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Surgical Management of Gastro-oesophageal Reflux Disease 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.
Afiliação
  • Lee RXN; East Midlands Bariatric and Metabolic Institute, University Hospital of Derby and Burton NHS Foundation Trust, Derby, UK.
  • Rizkallah N; East Midlands Bariatric and Metabolic Institute, University Hospital of Derby and Burton NHS Foundation Trust, Derby, UK.
  • Chiappetta S; Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy.
  • Stier C; Department of Surgical Endoscopy, Sana Hospitals, Germany and Obesity Center NRW, Huerth, Germany.
  • Pouwels S; Department of Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands.
  • Sakran N; Department of Surgery, Holy Family Hospital, Nazareth, Israel.
  • Singhal R; The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
  • Mahawar K; Bariatric and Upper GI Unit, Birmingham Heartlands Hospital, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
  • Madhok B; Bariatric Unit, South Tyneside and Sunderland NHS Trust, Sunderland, UK.
Obes Surg ; 32(12): 4057-4065, 2022 12.
Article em En | MEDLINE | ID: mdl-36255646
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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Refluxo Gastroesofágico Tipo de estudo: Observational_studies / Systematic_reviews Limite: Humans Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Refluxo Gastroesofágico Tipo de estudo: Observational_studies / Systematic_reviews Limite: Humans Idioma: En Revista: Obes Surg Assunto da revista: METABOLISMO Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Reino Unido