Mini-Gastric Bypass for Revision of Failed Primary Restrictive Procedures: A Valuable Option

Noun, Roger; Zeidan, Smart; Riachi, E; Abboud, Bassam; Chalhoub, Viviane; Yazigi, Alexandre

doi:10.1007/s11695-007-9119-x

Cited by 38 publications

(24 citation statements)

References 23 publications

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“…A long lesser curvature conduit and long biliary limb explain the physiology of modified Billroth II reconstruction, which has a non-obstructive and balanced restrictive–malabsorptive effect [17, 18]. Excellent results of mini-gastric bypass as a revision surgery have been reported after restrictive procedures (adjustable gastric banding, sleeve gastrectomy) [14, 15]. …”

Section: Discussionmentioning

confidence: 99%

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Conversion of Vertical Sleeve Gastrectomy to a Functional Single-Anastomosis Gastric Bypass: Technique and Preliminary Results Using a Non-Adjustable Ring Instead of Stapled Division

Greco

2016

OBES SURG

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BackgroundRecent data show that some patients will have insufficient weight loss or experience weight regain after sleeve gastrectomy. Dilation of the sleeve over time or use of an inadequate technique may contribute to relapse of morbid obesity. Repeat sleeve gastrectomy is the most obvious option but requires stapling of scarred tissue, has a higher risk of leakage, and is prone to re-enlargement with time. We herein describe a simple and innovative technique with which to revise vertical sleeve gastrectomy (VSG) into functional single-anastomosis gastric bypass (f-SAGB).Materials and MethodsTwelve VSGs were converted to f-SAGB by placing a GaBP Ring (Bariatec Corp., Palos Verdes Peninsula, CA, USA) at the base of the “sleeve” and performing the anastomosis above the ring. The length of the biliopancreatic loop was chosen according to the volume of the pouch and the patient’s residual eating capability.ResultsAll procedures were completed by laparoscopy and were uneventful. The average decrease in the body mass index was from 41.0 to 29.5 kg/m2 at the 12-month follow-up. No ring-related complications were reported.Conclusionf-SAGB is a low-risk and effective option with which to revise VSG in patients with inadequate weight loss. Avoiding detachment of the pouch from the antrum assures full reversibility of the procedure and preserves the chance to explore the remnant stomach and biliary tree.

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Section: Discussionmentioning

confidence: 99%

“…SAGB has good outcomes and has been proposed as a revision surgery after adjustable gastric banding or VSG because of its combined restrictive and malabsorptive effects [4, 5, 14, 15]. …”

Section: Introductionmentioning

confidence: 99%

Conversion of Vertical Sleeve Gastrectomy to a Functional Single-Anastomosis Gastric Bypass: Technique and Preliminary Results Using a Non-Adjustable Ring Instead of Stapled Division

Greco

2016

OBES SURG

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“…In this term, different studies have assessed various lengths of the biliopancreatic arm based on small intestine length or patients' body mass index (BMI). Although studies have presented valuable results, their presentations are controversial and researchers have not declared unanimous results [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index

et al. 2020

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Introduction. Obesity is among the newest health matters that human beings are struggling with. Length of bypassed intestine is important in achievement of most weight loss and least nutritional and absorptive disorders. is study has aimed to assess shortterm metabolic and nutritional effects of laparoscopic mini-gastric bypass/one anastomosis gastric bypass (MGB/OAGB) with a loop bypass length of 180 centimeters (cm) and compare these factors among patients with a body mass index (BMI) of 40-45 and 45-50 kilograms per square meter (kg/m 2 ). Methods. 25 patients were put in group 1 (BMI � 40-45 kg/m 2 ) and 25 patients in group 2 (BMI � 45-50 kg/m 2 ). Patients' BMI, postoperative weight, excess weight loss, and laboratory tests including fasting blood sugar (FBS), lipid profile, serum iron (Fe), ferritin, total iron-binding capacity (TIBC), 25-OH vitamin D, vitamin B12, liver function tests, and albumin were recorded preoperatively and within 3-and 6-month follow-up. Results. Weight loss and BMI reduction was significantly more in patients with higher BMI level (P � 0.007), and excess weight loss was higher in patients with lower preoperative BMI level (P � 0.007). Six-month follow-up showed statistically significant reduction in total cholesterol, total triglyceride, Fe, and vitamin B12 among patients with higher BMI level (P value <0.05). Conclusion. Based on this study, 180-cm intestinal bypassed length works for patients with a BMI level of 40-45 and 45-50 kg/m 2 , according to their significant decrease in weight, BMI, and improving glycolipid profile.

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“…Cruroplasty [11], [12] and conversion to RYGB or OAGB/MGB have been described in GERD after SG [10]. OAGB/MGB as a gastric bypass surgery offers a safe and effective revisional surgery for failed gastric restrictive procedures [13]. Safety and long-term effects of OAGB/MGB are proven [14] and OAGB/MGB gives the opportunity to convert the high-pressure system into a low-pressure system, improving GERD and additionally including the option on further weight loss, which is not always achieved by RYGB [9], [15].…”

Section: Introductionmentioning

confidence: 99%

The first case report of failed single-anastomosis-duodeno-ileal bypass converted to One anastomosis gastric bypass/Mini-gastric bypass

Chiappetta

Stier

Scheffel

et al. 2017

International Journal of Surgery Case Reports

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HighlightsRevisional bariatric surgery will rise in the future.The established single-anastomosis-duodeno-ileal bypass with sleeve gastrectomy (SADI-S) as the restrictive part of the procedure. Due to preserved pylorus, SG has the disadvantage of a high-pressure system with de-novo or worsening of existing gastroesophageal reflux disease in the long-term.One anastomosis gastric bypass/Mini-gastric bypass (OAGB/MGB) reduces the high-pressure system of SG in a low-pressure system of OAGB/MGB.OAGB/MGB might be a simple method to rescue failed SADI-S patients.

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Mini-Gastric Bypass for Revision of Failed Primary Restrictive Procedures: A Valuable Option

Abstract: Open MGB through a previous mini-incision is a safe and effective operation for revision of failed gastric restrictive operations. The revision procedure was technically more difficult in patients with prior VBG and hazardous in patients with prior redo VBG.

Cited by 38 publications

References 23 publications

Conversion of Vertical Sleeve Gastrectomy to a Functional Single-Anastomosis Gastric Bypass: Technique and Preliminary Results Using a Non-Adjustable Ring Instead of Stapled Division

Conversion of Vertical Sleeve Gastrectomy to a Functional Single-Anastomosis Gastric Bypass: Technique and Preliminary Results Using a Non-Adjustable Ring Instead of Stapled Division

The Early Results of the Laparoscopic Mini-Gastric Bypass/One Anastomosis Gastric Bypass on Patients with Different Body Mass Index

The first case report of failed single-anastomosis-duodeno-ileal bypass converted to One anastomosis gastric bypass/Mini-gastric bypass

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