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Obes Surg ; 34(3): 976-984, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38244169

RESUMEN

One-anastomosis gastric bypass (OAGB) is an effective procedure to treat severe obesity. However, conversion to Roux-en-Y gastric bypass (RYGB) is increasing. We therefore conducted a systematic review to determine the safety and efficacy associated with OAGB-RYGB conversion. A systematic search was conducted by three independent reviewers using Medline, Embase, and the Cochrane library following PRISMA guidelines. Six studies including 134 patients were selected who were undergoing OAGB-RYGB conversion. The most common indications were reflux (47.8%), malnutrition (31.3%), and inadequate weight loss (8.2%). Study outcomes demonstrated 100% resolution of bile reflux. Overall, there was medium-term weight gain of 0.61 BMI. OAGB to RYGB conversion leads to resolution of reflux symptoms. However, it is associated with weight regain, albeit this may be acceptable to patients to treat biliary reflux.


Asunto(s)
Derivación Gástrica , Obesidad Mórbida , Pérdida de Peso , Humanos , Derivación Gástrica/métodos , Obesidad Mórbida/cirugía , Resultado del Tratamiento , Femenino , Masculino , Complicaciones Posoperatorias/epidemiología , Adulto , Reflujo Biliar/cirugía , Aumento de Peso , Persona de Mediana Edad , Desnutrición , Índice de Masa Corporal
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