PMID- 32738545
OWN - NLM
STAT- MEDLINE
DCOM- 20201217
LR  - 20210218
IS  - 1743-9159 (Electronic)
IS  - 1743-9159 (Linking)
VI  - 81
DP  - 2020 Sep
TI  - One Anastomosis/Mini Gastric Bypass (OAGB-MGB) as revisional bariatric surgery 
      after failed primary adjustable gastric band (LAGB) and sleeve gastrectomy (SG): 
      A systematic review of 1075 patients.
PG  - 32-38
LID - S1743-9191(20)30542-2 [pii]
LID - 10.1016/j.ijsu.2020.07.007 [doi]
AB  - BACKGROUND: One Anastomosis/Mini Gastric Bypass (OAGB-MGB) is rapidly gaining 
      popularity and is now the third common bariatric procedure performed in the 
      world. The aim of this review is to look at the role of this operation as a 
      revisional bariatric surgery (RBS). METHODS: Literature review was performed 
      following PRISMA (Preferred Reporting Items for Systematic Reviews and 
      Meta-Analyses) and the AMSTAR (Assessing the methodological quality of systematic 
      reviews) guidelines. Total 17 studies were eligible. RESULTS: This review reports 
      cumulative results of 1075 revisional OAGB-MGB procedures. Primary procedures 
      included gastric banding (LAGB), Sleeve gastrectomy (SG), vertical banded 
      gastroplasty (VBG) and gastric plication. The mean age was 43.1 years and female 
      to male ratio was 3.04: 1. The body mass index (BMI) at primary procedure was 
      47.05 kg/m(2). The mean BMI at revisional surgery was 41.6 kg/m(2) (range 
      28-70.8). The mean time between the primary and the secondary operation was 46.5 
      months (3-264). The mean follow-up was 2.44 years (6-60 months). The mean 
      operative time was 119.3 min. The mean length of hospital stay was 4.01 days 
      (2-28). The median limb length was 200 cm (range 150-250 cm). Leak rate was 
      1.54%. Marginal ulcer rate was 2.44%. Anemia rate was 1.9%. Mortality was 0.3%. 
      The excess weight loss (%EWL) at 1 year and 2 years was 65.2% and 68.5% 
      respectively. CONCLUSION: We conclude that there is evidence to consider OAGB-MGB 
      as a safe and effective choice for RBS. Randomised studies with long term 
      follow-up are suggested for the future.
CI  - Copyright (c) 2020 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights 
      reserved.
FAU - Parmar, Chetan D
AU  - Parmar CD
AD  - Consultant Surgeon, Whittington Hospital, London, United Kingdom; Honorary 
      Associate Professor, University College London, United Kingdom. Electronic 
      address: cparmar@nhs.net.
FAU - Gan, Jonathan
AU  - Gan J
AD  - Speciality Surgical Registrar, Whittington Hospital, London, United Kingdom.
FAU - Stier, Christine
AU  - Stier C
AD  - Sana Obesity Center, NRW, Germany.
FAU - Dong, Zhiyong
AU  - Dong Z
AD  - Bariatric Surgery Department, First Affiliated Hospital of Jinan University, 
      Guangzhou, China.
FAU - Chiappetta, Sonja
AU  - Chiappetta S
AD  - Ospedale Evangelico Betania, Via Argine 604, 80147, Naples, Italy.
FAU - El-Kadre, Luciana
AU  - El-Kadre L
AD  - Sao Lucas Copacabana Hospital, Rio de Janeiro, RJ, Brazil.
FAU - Bashah, Moataz M
AU  - Bashah MM
AD  - Department of Bariatric Surgery, Hamad General Hospital, Doha, Qatar.
FAU - Wang, Cunchuan
AU  - Wang C
AD  - Bariatric Surgery Department, First Affiliated Hospital of Jinan University, 
      Guangzhou, China.
FAU - Sakran, Nasser
AU  - Sakran N
AD  - Department of Surgery A, Emek Medical Center, Afula, Israel.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20200729
PL  - United States
TA  - Int J Surg
JT  - International journal of surgery (London, England)
JID - 101228232
SB  - IM
CIN - Int J Surg. 2020 Oct;82:204-205. PMID: 32898667
CIN - Int J Surg. 2020 Oct;82:245-246. PMID: 32920183
MH  - Adult
MH  - Female
MH  - Gastrectomy/*methods
MH  - Gastric Bypass/*methods
MH  - Gastroplasty/*methods
MH  - Humans
MH  - Male
MH  - Obesity, Morbid/*surgery
MH  - Weight Loss
OTO - NOTNLM
OT  - Mini gastric bypass
OT  - One anastomosis gastric bypass
OT  - Revision bariatric surgery
OT  - Secondary bariatric surgery
EDAT- 2020/08/02 06:00
MHDA- 2020/12/18 06:00
CRDT- 2020/08/02 06:00
PHST- 2020/05/10 00:00 [received]
PHST- 2020/07/01 00:00 [revised]
PHST- 2020/07/06 00:00 [accepted]
PHST- 2020/08/02 06:00 [pubmed]
PHST- 2020/12/18 06:00 [medline]
PHST- 2020/08/02 06:00 [entrez]
AID - S1743-9191(20)30542-2 [pii]
AID - 10.1016/j.ijsu.2020.07.007 [doi]
PST - ppublish
SO  - Int J Surg. 2020 Sep;81:32-38. doi: 10.1016/j.ijsu.2020.07.007. Epub 2020 Jul 29.