Omega Loop Gastroileal Bypass (OLGIBP/SAGI) Versus One Anastomosis Gastric Bypass (OAGB): Medium-Term Results
| Autor: | Radwan Kassir, Patrice Lointier, Christophe Breton, Pierre Blanc, Xavier Giudicelli |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism medicine.medical_treatment Gastric bypass Gastric Bypass Bariatric Surgery 030209 endocrinology & metabolism Anastomosis Medium term Bile reflux 03 medical and health sciences 0302 clinical medicine Weight loss Weight Loss medicine Humans Nutrition and Dietetics business.industry Omega loop Bile Reflux medicine.disease Gastroenterostomy Surgery Obesity Morbid Gastroileal Bypass 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Obesity surgery. 31(4) |
| ISSN: | 1708-0428 |
| Popis: | In bariatric surgery, new surgical techniques are continually being developed. The one anastomosis gastric bypass (OAGB) has become increasingly common since 2001. However, some patients experience bile reflux or excessive weight loss. This study aimed to assess a new bariatric procedure designed to avoid some of the drawbacks of conventional OAGB. To lower the complication rate and pathophysiological impact after OAGB, we performed an omega loop gastroileal bypass (OLGIBP/SAGI) with a 300-cm common limb. We compared this technique with OAGB. Seventeen patients underwent OLGIBP and 23 underwent OAGB. Mean operative time was 108 min for OLGIBP vs 103 min for OAGB. The mean hospital length of stay was 3 days (1 to 7). No complications related to the gastroenterostomy occurred. At 3 years, among OAGB patients, there were 5 (21.7%) cases of bile reflux including 2 (8.7%) requiring a revision to Roux-en-Y gastric bypass. Among OLGIBP patients, there were 3 (17.6%) cases of bile reflux 1 (5.9%) requiring a revision to Roux-en-Y gastric bypass. There was no albumin deficiency. At 3 years, % of total weight loss (TWL) was 43.6 + − 6.2 in the OAGB group vs 48.2 + − 7.4 in the OLGIBP group. The bariatric and metabolic outcomes of OLGIBP are expected to be similar to those of OAGB. The OLGIBP technique should reduce the risks of malnutrition and bile reflux. The two techniques can be safely performed and offer alternatives in bariatric surgery. |
| Databáze: | OpenAIRE |
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