Perioperative Practices Concerning One Anastomosis (Mini) Gastric Bypass: A Survey of 210 Surgeons
- 22.07.2017
- Original Contributions
Erschienen in:
- Verfasst von
- Kamal K. Mahawar
- Kuldeepak Singh Kular
- Chetan Parmar
- Michael Van den Bossche
- Yitka Graham
- William R. J. Carr
- Brijesh Madhok
- Conor Magee
- Sanjay Purkayastha
- Peter K. Small
- Erschienen in
- Obesity Surgery | Ausgabe 1/2018
Abstract
Background
There is currently little evidence available on the perioperative practices concerning one anastomosis/mini gastric bypass (OAGB/MGB) and no published consensus amongst experts. Even the published papers are not clear on these aspects. The purpose of this study was to understand various perioperative practices concerning OAGB/MGB.
Methods
Bariatric surgeons from around the world were invited to participate in a questionnaire-based survey. Only surgeons performing this procedure were included.
Results
Two hundred and ten surgeons from 39 countries with a cumulative experience of 68,442 procedures took the survey. Surgeons described a large number of absolute (n = 55) and relative contraindications (n = 59) to this procedure in their practice. Approximately 71.0% (n = 148/208), 70.0% (n = 147/208) and 65.0% (n = 137/209), respectively, routinely perform a preoperative endoscopy, screening for Helicobacter pylori and ultrasound scan of the abdomen. A minority (35.0%, n = 74/208) of the surgeons used a constant bilio-pancreatic limb (BPL) length for all the patients with remaining preferring to tailor the limb length to the patient and approximately half (49.0%, n = 101/206) routinely approximate diaphragmatic crura in patients with hiatus hernia. Some 48.5% (n = 101/208) and 40.0% (n = 53/205) surgeons, respectively, do not recommend routine iron and calcium supplementation.
Conclusion
This survey is the first attempt to understand a range of perioperative practices with OAGB/MGB. The findings will help in identifying areas for future research and allow consensus building amongst experts with preparation of guidelines for future practice.
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- Titel
- Perioperative Practices Concerning One Anastomosis (Mini) Gastric Bypass: A Survey of 210 Surgeons
- Verfasst von
-
Kamal K. Mahawar
Kuldeepak Singh Kular
Chetan Parmar
Michael Van den Bossche
Yitka Graham
William R. J. Carr
Brijesh Madhok
Conor Magee
Sanjay Purkayastha
Peter K. Small
- Publikationsdatum
- 22.07.2017
- Verlag
- Springer US
- Erschienen in
-
Obesity Surgery / Ausgabe 1/2018
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428 - DOI
- https://doi.org/10.1007/s11695-017-2831-2
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