Laparoscopic one anastomosis gastric bypass: A revisional procedure for failed laparoscopic sleeve gastrectomy

BACKGROUND The indications for bariatric surgery revision are weight loss failure, complications or weight regain so laparoscopic one anastomosis gastric bypass (LOAGB) is a promising revisional bariatric procedure for failed laparoscopic sleeve gastrectomy (LSG). AIM OF STUDY The aim was to evaluat...

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Bibliographic Details
Published in:Surgical practice 2022-05, Vol.26 (2), p.101-107
Main Authors: Elmahdy, Tamer M., Elsherpiny, Waleed Y., Barakat, Hossam B.
Format: Article
Language:English
Subjects:
Body mass index
Gastrointestinal surgery
laparoscopic
Laparoscopy
obesity
one anastomosis gastric bypass
sleeve gastrectomy
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Summary:BACKGROUND The indications for bariatric surgery revision are weight loss failure, complications or weight regain so laparoscopic one anastomosis gastric bypass (LOAGB) is a promising revisional bariatric procedure for failed laparoscopic sleeve gastrectomy (LSG). AIM OF STUDY The aim was to evaluate LOAGB as a revisional bariatric procedure for failed LSG regarding weight loss, improvement in comorbidities and complications. PATIENTS AND METHODS This prospective study was carried out at the Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University, between Jan 2018 and June 2019. It included 40 patients who underwent LOAGB as a revisional bariatric procedure for failed LSG. RESULTS The study population included 32 females and 8 males with a mean age of 28.20 ± 7.22 years. The mean preoperative body mass index (BMI) was 45.54 ± 5.24 kg/m2. The mean operative time was 80.59 ± 35.42 min and the mean postoperative hospital stay was 3.35 days. Neither conversion to open or to other bariatric procedures, nor mortality occurred. Revisional surgery was performed 45 ± 10.5 months after primary LSG Concomitant procedures were cholecystectomy in 4 patients (10%) and re‐sleeve for wide proximal pouch occurred in 15 patients (37.5%). Early complications were encountered in 4 patients (10%), intraluminal bleeding was recorded in 1 patient (2.5%). Late complications included 8 patients (20%). The mean postoperative excess body weight loss percent achieved was 45.23 ± 12.35 at 1 year, 58.85 ± 14.60 at 2 years. The mean BMI achieved was 34.52 ± 4.26 at 1 year, 29.37 ± 6.95 at 2 years. CONCLUSION Laparoscopic one anastomosis gastric bypass is an easy, safe and effective revisional bariatric procedure for failed LSG producing satisfactory weight loss and improvement or resolution of comorbidities with low perioperative complications.
ISSN:1744-1625
1744-1633
DOI:10.1111/1744-1633.12568