Vol. 7 (09) pp. 762-771 DOI: 10.21474/IJAR01/9726

ONE ANASTOMOSIS GASTRIC BYPASS AS A SALVAGE MANAGEMENT FOR WEIGHT REGAIN AFTER VERTICAL BANDED GASTROPLASTY; SINGLE INSTITUTE EXPERIENCE.

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  • Department of Surgery, Medical Research Institute, Alexandria University, Egypt.
  • Department of Surgery, Faculty of Medicine, Alexandria University, Egypt.
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Abstract

Background: Vertical banded gastroplasty (VBG) was a popular bariatric operation two decades ago, but it has been discontinued as it necessitates laparotomy in most cases, and there is often a high incidence of weight regain or insufficient weight loss requiring a revisional bariatric procedure. Objective: The aim of the present study was to evaluate one anastomosis gastric bypass (OAGB) as a relatively safe and less demanding solution for the management of weight regain after VBG. Methods: Between February 2014 and September 2017, 42 morbidly obese patients, who had undergone open VBG and suffered from inadequate weight loss or progressive weight regain, were offered laparoscopic OAGB as a revisional surgery. They completed a follow up for at least one year. Results: All cases were completed laparoscopically. The mean operative time was 166.7?44.6 minutes and the mean hospital stay was 2.2?0.5 days. The mean BMI before revisional surgery was 47.9?6.6 kg/m2, and after one year of follow up it was 29.2?4.9 kg/m2. The mean %EBMIL was 54.3?11.1% at 6 months after surgery and 85.6?16.2% at one year after surgery, with improvement of comorbidities observed in most cases. Conclusion: Laparoscopic OAGB is a safe revisional bariatric option for failed VBG with very successful results in terms of weight reduction, improvement of comorbidities, and low incidence of major complications.

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How to Cite This Article

Mohamed Ibrahim, Mohamed Hany, Ahmed Zidan and Tamer N Abdelbaki. (2019); ONE ANASTOMOSIS GASTRIC BYPASS AS A SALVAGE MANAGEMENT FOR WEIGHT REGAIN AFTER VERTICAL BANDED GASTROPLASTY; SINGLE INSTITUTE EXPERIENCE., Int. J. of Adv. Res., 7 (09), 762-771, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/9726

Corresponding Author

mohamed ibrahim
Department of Surgery, Medical Research Institute, Alexandria University, Egypt.
Creative Commons Attribution 4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.