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09.04.2024 | Original Article

Revisional one-anastomosis gastric bypass for failed laparoscopic sleeve gastrectomy

verfasst von: Artur Binda, Joanna Żurkowska, Agnieszka Gonciarska, Emilia Kudlicka, Krzysztof Barski, Paweł Jaworski, Piotr Jankowski, Michał Wąsowski, Wiesław Tarnowski

Erschienen in: Updates in Surgery

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Abstract

The study aimed to evaluate the mid-term weight loss outcomes and complications of revisional one-anastomosis gastric bypass (OAGB) following failed laparoscopic sleeve gastrectomy (LSG). A total of 586 patients underwent LSG from January 2010 to February 2018. Revisional OAGB (rOAGB) was performed in 22 (3.8%) patients. A retrospective analysis of prospectively collected data from 20 patients with at least 12 months of follow-up after the revisional OAGB was carried out. The indications for revisional surgery were as follows: insufficient weight loss—4 (20%), weight regain—13 (65%), weight regain and symptoms of gastroesophageal reflux disease (GERD)—2 (10%), and dysphagia with gastroesophageal reflux—1 (5%). The mean interval between the LSG and rOAGB was 35.3 ± 15.4 months (range 4–64). The mean follow-up time after rOAGB was 45.5 ± 17.1 months (range 12–54). At the end of the follow-up after rOAGB, %TWL was 26.4 ± 8.9%, and %EWL was 58.5 ± 21.6%, based on pre-LSG body weight. In all three patients with intractable GERD, the clinical symptoms of reflux retreated after revisional OAGB. The overall complication rate was 20%. In conclusion, the main indications for revision after LSG are weight regain, insufficient weight loss, and intractable GERD. Revisional OAGB emerges as a viable surgical alternative for unsuccessful LSG, presenting notable weight loss outcomes; however, it may be linked to an increased incidence of complications.

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Titel: Revisional one-anastomosis gastric bypass for failed laparoscopic sleeve gastrectomy
verfasst von: Artur Binda
Joanna Żurkowska
Agnieszka Gonciarska
Emilia Kudlicka
Krzysztof Barski
Paweł Jaworski
Piotr Jankowski
Michał Wąsowski
Wiesław Tarnowski
Publikationsdatum: 09.04.2024
Verlag: Springer International Publishing
Erschienen in: Updates in Surgery
Print ISSN: 2038-131X
Elektronische ISSN: 2038-3312
DOI: https://doi.org/10.1007/s13304-024-01820-8

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Revisional one-anastomosis gastric bypass for failed laparoscopic sleeve gastrectomy

Abstract

Graphical abstract

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Die Highlights vom Kongress des American College of Cardiology 2024

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Abstract

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