Omega Loop Gastroileal Bypass (OLGIBP/SAGI) Versus One Anastomosis Gastric Bypass (OAGB): Medium-Term Results

Kassir, Radwan; Giudicelli, Xavier; Lointier, Patrice; Breton, Christophe

doi:10.1007/s11695-020-05165-0

Cited by 8 publications

(1 citation statement)

References 30 publications

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“…Proposed strategies that have been suggested for the prevention of nutritional deficiencies, including the combination of preserving the CCLL to more than 300-400 cm and establishing a BPLL equivalent to 40% of the length of the small bowel. By following these parameters, despite a reduction in the occurrence of nutritional complications, deficiencies cannot be completely prevented as shown in the results of our study [25][26][27][28].…”

Section: Discussionmentioning

confidence: 60%

Prevention of malnutrition after one anastomosis gastric bypass: value of the common channel limb length

Mostafapour,

Shahsavan,

Shahmiri

et al. 2024

BMC Surg

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Purpose Hypoalbuminemia and anemia are commonly observed indications for one anastomosis gastric bypass (OAGB) reversal and remain significant concerns following the procedure. Sufficient common channel limb length (CCLL) is crucial to minimize nutritional complications. However, limited literature exists regarding the impact of CCLL on OAGB outcomes. This study aimed to assess the effect of CCLL on weight loss and nutritional status in patients who underwent OAGB. Methods A prospective cohort study was conducted from August 2021 to July 2022, involving 64 patients with a body mass index of 40–50 kg/m2. The standardized length of the biliopancreatic limb (BPLL) for all patients in this study was set at 175 cm. Additionally, the measurement of the common channel limb length (CCLL) was performed consistently by the same surgeon for all included patients. Results The mean age and BMI of the patients were 39.91 ± 10.03 years and 43.13 ± 2.43 kg/m2, respectively, at the time of surgery. There was a statistically significant negative correlation between CCLL and percent total weight loss (%TWL) at the 12-month mark after OAGB (P = 0.02). Hypoalbuminemia was observed in one patient (1.6%), while anemia was present in 17 patients (26.6%) at the one-year follow-up. Statistical analysis revealed no significant difference in the incidence of anemia and hypoalbuminemia between patients with CCLL < 4 m and those with CCLL ≥ 4 m. Conclusion A CCLL of 4 m does not appear to completely prevent nutritional complications following OAGB. However, maintaining a CCLL of at least 4 m may be associated with a reduced risk of postoperative nutritional deficiencies.

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Section: Discussionmentioning

confidence: 60%