FREQUENCY OF COMPLICATIONS AND EFFICACY OF SINGLE ANASTOMOSIS GASTRIC BYPASS FOR THE TREATMENT OF MORBID OBESITY: A CROSS SECTIONAL STUDY
Bibliographic record
Abstract
Objectives: To assess the outcomes of Single anastomosis Gastric Bypass in the management of Morbid Obesity.Materials and Methods: This study was conducted at Lady Reading Hospital, Peshawar between 1st June, 2017 and 28th February 2021 and included 88 patients that underwent Mini-gastric Bypass/ One anastomosis gastric bypass. Following DVT prophylaxis with subcutaneous enoxaparin, a 15-18 cm long gastric pouch was formed over a bougie 36-40Fr and a variable length of biliopancreatic limb was decided between 150-200cm, which was anastomosed to the terminal part of the gastric pouch. All anastomoses were Antecolic fashioned and a minimum 3cm anastomosis preferably to the anterior wall was performed. In all cases Covidien ENDO GIA TristapleTM technology reloads were used and enterotomies were closed using Barbed V-lockR 2/0 sutures. During follow-up relevant investigations based of emerging complaints and monitoring of weight was performed and documented on an approved proforma.Results: Out of totla 88 patients, the mean age of patients was 38.7 years (+12.3) with predominantly male patients (53.4%). Mean Body Mass Index was 55.1(+7.8) with a mean operative time of 127.6(+37.1) min. Remission of diabetes, hypertension and improvement in patients with obstructive sleep apnea at end of 6 months was observed in 37 patients (66%), 41patients (80.3%) and 25 patients (89.2%) respectively. Excess body weight loss at one month was 26.5% and at six months was 58.1%. There were no leaks observed in this study and two cases had bleeds (2.2%). One mortality (1.1%) was observed due to pulmonary embolism. Conclusion: One Anastomosis Gastric Bypass is a safe and eff ective procedure which can be modified and tailored to the individual needs of most bariatric patients including Super Obese patients. It has good results in maintaining remission of Diabetes and Hypertension.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".