PMID- 28320077
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1758-8111 (Electronic)
IS  - 1758-8103 (Linking)
VI  - 7
IP  - 3
DP  - 2017 Jun
TI  - Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of 
      surgeons.
PG  - 151-156
LID - 10.1111/cob.12186 [doi]
AB  - Many surgeons believe that one anastomosis (mini) gastric bypass (OAGB/MGB) is 
      associated with a high marginal ulcer (MU) rate and that this is associated with 
      complications in a significant number of patients. The purpose of this survey was 
      to find out the participant-reported incidence of MU after OAGB/MGB and its 
      complications. We also aimed to understand practices in this cohort concerning 
      prophylaxis, diagnosis, treatment and management of complications. Bariatric 
      surgeons who perform OAGB/MGB procedures were invited to participate in a 
      confidential, online survey using SurveyMonkey(R). A total of 86 surgeons 
      performing OAGB/MGB procedures participated in the survey. The total number of 
      OAGB/MGB procedures reported was 27 672, revealing 622 MU, giving an MU rate of 
      2.24 %. Most participants (69/84, 82.4%) routinely use proton pump inhibitor 
      (PPI) prophylaxis, but there was variation in drugs, dosages and duration. The 
      majority (49/85, 57.6%) of participants 'always' use endoscopy for diagnosis, and 
      48.1% (39/81) 'always' perform an endoscopy to ensure healing. Most (49/55) 
      perforated ulcers were treated with laparoscopic repair +/- omentoplasty +/- 
      drainage. Most (55/59, 93.0%) of the bleeding ulcers were managed with PPI +/- 
      blood transfusions +/- endoscopic intervention (23/59, 39.0%). Non-healing ulcers 
      were treated by conversion to Roux-en-Y gastric bypass (RYGB) in 46.5% of 
      patients (n = 20/43). The participants did not report any MU-related mortality 
      but described a number of risk factors for it. This survey is the first detailed 
      attempt to understand the incidence of MU following OAGB/MGB; its complications; 
      and practices concerning prophylaxis, diagnosis, treatment and management of 
      complications.
CI  - (c) 2017 World Obesity Federation.
FAU - Mahawar, K K
AU  - Mahawar KK
AD  - Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
AD  - Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, 
      UK.
FAU - Reed, A N
AU  - Reed AN
AD  - Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
FAU - Graham, Y N H
AU  - Graham YNH
AD  - Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK.
AD  - Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, 
      UK.
LA  - eng
PT  - Journal Article
DEP - 20170320
PL  - England
TA  - Clin Obes
JT  - Clinical obesity
JID - 101560587
SB  - IM
MH  - Adult
MH  - Female
MH  - Gastric Bypass/*adverse effects
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Peptic Ulcer/*etiology
MH  - Postoperative Complications/diagnosis/*etiology
MH  - Retrospective Studies
MH  - Surgeons/statistics & numerical data
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Marginal ulcer
OT  - mini gastric bypass
OT  - one anastomosis gastric bypass
OT  - stomal ulcer
EDAT- 2017/03/21 06:00
MHDA- 2018/02/13 06:00
CRDT- 2017/03/21 06:00
PHST- 2016/12/12 00:00 [received]
PHST- 2017/02/11 00:00 [revised]
PHST- 2017/02/16 00:00 [accepted]
PHST- 2017/03/21 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
PHST- 2017/03/21 06:00 [entrez]
AID - 10.1111/cob.12186 [doi]
PST - ppublish
SO  - Clin Obes. 2017 Jun;7(3):151-156. doi: 10.1111/cob.12186. Epub 2017 Mar 20.