Surgical management of Ggastro-oesophageal reflux Ddisease after one anastomosis gastric bypass - a systematic review.
Lee, Rachel Xue Ning Rizkallah, Nayer Chiappetta, Sonja Stier, Christine Pouwels, Sjaak Sakran, Nasser Singhal, Rishi Mahawar, Kamal Madhok, Brijesh
Lee, Rachel Xue Ning
Rizkallah, Nayer
Chiappetta, Sonja
Stier, Christine
Pouwels, Sjaak
Sakran, Nasser
Singhal, Rishi
Mahawar, Kamal
Madhok, Brijesh
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2022-10-18
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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.
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Lee RXN, Rizkallah N, Chiappetta S, Stier C, Pouwels S, Sakran N, Singhal R, Mahawar K, Madhok B. Surgical Management of Gastro-oesophageal Reflux Disease After One Anastomosis Gastric Bypass - a Systematic Review. Obes Surg. 2022 Dec;32(12):4057-4065. doi: 10.1007/s11695-022-06301-8. Epub 2022 Oct 18
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