Surgical Management of Gastro-oesophageal Reflux Disease After One Anastomosis Gastric Bypass - a Systematic Review.

Autor: Lee RXN; East Midlands Bariatric and Metabolic Institute, University Hospital of Derby and Burton NHS Foundation Trust, Derby, UK., Rizkallah N; East Midlands Bariatric and Metabolic Institute, University Hospital of Derby and Burton NHS Foundation Trust, Derby, UK., Chiappetta S; Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy., Stier C; Department of Surgical Endoscopy, Sana Hospitals, Germany and Obesity Center NRW, Huerth, Germany., Pouwels S; Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands., Sakran N; Department of Surgery, Holy Family Hospital, Nazareth, Israel.; The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel., Singhal R; Bariatric and Upper GI Unit, Birmingham Heartlands Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK., Mahawar K; Bariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK.; Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK., Madhok B; East Midlands Bariatric and Metabolic Institute, University Hospital of Derby and Burton NHS Foundation Trust, Derby, UK. brijesh.madhok@nhs.net.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2022 Dec; Vol. 32 (12), pp. 4057-4065. Date of Electronic Publication: 2022 Oct 18.
DOI: 10.1007/s11695-022-06301-8
Abstrakt: Gastro-oesophageal reflux disease (GORD) after one anastomosis gastric bypass (OAGB) remains a concern. We reviewed the current literature on revisional surgery after OAGB for GORD. MEDLINE, EMBASE, and PubMed databases were searched. We identified 21 studies, appraising 13,658 OAGB patients. A total of 230 (1.6%) patients underwent revisional surgery for GORD. Revision to Roux-en-Y configuration was performed in 211 (91.7%) patients. Six (2.6%) patients had a Braun entero-enterostomy added to the OAGB. Thirteen (5.6%) patients underwent excluded stomach fundoplication (ESF). Reflux symptoms resolved in 112 (48.6%) patients, persisted in 13 (5.6%) patients, and were not reported in 105 (45.6%) patients. Revisional surgery after OAGB for GORD appears to be rare, and when required, conversion to Roux-en-Y configuration is the commonest choice.
(© 2022. Crown.)
Databáze: MEDLINE
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