Yıl: 2021 Cilt: 37 Sayı: 3 Sayfa Aralığı: 294 - 298 Metin Dili: İngilizce İndeks Tarihi: 01-06-2022

A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?

Öz:
Objective: Obesity is a global health epidemic with considerable co-morbidities. The increasing demand for bariatric surgery has led to the emergence of new techniques. We modified previously described Mini Gastric By-pass(MGB) technique via leaving a bridge at the most cranial 2 cm of the fundus of the human stomach to the follow-up and treatment of the remnant stomach and duodenum. We would like to entitle this new technique as Bridged MGB and aimed to apply on rabbits as an experimental study. Material and Methods: The study was performed in the experimental animal laboratory of university after ethical approval was taken from the local ethics committee. Described new technique was applied to 2.1 and 3.2 kg 2 New Zealand rabbits. Results: As a result of the operations, one of the rabbits died on the day of the operation; the other rabbit was exitus postoperatively on the third day. In autopsies, although no problem was detected at the anastomoses, necrosis was detected in the large curvature of both rabbits. Conclusion: Rabbit, one of the popular experimental animals, has been shown to be different from the human gastrointestinal system in both arterial and topographic aspects and it has been emphasized that it varies according to the species and even the diet and the climate. We believe that our study failed as a result of these differences and that animals more similar to humans should be used in gastrointestinal experimental studies.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. World Health Organization 2018. Obesity and overweight. Fact She- ets. (WHO). Available from: https://www.who.int/news-room/fact- sheets/detail/obesity-and-overweight. [CrossRef]
  • 2. English WJ, De Maria EJ, Brethauer SA. American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedu- res performed in the United States in 2016. Surg Obes Relat Dis 2018; 14: 259-63. [CrossRef]
  • 3. Wang FG, Yan WM, Yan M, et al. Outcomes of Mini vs Roux-en-Y gast- ric bypass: a meta-analysis and T systematic review. Int J Surg 2018; 56: 7–14. [CrossRef]
  • 4. Robert M, Espalieu P, Pelascini E. Efficacy and safety of one anasto - mosis gastric bypass versus Roux-en-Y gastric bypass for obesity (YO- MEGA): a multicentre, randomized, open-label, non- inferiority trial. Lancet 2019; 393(10178): 1299-309. [CrossRef]
  • 5. Parmar CD, Zakeri R, Mahawar K. A Systematic Review of One Anas- tomosis/Mini Gastric Bypass as a Metabolic Operation for Patients With Body Mass Index ≤ 35 Kg/M 2. Obes Surg Feb 2020; 30(2): 725-35. [CrossRef]
  • 6. Sumer A, Atasoy D, Barbaros U. Bridged mini gastric bypass: a novel metabolic and bariatric operation. Bariatric Surgical Practice And Pa- tient Care 2019; 14: 2: 62-7. [CrossRef]
  • 7. Deitel M, Rutledge R. Mini-gastric bypass: prevention and manage- ment of complications in performance and follow-up. Int J Surg Nov 2019; 71: 119-23. [CrossRef]
  • 8. Sumer A, Aktokmakyan TV, Peksen C. Mini gastric by-pass and bridged mini-gastric by-pass: what is new? Ann Laparosc Endosc Surg 2020; 5: 8. [CrossRef]
  • 9. Deitel M. International MGB-OAGB club affiliates with IJS. Int J Surg 2019; 61: 76-7. [CrossRef]
  • 10. Ospanov OB. Surgical technique of laparoscopic mini-gastric bypass with obstructive T stapleless pouch creation: A case series. Int J Surg 2019; 67: 70-5. [CrossRef]
  • 11. Rutledge R, Kular K, Manchanda N. The Mini-gastric Bypass original technique. Int J Surg 2019; 61: 38-41. [CrossRef]
  • 12. Rutledge R. The mini-gastric bypass experience with the first 1,274 ca- ses. Obes Surg 2001; 11: 276-80. [CrossRef]
  • 13. Carbajo M, García-Caballero M, Toledano M. One-anastomosis gast- ric bypass by laparoscopy: results of the first 209 patients. Obes Surg 2005; 15: 398–404. [CrossRef]
  • 14. Meredith, A, Flecknell, P. BSAVA Manual of Rabbit Medicine and Sur - gery Second Edition. United Kingdom, 2006; 166-183. [CrossRef]
  • 15. Sumer A. Definition of obesity and current indications for obesity sur- gery. Laparosc Endosc Surg Sci 2016; 23: 56–62. [CrossRef]
  • 16. Buchwald H. Overview of bariatric surgery. J Am Coll Surg 2002; 194: 367-75. [CrossRef]
  • 17. Barone R, Pavaux C, Blin PC. Atlas d’Anatomie du Lapin (translated into Japanese by Mochizuki K.), Gakusosha, Tokyo, 1973. [CrossRef]
  • 18. Popesko P, Rajtova V, Horak JA. Colour Atlas of Anatomy of Small La- boratory Animals. Volume 1, Saunders, London, 2002. [CrossRef]
  • 19. Ikegami R, Tanimoto Y, Kishimoto M. Anatomical variation of arterial supply to the rabbit stomach. Vet Med Sci 2016; (78)4: 529-33. [CrossRef]
  • 20. Abidu-Figueiredo M, Xavier-Siva B, Cardinot TM, et al. Celiac artery in New Zealand rabbit: anatomical study of its origin and arrangement for experimental research and surgical practice. Pesqui Vet Bras 2008; 28: 237-40. [CrossRef]
  • 21. Meredith A. General biology and husbandry. In: Rabbit Medicine and Surgery, 2nd ed. British Small Animal Association, Gloucester, 2006; 1–17. [CrossRef]
  • 22. Nath SK. Topographical and biometrical anatomy of the digestive tract of White New Zealand Rabbit. J Adv Vet Anim Res June 2016; 3(2): 145-51. [CrossRef]
  • 23. Sumer A, Celik S, Aktokmakyan TV. Comparison of Magenstrasse and Mill gastroplasty and sleeve gastrectomy techniques as an experi- mental study on rabbits. Annali Italiani di Chirurgia 2020; 91: 116-21. [CrossRef]
APA Sumer A, çelik s, Vartanoglu Aktokmakyan T, Peksen C, SAVAŞ O, Talih T, SANCAK T, kuşcu y (2021). A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. , 294 - 298.
Chicago Sumer Aziz,çelik sebahattin,Vartanoglu Aktokmakyan Talar,Peksen Caghan,SAVAŞ Osman Anıl,Talih Tutkun,SANCAK TUNAHAN,kuşcu yağmur A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. (2021): 294 - 298.
MLA Sumer Aziz,çelik sebahattin,Vartanoglu Aktokmakyan Talar,Peksen Caghan,SAVAŞ Osman Anıl,Talih Tutkun,SANCAK TUNAHAN,kuşcu yağmur A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. , 2021, ss.294 - 298.
AMA Sumer A,çelik s,Vartanoglu Aktokmakyan T,Peksen C,SAVAŞ O,Talih T,SANCAK T,kuşcu y A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. . 2021; 294 - 298.
Vancouver Sumer A,çelik s,Vartanoglu Aktokmakyan T,Peksen C,SAVAŞ O,Talih T,SANCAK T,kuşcu y A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. . 2021; 294 - 298.
IEEE Sumer A,çelik s,Vartanoglu Aktokmakyan T,Peksen C,SAVAŞ O,Talih T,SANCAK T,kuşcu y "A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?." , ss.294 - 298, 2021.
ISNAD Sumer, Aziz vd. "A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?". (2021), 294-298.
APA Sumer A, çelik s, Vartanoglu Aktokmakyan T, Peksen C, SAVAŞ O, Talih T, SANCAK T, kuşcu y (2021). A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. Turkish Journal of Surgery, 37(3), 294 - 298.
Chicago Sumer Aziz,çelik sebahattin,Vartanoglu Aktokmakyan Talar,Peksen Caghan,SAVAŞ Osman Anıl,Talih Tutkun,SANCAK TUNAHAN,kuşcu yağmur A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. Turkish Journal of Surgery 37, no.3 (2021): 294 - 298.
MLA Sumer Aziz,çelik sebahattin,Vartanoglu Aktokmakyan Talar,Peksen Caghan,SAVAŞ Osman Anıl,Talih Tutkun,SANCAK TUNAHAN,kuşcu yağmur A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. Turkish Journal of Surgery, vol.37, no.3, 2021, ss.294 - 298.
AMA Sumer A,çelik s,Vartanoglu Aktokmakyan T,Peksen C,SAVAŞ O,Talih T,SANCAK T,kuşcu y A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. Turkish Journal of Surgery. 2021; 37(3): 294 - 298.
Vancouver Sumer A,çelik s,Vartanoglu Aktokmakyan T,Peksen C,SAVAŞ O,Talih T,SANCAK T,kuşcu y A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?. Turkish Journal of Surgery. 2021; 37(3): 294 - 298.
IEEE Sumer A,çelik s,Vartanoglu Aktokmakyan T,Peksen C,SAVAŞ O,Talih T,SANCAK T,kuşcu y "A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?." Turkish Journal of Surgery, 37, ss.294 - 298, 2021.
ISNAD Sumer, Aziz vd. "A new approach in bariatric operations: bridged mini gastric by-pass. Is rabbit model suitable for an experimental study?". Turkish Journal of Surgery 37/3 (2021), 294-298.