One-anastomosis Gastric Bypass (OAGB) after Failed Laparoscopic Sleeve Gastrectomy: A Single Centre Prospective Study of 3 Years of Follow up | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 17, Issue 1, January 2024, Page 98-103 PDF (434.8 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2024.337021 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Abo Naga; Mostafa Nagy  ; Amr H Afifi
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| General Surgery Department, Faculty of Medicine, Ain Shams University, Egypt | ||||
| Abstract | ||||
| Introduction: In 2018, sleeve gastrectomy was the most common bariatric procedure performed in the USA, accounting for 61.4% of all procedures. Nevertheless, more than half of the patients who underwent primary restrictive bariatric procedures like Laparoscopic Adjustable Gastric Banding (LAGB) and Laparoscopic Sleeve Gastrectomy (LSG) experience failure in achieving or maintaining weight loss. Therefore, Revisional surgeries are needed to overcome this failure. Aim of work: The aim of current study was to assess effectiveness of one anastomosis gastric bypass (OAGB) as a revisional surgery after failed LSG regarding weight loss, EWL, TBWL, complication rate, and remission of obesity related morbidities. Patients and methods: We included 83 patients with failed weight loss after single previous laparoscopic sleeve gastrectomy who underwent OAGB as a revisional surgery. Results: the mean %TBWL was 33.3, 39.9 and 42.1 at 12, 26 and 36 months of follow up. Postoperative complications rate was 10% (Bleeding, Wound infection& RTI) (2.5%, 2.5% & 5%). There was a 61.8% full remission of Dm & HTN. Conclusions: This study suggest OAGB is an effective revisional bariatric surgery for patients who didn’t reach sufficient loss of weight loss or maintain their weight after failed laparoscopic sleeve gastrectomy with higher rates of weight loss and lower rates of early complications. | ||||
| Keywords | ||||
| OAGB; revisional surgery; failed LSG | ||||
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