Revisional Surgery After One Anastomosis/Minigastric Bypass: an Italian Multi-institutional Survey.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
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, SICOB Collaborative group for the study of OAGB/MGB, Giulia Bagaglini, Domenico Benavoli, Amanda Belluzzi, Cosimo Callari, Mariapaola Giusti, Enrico Facchiano, Leo Licari, Giuseppe Iovino, Giacomo Piatto, Francesco Stanzione, Matteo Uccelli, Gastone Veroux, Costantino Voglino
Аннотация
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.