| Literature DB >> 36255646 |
Rachel Xue Ning Lee1, Nayer Rizkallah1, Sonja Chiappetta2, Christine Stier3, Sjaak Pouwels4, Nasser Sakran5,6, Rishi Singhal7, Kamal Mahawar8,9, Brijesh Madhok10.
Abstract
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.Entities:
Keywords: Acid reflux; Bile reflux; Gastro-oesophageal reflux; Loop gastric bypass; Mini gastric bypass; Omega loop gastric bypass; One anastomosis gastric bypass
Year: 2022 PMID： 36255646 DOI： 10.1007/s11695-022-06301-8
Source DB: PubMed Journal: Obes Surg ISSN： 0960-8923 Impact factor: 3.479