The Safety and Efficacy of One Anastomosis Gastric Bypass as a Revision for Sleeve Gastrectomy
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The Safety and Efficacy of One Anastomosis Gastric Bypass as a Revision for Sleeve Gastrectomy Mohammad H. Jamal 1 & Rawan Elabd 1 & Rawan AlMutairi 1 & Aqeel Albraheem 1 & Ahmad Alhaj 1 & Haytham Alkhayat 1 & Obaid AlHarbi 1 & Husain Almahmeed 1
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Introduction Failure of sleeve gastrectomy poses a potential challenge for surgeons as variable options exist for revision. One anastomosis gastric bypass (OAGB) is a potential revisional option, and in this study, we sought to determine the safety and efficacy of OAGB post sleeve gastrectomy. Method Prospective study on our initial experience with a consecutive group of patients who underwent OAGB as a revisional surgery for sleeve gastrectomy in the period between January 2015 and December 2018 was carried out. Morbidity and mortality data were recorded as well as the effect on comorbidities and weight loss. Results A total of 56 patients underwent OAGB as a revision of sleeve gastrectomy. The average weight prior to OAGB was 112 ± 24.6 kg. The minimum weight they have reached after is 85 ± 21.3 kg after a duration of 19 ± 9.2 months. Percentage of total weight loss (TWL%) at 1, 3, 6, and 12 months postoperatively was found to be 7.6%, 9.8%, 14.1%, and 28.8%, respectively. TWL% on the last day of follow-up was 24%. Two patients had marginal ulcers, in which one had a perforation. Conclusion OAGB is safe and effective for weight regain post sleeve gastrectomy. Keywords Bariatric . One anastomosis gastric bypass . Sleeve revision . Weight regain
Background and Introduction The state of Kuwait is ranked one of the top 7% of countries worldwide with the highest obesity prevalence according to the International Comparisons data from the WHO Global Infobase [1]. Sleeve gastrectomy is the most widely used metabolic surgery in the Middle East since it started as a first-step operation in the super morbid obese prior to duodenal switch and is the most widely performed bariatric surgery in the USA since 2014 [2]. Sleeve surgery is very effective in the short term at weight loss with relative technical simplicity and low
Presented at the annual meeting for the International Federation for the Surgery of Obesity and Metabolic Disorders, Dubai 2018 A study examining the effect of one anastomosis gastric bypass as a revision for sleeve gastrectomy, with short- and medium-term effects on weight loss along with a mean follow-up approaching 2 years * Mohammad H. Jamal [email protected] 1
Kuwait Medical School, Kuwait University, Kuwait City, Kuwait
morbidity [3]; it is however associated with weight regain [4, 5] with more follow-up and with the development of gastroesophageal reflux disease (GERD), with a postoperative incidence reported to be between 7% and 20% [6, 7] [8]. Studies in the literature consistently reported weight regain, which was defined by most as an increase of 10 kg or more from weight loss nadir [5], with examples from 10-year follow-up studies docu
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