Skip to main content
Erschienen in: Obesity Surgery 6/2021

17.02.2021 | Original Contributions

Areas of Non-Consensus Around One Anastomosis/Mini Gastric Bypass (OAGB/MGB): A Narrative Review

verfasst von: Mohammad Kermansaravi, Amir Hossein DavarpanahJazi, Shahab ShahabiShahmiri, Miguel Carbajo, Antonio Vitiello, Chetan D. Parmar, Mario Musella

Erschienen in: Obesity Surgery | Ausgabe 6/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

One anastomosis/mini gastric bypass (OAGB/MGB) is now an established bariatric and metabolic surgical procedure with good outcomes. Despite two recent consensus statements around OAGB/MGB, there are some issues which are not accepted as consensus and need more long-term data and research.

Material and Methods

After identifying the topic of non-consensus from the two recent OAGB/MGB consensuses, PubMed, Scopus, and Cochrane were searched for articles published by November 2020.

Results

In this study, we evaluated these non-consensus topics around OAGB/MGB and all related articles on these topics were assessed by authors to have an argument on these items.

Conclusion

There is enough evidence to include OAGB/MGB as an accepted standard bariatric and metabolic surgical procedure. However, long-term data and more research are needed to have a consensus in all aspects including these non-consensus topics.
Literatur
1.
Zurück zum Zitat De Luca M, Tie T, Ooi G, et al. Mini gastric bypass-one anastomosis gastric bypass (MGB-OAGB)-IFSO position statement. Obes Surg. 2018;28(5):1188–206.PubMedCrossRef De Luca M, Tie T, Ooi G, et al. Mini gastric bypass-one anastomosis gastric bypass (MGB-OAGB)-IFSO position statement. Obes Surg. 2018;28(5):1188–206.PubMedCrossRef
2.
Zurück zum Zitat Carbajo M, Garcia-Caballero M, Toledano M, et al. One-anastomosis gastric bypass by laparoscopy: results of the first 209 patients. Obes Surg. 2005;15(3):398–404.PubMedCrossRef Carbajo M, Garcia-Caballero M, Toledano M, et al. One-anastomosis gastric bypass by laparoscopy: results of the first 209 patients. Obes Surg. 2005;15(3):398–404.PubMedCrossRef
3.
Zurück zum Zitat Mahawar KK, Himpens J, Shikora SA, et al. The First consensus statement on one anastomosis/mini gastric bypass (OAGB/MGB) using a modified Delphi approach. Obes Surg. 2018;28(2):303–12.PubMedCrossRef Mahawar KK, Himpens J, Shikora SA, et al. The First consensus statement on one anastomosis/mini gastric bypass (OAGB/MGB) using a modified Delphi approach. Obes Surg. 2018;28(2):303–12.PubMedCrossRef
4.
Zurück zum Zitat Ramos AC, Chevallier JM, Mahawar K, et al. IFSO (International Federation for Surgery of Obesity and Metabolic Disorders) consensus conference statement on one-anastomosis gastric bypass (OAGB-MGB): results of a modified Delphi study. Obes Surg. 2020;30(5):1625–34.PubMedCrossRef Ramos AC, Chevallier JM, Mahawar K, et al. IFSO (International Federation for Surgery of Obesity and Metabolic Disorders) consensus conference statement on one-anastomosis gastric bypass (OAGB-MGB): results of a modified Delphi study. Obes Surg. 2020;30(5):1625–34.PubMedCrossRef
5.
Zurück zum Zitat Mahawar KK, Kular KS, Parmar C, et al. Perioperative practices concerning one anastomosis (mini) gastric bypass: a survey of 210 surgeons. Obes Surg. 2018;28(1):204–11.PubMedCrossRef Mahawar KK, Kular KS, Parmar C, et al. Perioperative practices concerning one anastomosis (mini) gastric bypass: a survey of 210 surgeons. Obes Surg. 2018;28(1):204–11.PubMedCrossRef
6.
Zurück zum Zitat Chevallier JM, Arman GA, Guenzi M, et al. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015;25(6):951–8.PubMedCrossRef Chevallier JM, Arman GA, Guenzi M, et al. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015;25(6):951–8.PubMedCrossRef
7.
Zurück zum Zitat Kassir R, Petrucciani N, Debs T, et al. Conversion of one anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB) for biliary reflux resistant to medical treatment: lessons learned from a retrospective series of 2780 consecutive patients undergoing OAGB. Obes Surg. 2020;30(6):2093–8.PubMedCrossRef Kassir R, Petrucciani N, Debs T, et al. Conversion of one anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB) for biliary reflux resistant to medical treatment: lessons learned from a retrospective series of 2780 consecutive patients undergoing OAGB. Obes Surg. 2020;30(6):2093–8.PubMedCrossRef
8.
Zurück zum Zitat Carbajo MA, Luque-de-León E, Jiménez JM, et al. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg. 2017;27(5):1153–67.PubMedCrossRef Carbajo MA, Luque-de-León E, Jiménez JM, et al. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg. 2017;27(5):1153–67.PubMedCrossRef
9.
Zurück zum Zitat Brolin RE, Bradley LJ, Taliwal RV. Unsuspected cirrhosis discovered during elective obesity operations. Arch Surg (Chicago, Ill : 1960). 1998;133(1):84–8.CrossRef Brolin RE, Bradley LJ, Taliwal RV. Unsuspected cirrhosis discovered during elective obesity operations. Arch Surg (Chicago, Ill : 1960). 1998;133(1):84–8.CrossRef
10.
Zurück zum Zitat Parmar CD, Zakeri R, Mahawar K. A systematic review of one anastomosis/mini gastric bypass as a metabolic operation for patients with body mass index </= 35 kg/m(2). Obes Surg. 2020;30(2):725–35.PubMedCrossRef Parmar CD, Zakeri R, Mahawar K. A systematic review of one anastomosis/mini gastric bypass as a metabolic operation for patients with body mass index </= 35 kg/m(2). Obes Surg. 2020;30(2):725–35.PubMedCrossRef
11.
Zurück zum Zitat Kular KS, Manchanda N, Cheema GK. Seven years of mini-gastric bypass in type II diabetes patients with a body mass index <35 kg/m(2). Obes Surg. 2016;26(7):1457–62.PubMedCrossRef Kular KS, Manchanda N, Cheema GK. Seven years of mini-gastric bypass in type II diabetes patients with a body mass index <35 kg/m(2). Obes Surg. 2016;26(7):1457–62.PubMedCrossRef
12.
Zurück zum Zitat Kim Z, Hur KY. Laparoscopic mini-gastric bypass for type 2 diabetes: the preliminary report. World J Surg. 2011;35(3):631–6.PubMedCrossRef Kim Z, Hur KY. Laparoscopic mini-gastric bypass for type 2 diabetes: the preliminary report. World J Surg. 2011;35(3):631–6.PubMedCrossRef
13.
Zurück zum Zitat Ruiz-Tovar J, Carbajo MA, Jimenez JM, et al. Long-term follow-up after sleeve gastrectomy versus Roux-en-Y gastric bypass versus one-anastomosis gastric bypass: a prospective randomized comparative study of weight loss and remission of comorbidities. Surg Endosc. 2019;33(2):401–10.PubMedCrossRef Ruiz-Tovar J, Carbajo MA, Jimenez JM, et al. Long-term follow-up after sleeve gastrectomy versus Roux-en-Y gastric bypass versus one-anastomosis gastric bypass: a prospective randomized comparative study of weight loss and remission of comorbidities. Surg Endosc. 2019;33(2):401–10.PubMedCrossRef
14.
Zurück zum Zitat Parmar CD, Bryant C, Luque-de-Leon E, et al. One anastomosis gastric bypass in morbidly obese patients with BMI >/= 50 kg/m(2): a systematic review comparing it with Roux-En-Y gastric bypass and sleeve gastrectomy. Obes Surg. 2019;29(9):3039–46.PubMedCrossRef Parmar CD, Bryant C, Luque-de-Leon E, et al. One anastomosis gastric bypass in morbidly obese patients with BMI >/= 50 kg/m(2): a systematic review comparing it with Roux-En-Y gastric bypass and sleeve gastrectomy. Obes Surg. 2019;29(9):3039–46.PubMedCrossRef
15.
Zurück zum Zitat Lee WJ, Lin YH. Single-anastomosis gastric bypass (SAGB): appraisal of clinical evidence. Obes Surg. 2014;24(10):1749–56.PubMedCrossRef Lee WJ, Lin YH. Single-anastomosis gastric bypass (SAGB): appraisal of clinical evidence. Obes Surg. 2014;24(10):1749–56.PubMedCrossRef
16.
Zurück zum Zitat Lee WJ, Wang W, Lee YC, et al. Laparoscopic mini-gastric bypass: experience with tailored bypass limb according to body weight. Obes Surg. 2008;18(3):294–9.PubMedCrossRef Lee WJ, Wang W, Lee YC, et al. Laparoscopic mini-gastric bypass: experience with tailored bypass limb according to body weight. Obes Surg. 2008;18(3):294–9.PubMedCrossRef
17.
Zurück zum Zitat Ruiz-Tovar J, Carbajo MA, Jimenez JM, et al. Are there ideal small bowel limb lengths for one-anastomosis gastric bypass (OAGB) to obtain optimal weight loss and remission of comorbidities with minimal nutritional deficiencies? World J Surg. 2020;44(3):855–62.PubMedCrossRef Ruiz-Tovar J, Carbajo MA, Jimenez JM, et al. Are there ideal small bowel limb lengths for one-anastomosis gastric bypass (OAGB) to obtain optimal weight loss and remission of comorbidities with minimal nutritional deficiencies? World J Surg. 2020;44(3):855–62.PubMedCrossRef
18.
Zurück zum Zitat Lo HC. The learning curve of one anastomosis gastric bypass and its impact as a preceding procedure to Roux-en Y gastric bypass: initial experience of one hundred and five consecutive cases. BMC Surg. 2020;20(1):37.PubMedPubMedCentralCrossRef Lo HC. The learning curve of one anastomosis gastric bypass and its impact as a preceding procedure to Roux-en Y gastric bypass: initial experience of one hundred and five consecutive cases. BMC Surg. 2020;20(1):37.PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Ruiz-Mar G, Ruelas-Ayala A, Ornelas-Onate LA, et al. The one anastomosis gastric bypass technique: results after one year of follow-up. Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery. 2019;32(4):e1476.PubMedCrossRef Ruiz-Mar G, Ruelas-Ayala A, Ornelas-Onate LA, et al. The one anastomosis gastric bypass technique: results after one year of follow-up. Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery. 2019;32(4):e1476.PubMedCrossRef
20.
Zurück zum Zitat Scavone G, Caltabiano DC, Gulino F, et al. Laparoscopic mini/one anastomosis gastric bypass: anatomic features, imaging, efficacy and postoperative complications. Updat Surg. 2020;72(2):493–502.CrossRef Scavone G, Caltabiano DC, Gulino F, et al. Laparoscopic mini/one anastomosis gastric bypass: anatomic features, imaging, efficacy and postoperative complications. Updat Surg. 2020;72(2):493–502.CrossRef
21.
Zurück zum Zitat Carbajo MA, Gonzalez-Ramirez G, Jimenez JM, et al. A 5-year follow-up in children and adolescents undergoing one-anastomosis gastric bypass (OAGB) at a European IFSO Excellence Center (EAC-BS). Obes Surg. 2019;29(9):2739–44.PubMedCrossRef Carbajo MA, Gonzalez-Ramirez G, Jimenez JM, et al. A 5-year follow-up in children and adolescents undergoing one-anastomosis gastric bypass (OAGB) at a European IFSO Excellence Center (EAC-BS). Obes Surg. 2019;29(9):2739–44.PubMedCrossRef
22.
Zurück zum Zitat Ahuja A, Tantia O, Goyal G, et al. MGB-OAGB: effect of biliopancreatic limb length on nutritional deficiency, weight loss, and comorbidity resolution. Obes Surg. 2018;28(11):3439–45.PubMedCrossRef Ahuja A, Tantia O, Goyal G, et al. MGB-OAGB: effect of biliopancreatic limb length on nutritional deficiency, weight loss, and comorbidity resolution. Obes Surg. 2018;28(11):3439–45.PubMedCrossRef
23.
Zurück zum Zitat Apers J, Wijkmans R, Totte E, et al. Implementation of mini gastric bypass in the Netherlands: early and midterm results from a high-volume unit. Surg Endosc. 2018;32(9):3949–55.PubMedCrossRef Apers J, Wijkmans R, Totte E, et al. Implementation of mini gastric bypass in the Netherlands: early and midterm results from a high-volume unit. Surg Endosc. 2018;32(9):3949–55.PubMedCrossRef
24.
Zurück zum Zitat Deitel M, Rutledge R. Mini-gastric bypass: prevention and management of complications in performance and follow-up. Int J Surg (London, England). 2019;71:119–23.CrossRef Deitel M, Rutledge R. Mini-gastric bypass: prevention and management of complications in performance and follow-up. Int J Surg (London, England). 2019;71:119–23.CrossRef
25.
Zurück zum Zitat Musella M, Susa A, Manno E, et al. Complications following the mini/one anastomosis gastric bypass (MGB/OAGB): a multi-institutional survey on 2678 patients with a mid-term (5 years) follow-up. Obes Surg. 2017;27(11):2956–67.PubMedCrossRef Musella M, Susa A, Manno E, et al. Complications following the mini/one anastomosis gastric bypass (MGB/OAGB): a multi-institutional survey on 2678 patients with a mid-term (5 years) follow-up. Obes Surg. 2017;27(11):2956–67.PubMedCrossRef
26.
Zurück zum Zitat Neuberg M, Blanchet MC, Gignoux B, et al. Long-term outcomes after one-anastomosis gastric bypass (OAGB) in morbidly obese patients. Obes Surg. 2020;30(4):1379–84.PubMedCrossRef Neuberg M, Blanchet MC, Gignoux B, et al. Long-term outcomes after one-anastomosis gastric bypass (OAGB) in morbidly obese patients. Obes Surg. 2020;30(4):1379–84.PubMedCrossRef
27.
Zurück zum Zitat Clapp B, Hahn J, Dodoo C, et al. Evaluation of the rate of marginal ulcer formation after bariatric surgery using the MBSAQIP database. Surg Endosc. 2019;33(6):1890–7.PubMedCrossRef Clapp B, Hahn J, Dodoo C, et al. Evaluation of the rate of marginal ulcer formation after bariatric surgery using the MBSAQIP database. Surg Endosc. 2019;33(6):1890–7.PubMedCrossRef
29.
Zurück zum Zitat Mahawar KK, Parmar C, Carr WR, et al. Preoperative interventions for patients being considered for bariatric surgery: separating the fact from fiction. Obes Surg. 2015;25(8):1527–33.PubMedCrossRef Mahawar KK, Parmar C, Carr WR, et al. Preoperative interventions for patients being considered for bariatric surgery: separating the fact from fiction. Obes Surg. 2015;25(8):1527–33.PubMedCrossRef
30.
Zurück zum Zitat Ruiz-Tovar J, Llavero C. Metabolic effect of the hepatic branch of the vagal nerve in one-anastomosis gastric bypass (OAGB). World J Surg. 2020;44(6):1939–44.PubMedCrossRef Ruiz-Tovar J, Llavero C. Metabolic effect of the hepatic branch of the vagal nerve in one-anastomosis gastric bypass (OAGB). World J Surg. 2020;44(6):1939–44.PubMedCrossRef
31.
Zurück zum Zitat Jedamzik J, Eilenberg M, Felsenreich DM, et al. Impact of limb length on nutritional status in one-anastomosis gastric bypass: 3-year results. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2020;16(4):476–84.CrossRef Jedamzik J, Eilenberg M, Felsenreich DM, et al. Impact of limb length on nutritional status in one-anastomosis gastric bypass: 3-year results. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2020;16(4):476–84.CrossRef
32.
Zurück zum Zitat Bruzzi M, Rau C, Voron T, et al. Single anastomosis or mini-gastric bypass: long-term results and quality of life after a 5-year follow-up. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2015;11(2):321–6.CrossRef Bruzzi M, Rau C, Voron T, et al. Single anastomosis or mini-gastric bypass: long-term results and quality of life after a 5-year follow-up. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2015;11(2):321–6.CrossRef
33.
Zurück zum Zitat Shenouda MM, Harb SE, Mikhail SAA, et al. Bile gastritis following laparoscopic single anastomosis gastric bypass: pilot study to assess significance of bilirubin level in gastric aspirate. Obes Surg. 2018;28(2):389–95.PubMedCrossRef Shenouda MM, Harb SE, Mikhail SAA, et al. Bile gastritis following laparoscopic single anastomosis gastric bypass: pilot study to assess significance of bilirubin level in gastric aspirate. Obes Surg. 2018;28(2):389–95.PubMedCrossRef
34.
Zurück zum Zitat Kermansaravi M, Pishgahroudsari M, Kabir A, et al. Weight loss after one-anastomosis/mini-gastric bypass-the impact of biliopancreatic limb: a retrospective cohort study. Journal of Research in Medical Sciences : the official journal of Isfahan University of Medical Sciences. 2020;25:5.CrossRef Kermansaravi M, Pishgahroudsari M, Kabir A, et al. Weight loss after one-anastomosis/mini-gastric bypass-the impact of biliopancreatic limb: a retrospective cohort study. Journal of Research in Medical Sciences : the official journal of Isfahan University of Medical Sciences. 2020;25:5.CrossRef
35.
Zurück zum Zitat Bhandari M, Nautiyal HK, Kosta S, et al. Comparison of one-anastomosis gastric bypass and Roux-en-Y gastric bypass for treatment of obesity: a 5-year study. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2019;15(12):2038–44.CrossRef Bhandari M, Nautiyal HK, Kosta S, et al. Comparison of one-anastomosis gastric bypass and Roux-en-Y gastric bypass for treatment of obesity: a 5-year study. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2019;15(12):2038–44.CrossRef
36.
Zurück zum Zitat Hussain A, El-Hasani S. Short- and mid-term outcomes of 527 one anastomosis gastric bypass/mini-gastric bypass (OAGB/MGB) operations: retrospective study. Obes Surg. 2019;29(1):262–7.PubMedCrossRef Hussain A, El-Hasani S. Short- and mid-term outcomes of 527 one anastomosis gastric bypass/mini-gastric bypass (OAGB/MGB) operations: retrospective study. Obes Surg. 2019;29(1):262–7.PubMedCrossRef
37.
Zurück zum Zitat Ansar H, Zamaninour N, Pazouki A, et al. Weight loss after one anastomosis gastric bypass-mini gastric bypass (OAGB-MGB): patient-related perioperative predictive factors. Obes Surg. 2020;30(4):1316–23.PubMedCrossRef Ansar H, Zamaninour N, Pazouki A, et al. Weight loss after one anastomosis gastric bypass-mini gastric bypass (OAGB-MGB): patient-related perioperative predictive factors. Obes Surg. 2020;30(4):1316–23.PubMedCrossRef
38.
Zurück zum Zitat Soong TC, Almalki OM, Lee WJ, et al. Measuring the small bowel length may decrease the incidence of malnutrition after laparoscopic one-anastomosis gastric bypass with tailored bypass limb. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2019;15(10):1712–8.CrossRef Soong TC, Almalki OM, Lee WJ, et al. Measuring the small bowel length may decrease the incidence of malnutrition after laparoscopic one-anastomosis gastric bypass with tailored bypass limb. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2019;15(10):1712–8.CrossRef
39.
Zurück zum Zitat Genser L, Soprani A, Tabbara M, et al. Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative malnutrition. Langenbeck's Arch Surg. 2017;402(8):1263–70.CrossRef Genser L, Soprani A, Tabbara M, et al. Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative malnutrition. Langenbeck's Arch Surg. 2017;402(8):1263–70.CrossRef
40.
Zurück zum Zitat Saarinen T, Pietiläinen KH, Loimaala A, et al. Bile reflux is a common finding in the gastric pouch after one anastomosis gastric bypass. Obes Surg. 2020;30(3):875–81.PubMedCrossRef Saarinen T, Pietiläinen KH, Loimaala A, et al. Bile reflux is a common finding in the gastric pouch after one anastomosis gastric bypass. Obes Surg. 2020;30(3):875–81.PubMedCrossRef
41.
Zurück zum Zitat Navarrete S, Leyba JL, Ll SN, et al. Results of the comparative study of 200 cases: one anastomosis gastric bypass vs Roux-en-Y gastric bypass. Obes Surg. 2018;28(9):2597–602.PubMedCrossRef Navarrete S, Leyba JL, Ll SN, et al. Results of the comparative study of 200 cases: one anastomosis gastric bypass vs Roux-en-Y gastric bypass. Obes Surg. 2018;28(9):2597–602.PubMedCrossRef
42.
Zurück zum Zitat Carbajo MA, Fong-Hirales A, Luque-de-León E, et al. Weight loss and improvement of lipid profiles in morbidly obese patients after laparoscopic one-anastomosis gastric bypass: 2-year follow-up. Surg Endosc. 2017;31(1):416–21.PubMedCrossRef Carbajo MA, Fong-Hirales A, Luque-de-León E, et al. Weight loss and improvement of lipid profiles in morbidly obese patients after laparoscopic one-anastomosis gastric bypass: 2-year follow-up. Surg Endosc. 2017;31(1):416–21.PubMedCrossRef
43.
Zurück zum Zitat Mahawar KK, Reed AN, Graham YNH. Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of surgeons. Clin Obes. 2017;7(3):151–6.PubMedCrossRef Mahawar KK, Reed AN, Graham YNH. Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of surgeons. Clin Obes. 2017;7(3):151–6.PubMedCrossRef
44.
Zurück zum Zitat Kermansaravi M, Kabir A, Mousavimaleki A, et al. Association between hiatal hernia and gastroesophageal reflux symptoms after one-anastomosis/mini gastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2020;16(7):863–7.CrossRef Kermansaravi M, Kabir A, Mousavimaleki A, et al. Association between hiatal hernia and gastroesophageal reflux symptoms after one-anastomosis/mini gastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2020;16(7):863–7.CrossRef
45.
Zurück zum Zitat Chiappetta S, Stier C, Scheffel O, et al. Mini/one anastomosis gastric bypass versus Roux-en-Y gastric bypass as a second step procedure after sleeve gastrectomy-a retrospective cohort study. Obes Surg. 2019;29(3):819–27.PubMedCrossRef Chiappetta S, Stier C, Scheffel O, et al. Mini/one anastomosis gastric bypass versus Roux-en-Y gastric bypass as a second step procedure after sleeve gastrectomy-a retrospective cohort study. Obes Surg. 2019;29(3):819–27.PubMedCrossRef
46.
Zurück zum Zitat Rheinwalt KP, Plamper A, Ruckbeil MV, et al. One anastomosis gastric bypass-mini-gastric bypass (OAGB-MGB) versus Roux-en-Y gastric bypass (RYGB)-a mid-term cohort study with 612 patients. Obes Surg. 2020;30(4):1230–40.PubMedCrossRef Rheinwalt KP, Plamper A, Ruckbeil MV, et al. One anastomosis gastric bypass-mini-gastric bypass (OAGB-MGB) versus Roux-en-Y gastric bypass (RYGB)-a mid-term cohort study with 612 patients. Obes Surg. 2020;30(4):1230–40.PubMedCrossRef
47.
Zurück zum Zitat Kermansaravi M, Kazazi M, Pazouki A. Petersen’s space internal hernia after laparoscopic one anastomosis (mini) gastric bypass. Case reports in surgery. 2018;2018:9576120.PubMedPubMedCentralCrossRef Kermansaravi M, Kazazi M, Pazouki A. Petersen’s space internal hernia after laparoscopic one anastomosis (mini) gastric bypass. Case reports in surgery. 2018;2018:9576120.PubMedPubMedCentralCrossRef
48.
Zurück zum Zitat Camacho Fernandez-Pacheco B, Lopez-Tomassetti Fernandez E, Hernandez Hernandez JR. Surgery and considerations for the repair of Petersen’s space hernia after mini gastric bypass. J Minim Access Surg. 2018;14(1):58–60.PubMedPubMedCentralCrossRef Camacho Fernandez-Pacheco B, Lopez-Tomassetti Fernandez E, Hernandez Hernandez JR. Surgery and considerations for the repair of Petersen’s space hernia after mini gastric bypass. J Minim Access Surg. 2018;14(1):58–60.PubMedPubMedCentralCrossRef
49.
Zurück zum Zitat Abbas A, Kermansaravi M, Eghbali F, et al. Another Petersen’s space hernia after one anastomosis gastric bypass: a video case report. Obes Surg. 2019;29(11):3776–7.PubMedCrossRef Abbas A, Kermansaravi M, Eghbali F, et al. Another Petersen’s space hernia after one anastomosis gastric bypass: a video case report. Obes Surg. 2019;29(11):3776–7.PubMedCrossRef
50.
Zurück zum Zitat AlZarooni N, Abou Hussein B, Al Marzouqi O, et al. Gastric remnant perforation caused by Peterson’s hernia following one anastomosis gastric bypass: a rare complication. Obes Surg. 2020;30(8):3229–32.PubMedCrossRef AlZarooni N, Abou Hussein B, Al Marzouqi O, et al. Gastric remnant perforation caused by Peterson’s hernia following one anastomosis gastric bypass: a rare complication. Obes Surg. 2020;30(8):3229–32.PubMedCrossRef
51.
Zurück zum Zitat Mahawar KK, Parmar C, Graham Y. One anastomosis gastric bypass: key technical features, and prevention and management of procedure-specific complications. Minerva Chir. 2019;74(2):126–36.PubMedCrossRef Mahawar KK, Parmar C, Graham Y. One anastomosis gastric bypass: key technical features, and prevention and management of procedure-specific complications. Minerva Chir. 2019;74(2):126–36.PubMedCrossRef
52.
Zurück zum Zitat Noun R, Skaff J, Riachi E, et al. One thousand consecutive mini-gastric bypass: short- and long-term outcome. Obes Surg. 2012;22(5):697–703.PubMedCrossRef Noun R, Skaff J, Riachi E, et al. One thousand consecutive mini-gastric bypass: short- and long-term outcome. Obes Surg. 2012;22(5):697–703.PubMedCrossRef
53.
Zurück zum Zitat Lee WJ, Ser KH, Lee YC, et al. Laparoscopic Roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg. 2012;22(12):1827–34.PubMedCrossRef Lee WJ, Ser KH, Lee YC, et al. Laparoscopic Roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg. 2012;22(12):1827–34.PubMedCrossRef
54.
Zurück zum Zitat Jammu GS, Sharma R. A 7-year clinical audit of 1107 cases comparing sleeve gastrectomy, Roux-En-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obes Surg. 2016;26(5):926–32.PubMedCrossRef Jammu GS, Sharma R. A 7-year clinical audit of 1107 cases comparing sleeve gastrectomy, Roux-En-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obes Surg. 2016;26(5):926–32.PubMedCrossRef
55.
Zurück zum Zitat Boyle M, Mahawar K. One anastomosis gastric bypass performed with a 150-cm biliopancreatic limb delivers weight loss outcomes similar to those with a 200-cm biliopancreatic limb at 18 -24 months. Obes Surg. 2020;30(4):1258–64.PubMedCrossRef Boyle M, Mahawar K. One anastomosis gastric bypass performed with a 150-cm biliopancreatic limb delivers weight loss outcomes similar to those with a 200-cm biliopancreatic limb at 18 -24 months. Obes Surg. 2020;30(4):1258–64.PubMedCrossRef
56.
Zurück zum Zitat Mahmoudieh M, Keleidari B, Afshin N, et al. The early results of the laparoscopic mini-gastric bypass/one anastomosis gastric bypass on patients with different body mass index. J Obes. 2020;7572153:2020. Mahmoudieh M, Keleidari B, Afshin N, et al. The early results of the laparoscopic mini-gastric bypass/one anastomosis gastric bypass on patients with different body mass index. J Obes. 2020;7572153:2020.
57.
Zurück zum Zitat Komaei I, Sarra F, Lazzara C, et al. One anastomosis gastric bypass-mini gastric bypass with tailored biliopancreatic limb length formula relative to small bowel length: preliminary results. Obes Surg. 2019;29(9):3062–70.PubMedCrossRef Komaei I, Sarra F, Lazzara C, et al. One anastomosis gastric bypass-mini gastric bypass with tailored biliopancreatic limb length formula relative to small bowel length: preliminary results. Obes Surg. 2019;29(9):3062–70.PubMedCrossRef
58.
Zurück zum Zitat Kermansaravi M, Mahawar KK, Jazi AHD, et al. Revisional surgery after one anastomosis/mini gastric bypass: a narrative review. Journal of Research in Medical Sciences. 2020;25(1):62.PubMedPubMedCentralCrossRef Kermansaravi M, Mahawar KK, Jazi AHD, et al. Revisional surgery after one anastomosis/mini gastric bypass: a narrative review. Journal of Research in Medical Sciences. 2020;25(1):62.PubMedPubMedCentralCrossRef
59.
Zurück zum Zitat Kular KS, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses-first study from Indian subcontinent. Obes Surg. 2014;24(9):1430–5.PubMedCrossRef Kular KS, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses-first study from Indian subcontinent. Obes Surg. 2014;24(9):1430–5.PubMedCrossRef
60.
Zurück zum Zitat Bolckmans R, Arman G, Himpens J. Efficiency and risks of laparoscopic conversion of omega anastomosis gastric bypass to Roux-en-Y gastric bypass. Surg Endosc. 2019;33(8):2572–82.PubMedCrossRef Bolckmans R, Arman G, Himpens J. Efficiency and risks of laparoscopic conversion of omega anastomosis gastric bypass to Roux-en-Y gastric bypass. Surg Endosc. 2019;33(8):2572–82.PubMedCrossRef
61.
Zurück zum Zitat Lee WJ, Lee YC, Ser KH, et al. Revisional surgery for laparoscopic minigastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2011;7(4):486–91.CrossRef Lee WJ, Lee YC, Ser KH, et al. Revisional surgery for laparoscopic minigastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2011;7(4):486–91.CrossRef
62.
Zurück zum Zitat Taha O, Abdelaal M, Abozeid M, et al. Outcomes of omega loop gastric bypass, 6-years experience of 1520 cases. Obes Surg. 2017;27(8):1952–60.PubMedCrossRef Taha O, Abdelaal M, Abozeid M, et al. Outcomes of omega loop gastric bypass, 6-years experience of 1520 cases. Obes Surg. 2017;27(8):1952–60.PubMedCrossRef
63.
Zurück zum Zitat Johnson WH, Fernanadez AZ, Farrell TM, et al. Surgical revision of loop (“mini”) gastric bypass procedure: multicenter review of complications and conversions to Roux-en-Y gastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2007;3(1):37–41.CrossRef Johnson WH, Fernanadez AZ, Farrell TM, et al. Surgical revision of loop (“mini”) gastric bypass procedure: multicenter review of complications and conversions to Roux-en-Y gastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2007;3(1):37–41.CrossRef
64.
Zurück zum Zitat Younis F, Shnell M, Gluck N, et al. Endoscopic treatment of early leaks and strictures after laparoscopic one anastomosis gastric bypass. BMC Surg. 2020;20(1):33.PubMedPubMedCentralCrossRef Younis F, Shnell M, Gluck N, et al. Endoscopic treatment of early leaks and strictures after laparoscopic one anastomosis gastric bypass. BMC Surg. 2020;20(1):33.PubMedPubMedCentralCrossRef
65.
Zurück zum Zitat Beaupel N, Bruzzi M, Voron T, et al. Management of acute intra-abdominal sepsis caused by leakage after one anastomosis gastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2017;13(8):1297–305.CrossRef Beaupel N, Bruzzi M, Voron T, et al. Management of acute intra-abdominal sepsis caused by leakage after one anastomosis gastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2017;13(8):1297–305.CrossRef
66.
Zurück zum Zitat Keleidari B, Mahmoudieh M, Shahabi S, et al. Reversing one-anastomosis gastric bypass surgery due to severe and refractory hypoalbuminemia. World J Surg. 2020;44(4):1200–8.PubMedCrossRef Keleidari B, Mahmoudieh M, Shahabi S, et al. Reversing one-anastomosis gastric bypass surgery due to severe and refractory hypoalbuminemia. World J Surg. 2020;44(4):1200–8.PubMedCrossRef
67.
Zurück zum Zitat Liagre A, Queralto M, Juglard G, et al. Multidisciplinary management of leaks after one-anastomosis gastric bypass in a single-center series of 2780 consecutive patients. Obes Surg. 2019;29(5):1452–61.PubMedCrossRef Liagre A, Queralto M, Juglard G, et al. Multidisciplinary management of leaks after one-anastomosis gastric bypass in a single-center series of 2780 consecutive patients. Obes Surg. 2019;29(5):1452–61.PubMedCrossRef
68.
Zurück zum Zitat Kermansaravi M, Abdolhosseini MR, Kabir A, et al. Severe hypoalbuminemia and steatohepatitis leading to death in a young vegetarian female, 8 months after mini gastric bypass: a case report. Int J Surg Case Rep. 2017;31:17–9.PubMedCrossRef Kermansaravi M, Abdolhosseini MR, Kabir A, et al. Severe hypoalbuminemia and steatohepatitis leading to death in a young vegetarian female, 8 months after mini gastric bypass: a case report. Int J Surg Case Rep. 2017;31:17–9.PubMedCrossRef
69.
Zurück zum Zitat Mahawar KK, Parmar C, Carr WRJ, et al. Impact of biliopancreatic limb length on severe protein-calorie malnutrition requiring revisional surgery after one anastomosis (mini) gastric bypass. J Minim Access Surg. 2018;14(1):37–43.PubMedPubMedCentralCrossRef Mahawar KK, Parmar C, Carr WRJ, et al. Impact of biliopancreatic limb length on severe protein-calorie malnutrition requiring revisional surgery after one anastomosis (mini) gastric bypass. J Minim Access Surg. 2018;14(1):37–43.PubMedPubMedCentralCrossRef
70.
Zurück zum Zitat O’Kane M PJ, Aasheim E, Barth J, et al. BOMSS Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery. Adopted by BOMSS Council September 2014 [Internet].. uk/wp-content/uploads/2014/09/BOMSS-guidelines-Finalversion1Oct14.pdf [cited 2020, Aug 16]. O’Kane M PJ, Aasheim E, Barth J, et al. BOMSS Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery. Adopted by BOMSS Council September 2014 [Internet].. uk/wp-content/uploads/2014/09/BOMSS-guidelines-Finalversion1Oct14.pdf [cited 2020, Aug 16].
71.
Zurück zum Zitat Madhok BM, Mahawar KK, Hadfield JN, et al. Haematological indices and haematinic levels after mini gastric bypass: a matched comparison with Roux-en-Y gastric bypass. Clin Obes. 2018;8(1):43–9.PubMedCrossRef Madhok BM, Mahawar KK, Hadfield JN, et al. Haematological indices and haematinic levels after mini gastric bypass: a matched comparison with Roux-en-Y gastric bypass. Clin Obes. 2018;8(1):43–9.PubMedCrossRef
72.
Zurück zum Zitat Kumar P, Hamza N, Madhok B, et al. Copper deficiency after gastric bypass for morbid obesity: a systematic review. Obes Surg. 2016;26(6):1335–42.PubMedCrossRef Kumar P, Hamza N, Madhok B, et al. Copper deficiency after gastric bypass for morbid obesity: a systematic review. Obes Surg. 2016;26(6):1335–42.PubMedCrossRef
73.
Zurück zum Zitat Mahawar KK, Bhasker AG, Bindal V, et al. Zinc deficiency after gastric bypass for morbid obesity: a systematic review. Obes Surg. 2017;27(2):522–9.PubMedCrossRef Mahawar KK, Bhasker AG, Bindal V, et al. Zinc deficiency after gastric bypass for morbid obesity: a systematic review. Obes Surg. 2017;27(2):522–9.PubMedCrossRef
74.
Zurück zum Zitat Mahawar KK, Reid A, Graham Y, et al. Oral vitamin B12 supplementation after Roux-en-Y gastric bypass: a systematic review. Obes Surg. 2018;28(7):1916–23.PubMedCrossRef Mahawar KK, Reid A, Graham Y, et al. Oral vitamin B12 supplementation after Roux-en-Y gastric bypass: a systematic review. Obes Surg. 2018;28(7):1916–23.PubMedCrossRef
75.
Zurück zum Zitat Mechanick JI, Apovian C, Brethauer S, et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Obesity (Silver Spring, Md). 2020;28(4):O1–o58.CrossRef Mechanick JI, Apovian C, Brethauer S, et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 Update: Cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic and Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Obesity (Silver Spring, Md). 2020;28(4):O1–o58.CrossRef
76.
Zurück zum Zitat Brown WA. Johari Halim Shah Y, Balalis G, Bashir A, Ramos A, Kow L, et al. IFSO position statement on the role of esophago-gastro-duodenal endoscopy prior to and after bariatric and metabolic surgery procedures. Obes Surg. 2020;30(8):3135–53.PubMedCrossRef Brown WA. Johari Halim Shah Y, Balalis G, Bashir A, Ramos A, Kow L, et al. IFSO position statement on the role of esophago-gastro-duodenal endoscopy prior to and after bariatric and metabolic surgery procedures. Obes Surg. 2020;30(8):3135–53.PubMedCrossRef
77.
Zurück zum Zitat Wu CC, Lee WJ, Ser KH, et al. Gastric cancer after mini-gastric bypass surgery: a case report and literature review. Asian J Endosc Surg. 2013;6(4):303–6.PubMedCrossRef Wu CC, Lee WJ, Ser KH, et al. Gastric cancer after mini-gastric bypass surgery: a case report and literature review. Asian J Endosc Surg. 2013;6(4):303–6.PubMedCrossRef
78.
Zurück zum Zitat Runkel M, Pauthner M, Runkel N. The first case report of a carcinoma of the gastric cardia (AEG II) after OAGB-MGB. Obes Surg. 2020;30(2):753–4.PubMedCrossRef Runkel M, Pauthner M, Runkel N. The first case report of a carcinoma of the gastric cardia (AEG II) after OAGB-MGB. Obes Surg. 2020;30(2):753–4.PubMedCrossRef
79.
Zurück zum Zitat Aggarwal S, Bhambri A. Singla V. Sharma A. Adenocarcinoma of oesophagus involving gastro-oesophageal junction following mini-gastric bypass/one anastomosis gastric bypass. Journal of minimal access surgery: Dash NR; 2019. Aggarwal S, Bhambri A. Singla V. Sharma A. Adenocarcinoma of oesophagus involving gastro-oesophageal junction following mini-gastric bypass/one anastomosis gastric bypass. Journal of minimal access surgery: Dash NR; 2019.
80.
Zurück zum Zitat Musella M, Berardi G, Bocchetti A, et al. Esophagogastric neoplasms following bariatric surgery: an updated systematic review. Obes Surg. 2019;29(8):2660–9.PubMedCrossRef Musella M, Berardi G, Bocchetti A, et al. Esophagogastric neoplasms following bariatric surgery: an updated systematic review. Obes Surg. 2019;29(8):2660–9.PubMedCrossRef
81.
Zurück zum Zitat Mahawar K. Care for patients who have undergone one anastomosis gastric bypass surgery. British journal of nursing (Mark Allen Publishing). 2019;28(3):157–60.CrossRef Mahawar K. Care for patients who have undergone one anastomosis gastric bypass surgery. British journal of nursing (Mark Allen Publishing). 2019;28(3):157–60.CrossRef
82.
Zurück zum Zitat Musella M, Susa A, Greco F, et al. The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surg Endosc. 2014;28(1):156–63.PubMedCrossRef Musella M, Susa A, Greco F, et al. The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surg Endosc. 2014;28(1):156–63.PubMedCrossRef
83.
Zurück zum Zitat Faul A, Chevallier JM, Poghosyan T. Dilated gastric pouch resizing for weight loss failure after one anastomosis gastric bypass. Obes Surg. 2019;29(10):3406–9.PubMedCrossRef Faul A, Chevallier JM, Poghosyan T. Dilated gastric pouch resizing for weight loss failure after one anastomosis gastric bypass. Obes Surg. 2019;29(10):3406–9.PubMedCrossRef
84.
Zurück zum Zitat Parmar CD, Gan J, Stier C, et al. One anastomosis/mini gastric bypass (OAGB-MGB) as revisional bariatric surgery after failed primary adjustable gastric band (LAGB) and sleeve gastrectomy (SG): a systematic review of 1075 patients. Int J Surg (London, England). 2020;81:32-38. Parmar CD, Gan J, Stier C, et al. One anastomosis/mini gastric bypass (OAGB-MGB) as revisional bariatric surgery after failed primary adjustable gastric band (LAGB) and sleeve gastrectomy (SG): a systematic review of 1075 patients. Int J Surg (London, England). 2020;81:32-38.
85.
Zurück zum Zitat Schmidt HJ, Lee EW, Amianda EA, et al. Large series examining laparoscopic adjustable gastric banding as a salvage solution for failed gastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2018;14(12):1869–75.CrossRef Schmidt HJ, Lee EW, Amianda EA, et al. Large series examining laparoscopic adjustable gastric banding as a salvage solution for failed gastric bypass. Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery. 2018;14(12):1869–75.CrossRef
86.
Zurück zum Zitat Brunaldi VO, Jirapinyo P, de Moura DTH, et al. Endoscopic Treatment of Weight Regain Following Roux-en-Y Gastric Bypass: a Systematic Review and Meta-analysis. Obes Surg. 2018;28(1):266–76.PubMedCrossRef Brunaldi VO, Jirapinyo P, de Moura DTH, et al. Endoscopic Treatment of Weight Regain Following Roux-en-Y Gastric Bypass: a Systematic Review and Meta-analysis. Obes Surg. 2018;28(1):266–76.PubMedCrossRef
87.
Zurück zum Zitat Parmar CD, Mahawar KK. One Anastomosis (Mini) Gastric bypass is now an established bariatric procedure: a systematic review of 12,807 patients. Obes Surg. 2018;28(9):2956–67.PubMedCrossRef Parmar CD, Mahawar KK. One Anastomosis (Mini) Gastric bypass is now an established bariatric procedure: a systematic review of 12,807 patients. Obes Surg. 2018;28(9):2956–67.PubMedCrossRef
88.
Zurück zum Zitat Godina M, Nagliati C, Menegon P, et al. Emergency laparoscopic conversion from mini/one anastomosis gastric bypass to modified Roux-en-Y-gastric bypass due to acute bleeding from a recurrent marginal ulcer. Updat Surg. 2017;69(3):421–4.CrossRef Godina M, Nagliati C, Menegon P, et al. Emergency laparoscopic conversion from mini/one anastomosis gastric bypass to modified Roux-en-Y-gastric bypass due to acute bleeding from a recurrent marginal ulcer. Updat Surg. 2017;69(3):421–4.CrossRef
89.
Zurück zum Zitat Musella M, Berardi G, Vitiello AJSfO, Diseases R. Laparoscopic conversion from MGB/OAGB to RYGB for perforated marginal ulcer: video case report. 2020. Musella M, Berardi G, Vitiello AJSfO, Diseases R. Laparoscopic conversion from MGB/OAGB to RYGB for perforated marginal ulcer: video case report. 2020.
Metadaten
Titel
Areas of Non-Consensus Around One Anastomosis/Mini Gastric Bypass (OAGB/MGB): A Narrative Review
verfasst von
Mohammad Kermansaravi
Amir Hossein DavarpanahJazi
Shahab ShahabiShahmiri
Miguel Carbajo
Antonio Vitiello
Chetan D. Parmar
Mario Musella
Publikationsdatum
17.02.2021
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 6/2021
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-021-05276-2

Weitere Artikel der Ausgabe 6/2021

Obesity Surgery 6/2021 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.