SADI-S vs OAGB como cirugía revisional después de gastrectomía vertical. Revisión sistemática
Artículos de Revisión
Hernan Sorto, Ramon Vilallonga
DOI: 10.53435/funj.00890
Vol. 13, Núm. 1 (2023): Mayo 2023
Resumen:
Antecedentes. Debido a la posibilidad del fallo de la manga gástrica, y del aumento de la necesidad de un procedimiento revisional efectivo, se analiza el SADI-S y OAGB como opciones efectivas y morbilidad baja.
Objetivo. El propósito de la revisión es analizar la literatura disponible sobre SADI-S y OAGB como procedimientos revisionales en el fallo de la manga gástrica
Método. Revisión exhaustiva de literatura realizada hasta mayo del 2022 en relación a estudios en inglés y español sobre SADI-S y OAGB , con los objetivos de evaluar la eficacia como procedimientos revisionales, morbilidad, resolución de comorbilidades y mortalidad.
Resultado. Se analizaron 18 estudios incluyendo 1120 pacientes en los cuales el procedimiento primario fue la LSG, en 751 pacientes se realizó OAGB y 369 se realizó SADI-S como procedimiento revisional. El TWL% fue de 28.1% y 29.3% y EWL% de 60.9% y 69.7% para OAGB y SADI-S respectivamente. El índice de morbilidad fue de 11.6% para OAGB y de 16.9% para SADI-S con una mortalidad del 0% y 0.67% respectivamente.
Palabras Clave:
OAGB, SADI-S, cirugía revisional, fallo de manga gástrica
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