| Title: |
Revisional Surgery After One Anastomosis/Minigastric Bypass: an Italian Multi-institutional Survey |
| Authors: |
Musella, Mario; Vitiello, Antonio; Susa, Antonio; Greco, Francesco; De Luca, Maurizio; Manno, Emilio; Olmi, Stefano; Raffaelli, Marco; Lucchese, Marcello; Carandina, Sergio; Foletto, Mirto; Pizza, Francesco; Bardi, Ugo; Navarra, Giuseppe; Schettino, Angelo Michele; Gentileschi, Paolo; Sarro, Giuliano; Chiappetta, Sonja; Tirone, Andrea; Berardi, Giovanna; Velotti, Nunzio; Foschi, Diego; Zappa, Marco; Piazza, Luigi; Bagaglini, Giulia; Benavoli, Domenico; Belluzzi, Amanda; Callari, Cosimo; Giusti, Mariapaola; Facchiano, Enrico; Licari, Leo; Iovino, Giuseppe; Piatto, Giacomo; Stanzione, Francesco; Uccelli, Matteo; Veroux, Gastone; Voglino, Costantino |
| Contributors: |
Musella, Mario; Vitiello, Antonio; Susa, Antonio; Greco, Francesco; De Luca, Maurizio; Manno, Emilio; Olmi, Stefano; Raffaelli, Marco; Lucchese, Marcello; Carandina, Sergio; Foletto, Mirto; Pizza, Francesco; Bardi, Ugo; Navarra, Giuseppe; Schettino, Angelo Michele; Gentileschi, Paolo; Sarro, Giuliano; Chiappetta, Sonja; Tirone, Andrea; Berardi, Giovanna; Velotti, Nunzio; Foschi, Diego; Zappa, Marco; Piazza, Luigi; Bagaglini, Giulia; Benavoli, Domenico; Belluzzi, Amanda; Callari, Cosimo; Giusti, Mariapaola; Facchiano, Enrico; Licari, Leo; Iovino, Giuseppe; Piatto, Giacomo; Stanzione, Francesco; Uccelli, Matteo; Veroux, Gastone; Voglino, Costantino |
| Publisher Information: |
SPRINGER |
| Publication Year: |
2022 |
| Collection: |
Università degli Studi di Messina: IRIS |
| Subject Terms: |
Complications; Mini gastric bypass; OAGB/MGB; One anastomosis gastric bypass; Revisional surgery; Humans; Reoperation; Retrospective Studies; Surveys and Questionnaires; Weight Loss; Gastric Bypa; Gastric Fistula; Obesity; Morbid |
| Description: |
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. |
| Document Type: |
article in journal/newspaper |
| File Description: |
STAMPA |
| Language: |
English |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/34973123; info:eu-repo/semantics/altIdentifier/wos/WOS:000736943200001; volume:32; issue:2; firstpage:256; lastpage:265; numberofpages:10; journal:OBESITY SURGERY; https://hdl.handle.net/11570/3237791 |
| DOI: |
10.1007/s11695-021-05779-y |
| Availability: |
https://hdl.handle.net/11570/3237791; https://doi.org/10.1007/s11695-021-05779-y; https://link.springer.com/article/10.1007/s11695-021-05779-y |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.A9AD4AA3 |
| Database: |
BASE |