Effect of Biliopancreatic Limb Length on Weight Loss, Postoperative Complications, and Remission of Comorbidities in One Anastomosis Gastric Bypass: a Systematic Review and Meta-analysis

Tasdighi, Erfan; Barzin, Maryam; Mahawar, Kamal; Hosseinpanah, Farhad; Ebadinejad, Amir; Taraghikhah, Nazanin; Mansoori, Anahita; Khalaj, Alireza; Niroomand, Mahtab; Abiri, Behnaz

doi:10.1007/s11695-021-05848-2

Cited by 17 publications

(7 citation statements)

References 58 publications

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“…Guidelines recommend that the provision 7 BioMed Research International of nutritional supplementation and close monitoring can be effective in improving nutritional deficiencies and generating good pregnancy outcomes [18,28]. Starting in 2019, new keywords such as "celiac disease" [29], "vitamin D supplementation" [30][31][32], "single anastomosis gastric bypass" [33][34][35][36], and "healthy nutrition guidelines" [15] are gradually appearing more frequently in studies on nutritional deficiencies in BS. This indicates that researchers are not only concerned about macronutrient deficiencies but also about micronutrient deficiencies; at the same time, they are actively exploring surgical procedures that are simpler and less invasive and avoid postoperative complications such as nutritional deficiencies.…”

Section: Discussionmentioning

confidence: 99%

Visual Analysis of Nutrient Deficiency and Treatment Protocols in Bariatric Surgery Based on VOSviewer

Tang

et al. 2022

BioMed Research International

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Objective. To analyze the global literature on nutritional deficiencies in bariatric surgery (BS) since January 1, 1985, and to discuss the current status of research, research hotspots, and new development trend and treatment of nutritional deficiency in bariatric surgery. It provides ideas and basis for promoting the development of bariatric surgery and new alternative therapy or treatment protocols. Methods. The Web of Science (WOS) database core collection was used as the data source, and VOSviewer 1.6.17 software was used to search the literature on the topic of “nutritional deficiencies in bariatric surgery.” The number of published literature, the distribution of authors, institutions, and countries, keyword cooccurrences, and journal cocitations were visualized and analyzed. Results. A total of 1015 relevant publications was obtained after searching and screening, and the overall trend of literature published was on the rise. The most published countries, institutions, and authors were USA, University of Sao Paulo, Ramalho, Andrea; Obesity Surgery has been the most frequently cited journal (7943 citations), and the top 10 journals had high impact factors. Keyword cooccurrence analysis showed that “bariatric surgery” and “nutritional deficiencies” are the hot topics of research in this field. Conclusion. There is an urgent need for bariatric surgery issuing institutions and authors to strengthen cross-institutional, cross-team, and multicenter and multidisciplinary cooperation, to promote and facilitate the exchange and cooperation in the field of bariatric surgery between developed countries in Europe and America and developing countries in Asia, Africa, and Latin America, to draw the attention of developing countries to the health problems caused by obesity, and to encourage and support the development of developing countries in this field. Bariatric surgery, obesity, weight loss, Y-type gastric bypass, gastric bypass, and nutritional deficiency are the hot research topics in the field of nutritional deficiency in bariatric surgery, and metabolic surgery, single anastomosis gastric bypass, micronutrient supplementation, micronutrient deficiency, intestinal microbiology, and guidelines are the new trends in this field.

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Section: Discussionmentioning

confidence: 99%

Visual Analysis of Nutrient Deficiency and Treatment Protocols in Bariatric Surgery Based on VOSviewer

Tang

et al. 2022

BioMed Research International

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“…Aktuelle Daten eines systematischen Reviews mit Metaanalyse an über 5500 Patienten zeigen aber, dass eine BPS-Länge von 150 – 180 cm das beste Risiko-Nutzen-Verhältnis innehat in Bezug auf die Gewichtsabnahme, die Verbesserung der Komorbiditäten und das Risiko von hypoabsorptiven Mangelerscheinungen (Eisenmangel, Eiweißmangel usw.). Eine BPS-Länge von > 200 cm führt zu keiner signifikanten Verbesserung der Gewichtsabnahme oder der Komorbiditäten, sehr wohl aber zu mehr Komplikationen durch nutritive Mangelerscheinungen 21 . Die Studie zeigt aber auch, dass durch die einfache lineare Verschiebung der Anastomose mit automatisch wechselnden Längen für CC und BPS der Omega-Loop-Magenbypass für die individuelle metabolische Situation des Patienten adaptierbar ist.…”

Section: Standardoperationen – Wirkprinzipienunclassified

Standardoperationen in der Adipositaschirurgie

Marjanović¹,

Seifert²,

Läßle³

et al. 2022

Allgemein- und Viszeralchirurgie up2date

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“…Several studies agreed that biliopancreatic limb <200 cm is associated with lower nutritional deficiencies, and different lengths of biliopancreatic limb had comparable BMI loss and comorbidities resolution (6)(7)(8)(9)(10) .…”

Section: Introductionmentioning

confidence: 98%

One Anastomosis Gastric Bypass Versus Roux-En-Y Gastric Bypass: A New Limb Length Modification, is it Effective? A Prospective Cohort Study

Fouly¹,

Elrifaie²,

Abdelrahman

2022

The Egyptian Journal of Hospital Medicine

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Introduction: Bariatric surgeries are effective in treating obesity and its associated co-morbidities. The ideal bariatric surgery with satisfactory weight or BMI loss and with few complications and nutritional deficiencies still does not exist. Modifications in one anastomosis gastric bypass (OAGB) and Roux-en-Y gastric bypass (RYGB) are still under study for best BMI loss with few complications. Objective: The aim of the current work was to compare both surgeries, OAGB and RYGB, after limb length modification regarding postoperative complications, resolution of comorbidities, BMI and weight loss, and operative time. Patients and Methods: In this prospective cohort study, we reviewed medical records of 200 patients undergoing mini gastric bypass (MGB) and RYGB with limb length modification. Patients were then followed postoperatively for BMI loss, estimated weight loss, resolution of comorbidities, and postoperative complications. Patients were phone called and asked to attend next day for follow-up. Results: A total of 200 patients were included. Thirteen patients were lost during follow-up. OAGB group has a statistically significant lower BMI and weight at 3, 6, 12, 24 months compared to RYGB group. Regarding operative time, minutes, OAGB group has a significantly lower operative time compared to RYGB group (p=0.0001). Patients who had OAGB had a significantly higher EWL compared to RYGB at 3, 6, 12, 24 months. Regarding resolution of comorbidities and postoperative complications, no significant difference between both groups, MGB vs RYGB (p=0.89) and (p=0.98), respectively. Conclusion: It could be concluded that OAGB is superior to RYGB in BMI and excess weight loss at 3, 6, 12, 24 months, OAGB had lower operative time. No difference between both surgeries in postoperative complications and resolution of comorbidities.

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Effect of Biliopancreatic Limb Length on Weight Loss, Postoperative Complications, and Remission of Comorbidities in One Anastomosis Gastric Bypass: a Systematic Review and Meta-analysis

Cited by 17 publications

References 58 publications

Visual Analysis of Nutrient Deficiency and Treatment Protocols in Bariatric Surgery Based on VOSviewer

Visual Analysis of Nutrient Deficiency and Treatment Protocols in Bariatric Surgery Based on VOSviewer

Standardoperationen in der Adipositaschirurgie

One Anastomosis Gastric Bypass Versus Roux-En-Y Gastric Bypass: A New Limb Length Modification, is it Effective? A Prospective Cohort Study

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