Dimitrios E Magouliotis1,2, George Tzovaras3, Vasiliki S Tasiopoulou3, Grigorios Christodoulidis3, Dimitris Zacharoulis4. 1. Department of Surgery and Interventional Sciences, UCL, London, UK. 2. Department of Surgery, University Hospital of Larissa, Larissa, Greece. 3. Department of Surgery, University of Thessaly, Biopolis, 41110, Larissa, Greece. 4. Department of Surgery, University of Thessaly, Biopolis, 41110, Larissa, Greece. zacharoulis@uth.gr.
Abstract
INTRODUCTION: The purpose of the current study was to review the available literature on morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) in order to assess the clinical outcomes of the routine closure of the mesenteric defects. METHODS: A literature search was performed in PubMed, Cochrane library, and Scopus, in accordance with the PRISMA guidelines. RESULTS: Nine studies met the inclusion criteria. A total of 16,520 patients were incorporated with a mean follow-up ranging from 34 to 120 months. The closure of the mesenteric defects was associated with a lower incidence of internal hernias (odds ratio, 0.25 [95% confidence interval 0.20, 0.31]; p < 0.01), small bowel obstruction (SBO) (0.30 [0.17, 0.52]; p < 0.0001) and reoperations (0.28 [0.15, 0.52]; p < 0.001). Both approaches presented similar complication rates and % excess weight loss (%EWL). CONCLUSION: The present meta-analysis is the best currently available evidence on the topic and supports the routine closure of the mesenteric defects.
INTRODUCTION: The purpose of the current study was to review the available literature on morbidly obesepatients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) in order to assess the clinical outcomes of the routine closure of the mesenteric defects. METHODS: A literature search was performed in PubMed, Cochrane library, and Scopus, in accordance with the PRISMA guidelines. RESULTS: Nine studies met the inclusion criteria. A total of 16,520 patients were incorporated with a mean follow-up ranging from 34 to 120 months. The closure of the mesenteric defects was associated with a lower incidence of internal hernias (odds ratio, 0.25 [95% confidence interval 0.20, 0.31]; p < 0.01), small bowel obstruction (SBO) (0.30 [0.17, 0.52]; p < 0.0001) and reoperations (0.28 [0.15, 0.52]; p < 0.001). Both approaches presented similar complication rates and % excess weight loss (%EWL). CONCLUSION: The present meta-analysis is the best currently available evidence on the topic and supports the routine closure of the mesenteric defects.
Authors: Richard Welbourn; Marianne Hollyman; Robin Kinsman; John Dixon; Ronald Liem; Johan Ottosson; Almino Ramos; Villy Våge; Salman Al-Sabah; Wendy Brown; Ricardo Cohen; Peter Walton; Jacques Himpens Journal: Obes Surg Date: 2018-11-12 Impact factor: 4.129
Authors: Erik Stenberg; Eva Szabo; Göran Ågren; Johan Ottosson; Richard Marsk; Hans Lönroth; Lars Boman; Anders Magnuson; Anders Thorell; Ingmar Näslund Journal: Lancet Date: 2016-02-16 Impact factor: 79.321