TY - JOUR
T1 - Revisional Surgery After One Anastomosis/Minigastric Bypass: an Italian Multi-institutional Survey
AU - Musella, Mario
AU - Vitiello, Antonio
AU - Susa, Antonio
AU - Greco, Francesco
AU - De Luca, Maurizio
AU - Manno, Emilio
AU - Olmi, Stefano
AU - Raffaelli, Marco
AU - Lucchese, Marcello
AU - Carandina, Sergio
AU - Foletto, Mirto
AU - Pizza, Francesco
AU - Bardi, Ugo
AU - Navarra, Giuseppe
AU - Schettino, Angelo Michele
AU - Gentileschi, Paolo
AU - Sarro, Giuliano
AU - Chiappetta, Sonja
AU - Tirone, Andrea
AU - Berardi, Giovanna
AU - Velotti, Nunzio
AU - Foschi, Diego
AU - Zappa, Marco
AU - Piazza, Luigi
PY - 2022
Y1 - 2022
N2 - Background: Efficacy and safety of OAGB/MGB (one anastomosis/mini gastric bypass) have been well documented both as primary and as revisional procedures. However, even after OAGB/MGB, revisional surgery is unavoidable in patients with surgical complications or insufficient weight loss. Methods: A questionnaire asking for the total number and demographics of primary and revisional OAGB/MGBs performed between January 2006 and July 2020 was e-mailed to all S.I.C. OB centres of excellence (annual caseload > 100; 5-year follow-up > 50%). Each bariatric centre was asked to provide gender, age, preoperative body mass index (BMI) and obesity-related comorbidities, previous history of abdominal or bariatric surgery, indication for surgical revision of OAGB/MGB, type of revisional procedure, pre- and post-revisional BMI, peri- and post-operative complications, last follow-up (FU). Results: Twenty-three bariatric centres (54.8%) responded to our survey reporting a total number of 8676 primary OAGB/MGBS and a follow-up of 62.42 ± 52.22 months. A total of 181 (2.08%) patients underwent revisional surgery: 82 (0.94%) were suffering from intractable DGER (duodeno-gastric-esophageal reflux), 42 (0.48%) were reoperated for weight regain, 16 (0.18%) had excessive weight loss and malnutrition, 12 (0.13%) had a marginal ulcer perforation, 10 (0.11%) had a gastro-gastric fistula, 20 (0.23%) had other causes of revision. Roux-en-Y gastric bypass (RYGB) was the most performed revisional procedure (109; 54%), followed by bilio-pancreatic limb elongation (19; 9.4%) and normal anatomy restoration (19; 9.4%). Conclusions: Our findings demonstrate that there is acceptable revisional rate after OAGB/MGB and conversion to RYGB represents the most frequent choice. Graphical abstract: [Figure not available: see fulltext.]
AB - Background: Efficacy and safety of OAGB/MGB (one anastomosis/mini gastric bypass) have been well documented both as primary and as revisional procedures. However, even after OAGB/MGB, revisional surgery is unavoidable in patients with surgical complications or insufficient weight loss. Methods: A questionnaire asking for the total number and demographics of primary and revisional OAGB/MGBs performed between January 2006 and July 2020 was e-mailed to all S.I.C. OB centres of excellence (annual caseload > 100; 5-year follow-up > 50%). Each bariatric centre was asked to provide gender, age, preoperative body mass index (BMI) and obesity-related comorbidities, previous history of abdominal or bariatric surgery, indication for surgical revision of OAGB/MGB, type of revisional procedure, pre- and post-revisional BMI, peri- and post-operative complications, last follow-up (FU). Results: Twenty-three bariatric centres (54.8%) responded to our survey reporting a total number of 8676 primary OAGB/MGBS and a follow-up of 62.42 ± 52.22 months. A total of 181 (2.08%) patients underwent revisional surgery: 82 (0.94%) were suffering from intractable DGER (duodeno-gastric-esophageal reflux), 42 (0.48%) were reoperated for weight regain, 16 (0.18%) had excessive weight loss and malnutrition, 12 (0.13%) had a marginal ulcer perforation, 10 (0.11%) had a gastro-gastric fistula, 20 (0.23%) had other causes of revision. Roux-en-Y gastric bypass (RYGB) was the most performed revisional procedure (109; 54%), followed by bilio-pancreatic limb elongation (19; 9.4%) and normal anatomy restoration (19; 9.4%). Conclusions: Our findings demonstrate that there is acceptable revisional rate after OAGB/MGB and conversion to RYGB represents the most frequent choice. Graphical abstract: [Figure not available: see fulltext.]
KW - Complications
KW - Mini gastric bypass
KW - Revisional surgery
KW - One anastomosis gastric bypass
KW - OAGB/MGB
KW - Complications
KW - Mini gastric bypass
KW - Revisional surgery
KW - One anastomosis gastric bypass
KW - OAGB/MGB
UR - http://hdl.handle.net/10807/303790
U2 - 10.1007/s11695-021-05779-y
DO - 10.1007/s11695-021-05779-y
M3 - Article
SN - 0960-8923
VL - 32
SP - N/A-N/A
JO - Obesity Surgery
JF - Obesity Surgery
ER -