Arnaud Liagre1, Tarek Debs2, Radwan Kassir3, Alain Ledit4, Gildas Juglard1, Mael Chalret du Rieu1, Andrea Lazzati5, Francesco Martini1, Niccolo Petrucciani6,7. 1. Service de Chirurgie bariatrique, Ramsay Générale de Santé, Clinique des Cedres, Cornebarrieu, France. 2. Division of Digestive Surgery, Archet II Hospital, Nice, France. 3. Department of Digestive Surgery, CHU Félix Guyon, Saint Denis, La Réunion, France. 4. Service de Gastroenterologie, Ramsay Générale de Santé, Clinique des Cedres, Cornebarrieu, France. 5. Department of General Surgery, Centre Hospitalier Intercommunal de Créteil, Créteil, France. 6. Division of Digestive Surgery, Archet II Hospital, Nice, France. niccolo.petrucciani@uniroma1.it. 7. Department of Medical and Surgical Sciences and Translational Medicine, Faculty of Medicine and Psychology, St. Andrea Hospital, Sapienza University, via di Grottarossa 1035-9, 00189, Rome, Italy. niccolo.petrucciani@uniroma1.it.
Abstract
PURPOSE: One anastomosis gastric bypass (OAGB) is now recognized as a mainstream bariatric procedure, nonetheless concerns about the risk of nutritional deficiencies and biliary reflux persist, and the ideal length of the biliopancreatic limb (BPL) is debated. MATERIALS AND METHODS: Data of patients who underwent OAGB between May 2010 and December 2010 were collected prospectively and analyzed retrospectively. At an 8-year follow-up, a complete evaluation included clinical examination, blood tests, upper gastrointestinal endoscopy, and quality of life (QoL) assessed through the BAROS score. RESULTS: Overall, 115 patients underwent OAGB with a BPL of 150 cm. Thirty-six (31%) were lost at the 8-year follow-up. Mean preoperative weight was 117 ± 20.8 kg and mean BMI 43.2 ± 5.8 kg/m2. At 8 years, weight was 76.5 ± 17.3 kg, BMI 28.3 ± 5.8, %TWL 34.8 ± 10.7, and %EWL 84.8 ± 27.1. No patients were readmitted for nutritional complications or underwent revisional surgery for malnutrition; 6 patients were converted to Roux-en-Y gastric bypass for intractable reflux. High rates of vitamin D and A deficiencies and secondary hyperparathyroidism were found at 8 years. The BAROS score was > 3 at 8 years for 93% of patients. Upper gastrointestinal endoscopy was available for 46 patients and found esophagitis in 6.5% of cases but no cases of Barrett's esophagus. CONCLUSION: OAGB performed with a 150-cm BPL is an effective bariatric procedure, associated with good long-term outcomes in relation to weight loss, QoL, resolution of comorbidities, and a very low rate of protein-calorie malnutrition. Fat-soluble vitamin deficiencies represent the main long-term concern. Endoscopic findings at 8 years are reassuring.
PURPOSE: One anastomosis gastric bypass (OAGB) is now recognized as a mainstream bariatric procedure, nonetheless concerns about the risk of nutritional deficiencies and biliary reflux persist, and the ideal length of the biliopancreatic limb (BPL) is debated. MATERIALS AND METHODS: Data of patients who underwent OAGB between May 2010 and December 2010 were collected prospectively and analyzed retrospectively. At an 8-year follow-up, a complete evaluation included clinical examination, blood tests, upper gastrointestinal endoscopy, and quality of life (QoL) assessed through the BAROS score. RESULTS: Overall, 115 patients underwent OAGB with a BPL of 150 cm. Thirty-six (31%) were lost at the 8-year follow-up. Mean preoperative weight was 117 ± 20.8 kg and mean BMI 43.2 ± 5.8 kg/m2. At 8 years, weight was 76.5 ± 17.3 kg, BMI 28.3 ± 5.8, %TWL 34.8 ± 10.7, and %EWL 84.8 ± 27.1. No patients were readmitted for nutritional complications or underwent revisional surgery for malnutrition; 6 patients were converted to Roux-en-Y gastric bypass for intractable reflux. High rates of vitamin D and A deficiencies and secondary hyperparathyroidism were found at 8 years. The BAROS score was > 3 at 8 years for 93% of patients. Upper gastrointestinal endoscopy was available for 46 patients and found esophagitis in 6.5% of cases but no cases of Barrett's esophagus. CONCLUSION: OAGB performed with a 150-cm BPL is an effective bariatric procedure, associated with good long-term outcomes in relation to weight loss, QoL, resolution of comorbidities, and a very low rate of protein-calorie malnutrition. Fat-soluble vitamin deficiencies represent the main long-term concern. Endoscopic findings at 8 years are reassuring.
Authors: Mario Musella; Jan Apers; Karl Rheinwalt; Rui Ribeiro; Emilio Manno; Francesco Greco; Michal Čierny; Marco Milone; Carla Di Stefano; Sahin Guler; Isa Mareike Van Lessen; Anabela Guerra; Mauro Natale Maglio; Riccardo Bonfanti; Radoslava Novotna; Guido Coretti; Luigi Piazza Journal: Obes Surg Date: 2016-05 Impact factor: 4.129
Authors: Ashraf Haddad; Ahmad Bashir; Mathias Fobi; Kelvin Higa; Miguel F Herrera; Antonio J Torres; Jacques Himpens; Scott Shikora; Almino Cardoso Ramos; Lilian Kow; Abdelrahman Ali Nimeri Journal: Obes Surg Date: 2021-01-31 Impact factor: 4.129
Authors: Daniel Moritz Felsenreich; Felix Benedikt Langer; Jakob Eichelter; Julia Jedamzik; Lisa Gensthaler; Larissa Nixdorf; Mahir Gachabayov; Aram Rojas; Natalie Vock; Marie Louise Zach; Gerhard Prager Journal: J Clin Med Date: 2021-02-10 Impact factor: 4.241