The Safety and Efficacy of One Anastomosis Gastric Bypass as a Revision for Sleeve Gastrectomy

Jamal, Mohammad H.; ElAbd, Rawan; Almutairi, Rawan; Albraheem, Aqeel; Alhaj, Ahmad; Al-Khayat, H.; AlHarbi, Obaid; Al‐Mahmeed, Husain

doi:10.1007/s11695-020-04484-6

Cited by 19 publications

(15 citation statements)

References 19 publications

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“…In this study resolution/improvement of type 2 DM was reported in 100%, our results coincide with those reported by Jamal et al 8 and Chiappetta et al 12 who also report 100%.…”

Section: Discussionsupporting

confidence: 92%

“…This age is also quite similar to AlSabah et al 5 Regarding sex distribution in our study, females constituted the majority of our patients 32/40(80%). This sex incidence was matched with that reported by Jamal et al 8 (87.1%).…”

Section: Discussionsupporting

confidence: 77%

“…This matched with the results reported by Frantzides et al 4 and Debs et al 14 The mean postoperative hospital stay was 3.35 days. It bears mention that the length of hospitalisation is not considered a disadvantage which is explained by the fact that our patients underwent routine gastrograffin study on day 1 postoperatively and patients were discharged providing that no leakage was observed, similar to those reported by Jamal et al 8 Late complications occurred in eight patients (20%). Two of 36 patients (5.5%) developed gall stones in the first year postoperatively, and were managed by laparoscopic cholecystectomy.…”

Section: Regarding Technical Feasibility In Our Study Neither Convers...supporting

confidence: 83%

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Laparoscopic one anastomosis gastric bypass: A revisional procedure for failed laparoscopic sleeve gastrectomy

2022

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BACKGROUND:The indications for bariatric surgery revision are weight loss failure, complications or weight regain so laparoscopic one anastomosis gastric bypass (LOAGB) is a promising revisional bariatric procedure for failed laparoscopic sleeve gastrectomy (LSG). AIM OF STUDY:The aim was to evaluate LOAGB as a revisional bariatric procedure for failed LSG regarding weight loss, improvement in comorbidities and complications.

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“…In this study resolution/improvement of type 2 DM was reported in 100%, our results coincide with those reported by Jamal et al 8 and Chiappetta et al 12 who also report 100%.…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 77%

Section: Regarding Technical Feasibility In Our Study Neither Convers...supporting

confidence: 83%

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Laparoscopic one anastomosis gastric bypass: A revisional procedure for failed laparoscopic sleeve gastrectomy

2022

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“…Table 6 reports the published series of revisional bariatric surgery after the failure of SG. All these series include a relatively low number of patients, and there is no evidence to recommend one procedure over the other after the failure of SG [11,[28][29][30][31][32]. A recent meta-analysis showed a revision rate of 10.4% after SG, rising to 22.6% for patients with follow-up longer than 10 years [33].…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Drawbacks of Single-Anastomosis Duodeno-Ileal Bypass After Sleeve Gastrectomy in a Tertiary Referral Bariatric Center

et al. 2021

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Background The need for revisional procedures after sleeve gastrectomy (SG) for insufficient weight loss or weight regain, gastroesophageal reflux, or other complications is reported to be 18–36% in studies with 10-year follow-up. Single-anastomosis duodeno-ileal bypass (SADI) may be performed as a revisional procedure after SG. This study aims to evaluate the short- and mid-term outcomes of SADI after SG in a referral center for bariatric surgery. Materials and Methods Data of patients who underwent SADI between March 2015 and March 2020 were collected prospectively and analyzed retrospectively. Follow-up comprised clinical and biochemical assessment at 1, 3, 6, 12, 18, and 24 months postoperatively, and once a year thereafter. Results Overall, 106 patients underwent SADI after a previous SG. The timeframe between SG and SADI was 50 ± 31.3 months. Postoperative mortality was observed in two cases (1.8%) and morbidity in 15.1% of patients. At 24 months, %total weight loss was 37.6 ± 12.3 and %excess weight loss 76.9 ± 25.2 (64 patients). Three patients were treated for malnutrition during follow-up, two with medical treatment and one with SADI reversal. Conclusion SADI after SG provides effective weight loss results in the short-term, even if in the present series the postoperative complication rate was non-negligible. Further trials are needed to establish the more advantageous revisional bariatric procedure after failed SG.

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“…Two patients developed with marginal ulcers during the follow-up, one with a perforation that required surgery. 60 Finally, a study included 77 patients with insufficient weight loss defined as less than 50% EWL 18 months after a SG. Revision to OAGB with a 150-cm BPL induced an 84% EWL after 2 years.…”

Section: Revision To One Anastomosis Gastric Bypassmentioning

confidence: 99%

Interventions for Weight Regain after Bariatric Surgery

Muñóz

Soto

2021

Digestive Disease Interventions

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Bariatric surgery is the most effective available treatment for obesity, inducing a significant and durable weight loss, and improving several obesity-associated diseases. However, as the number of bariatric surgeries performed increases, so does the prevalence of patients who experience either insufficient weight loss or weight regain, accompanied by relapse or the emergence of new obesity-related diseases. Endoscopic and surgical bariatric revisional procedures are used to promote weight loss and improve metabolic function to address these problems. After a psychological, nutritional, medical, and anatomical evaluation of the gastrointestinal anatomy has been completed, patient candidacy to a revisional procedure must be defined. In those patients with insufficient weight loss or weight regain associated with relapse, the emergence of new obesity-related diseases, or quality-of-life deterioration, a revisional procedure must be selected. Although current evidence comes mainly from observational and retrospective studies, with a limited number of patients and short follow-up times, the available data indicate that revisional procedures are useful to induce a significant weight loss and/or promote remission of obesity-associated diseases, albeit an increased risk of surgical and/or nutritional complications. Thus, careful selection of patients is needed to minimize risk and maximize the benefit of these procedures.

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The Safety and Efficacy of One Anastomosis Gastric Bypass as a Revision for Sleeve Gastrectomy

Cited by 19 publications

References 19 publications

Laparoscopic one anastomosis gastric bypass: A revisional procedure for failed laparoscopic sleeve gastrectomy

Laparoscopic one anastomosis gastric bypass: A revisional procedure for failed laparoscopic sleeve gastrectomy

Efficacy and Drawbacks of Single-Anastomosis Duodeno-Ileal Bypass After Sleeve Gastrectomy in a Tertiary Referral Bariatric Center

Interventions for Weight Regain after Bariatric Surgery

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