious issue. Bariatric procedures are rapidly expanding in number and methods to address the recognized problems. So, it would make a sense for surgeons and patients if there is a more physiological bypass surgery technique in Morbid obesity. This study aims to evaluate the outcome proposed technique. Patients and methods: The present study is a retrospective analysis on 256 participants subjected to the proposed bypass procedure from December 1999 to January 2017, the participants were followed up for an interval of 3years. Results: The findings of the present study revealed a significant Excess Weight Loss (EWL). In addition, patients experienced decreased calcium, iron, vitamin B12, Hemoglobin, zinc, and Prothrombin Concentration. However, three to six months after surgery, they experienced a significant improvement until they reached normal levels without any supplement by the end of 12,18 months, with a three-year follow-up. Conclusion: This proposed Bypass Operation aims to adequate digestions as well as selective absorption without inducing any vital deficit. Most of study's population showed no elements inadequacies, although few percentages emerged during the interval of maximal weight reduction, and it were transient and minimal. No minerals or vitamins were needed.
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Elbanna et al. (2022) conducted a cohort in Morbid obesity (n=256). Elbanna bypass operation vs. Preoperative baseline was evaluated on Excess Weight Loss (EWL) at 3 years (p=<0.0001). The Elbanna bypass operation achieved 80% excess weight loss at 3 years follow-up, with transient nutritional deficiencies that resolved without supplementation.