PMID- 36856990
OWN - NLM
STAT- MEDLINE
DCOM- 20230505
LR  - 20230512
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 33
IP  - 5
DP  - 2023 May
TI  - Revisional One Anastomosis Gastric Bypass (OAGB) for Poor Response of 
      Duodenal-Jejunal Bypass with Sleeve Gastrectomy (DJB-SG) (Video Report).
PG  - 1616-1619
LID - 10.1007/s11695-023-06529-y [doi]
AB  - BACKGROUND: Bariatric surgery has actually focused not only on obesity but also 
      more on the improvements or remission of the metabolic diseases. Therefore, 
      revisional surgery is indicated for patients with poor response to the primary 
      bariatric surgery to control weight and obesity-associated medical conditions. 
      METHOD: In this video report, the patient was a 27-year-old Asian female with an 
      initial BMI of 36.5 kg/m(2) and poorly controlled type 2 diabetes (HbA1c: 11.9%). 
      She underwent primary bariatric surgery of laparoscopic duodenal-jejunal bypass 
      with sleeve gastrectomy (DJB-SG) in June 2019. She had a nadir BMI of 
      28.8 kg/m(2) (corresponding body weight of 72 kg) in June 2020. However, she 
      regained weight (BMI: 34 kg/m(2)) and had a relapse of diabetes with an HbA1c of 
      12.0% at the time of consultation for revisional bariatric surgery (RBS) in 
      September 2022. After a multidisciplinary team evaluation, laparoscopic 
      procedures of one anastomosis gastric bypass (OAGB) with resizing the gastric 
      tube, removal of duodenal-jejunal anastomosis, and lengthening of the 
      biliopancreatic limb were performed. RESULTS: The operative time was 186 min and 
      blood loss was 50 ml. There were no intraoperative or postoperative 
      complications. The patient had an uneventful postoperative course and was 
      discharged on postoperative day 5. At the 3-month follow-up after RBS, the 
      patient had lost 13 kg (weight dropped from 85 to 72 kg) and achieve remission of 
      diabetes with HbA1c of 5.7%. CONCLUSION: Laparoscopic OAGB is technically 
      feasible and practical as a revisional procedure for poor response of DJB-SG.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business 
      Media, LLC, part of Springer Nature.
FAU - Liu, Fa-Guang
AU  - Liu FG
AD  - Division of General Surgery, Department of Surgery, Cardinal Tien Hospital, 
      Taipei, Taiwan.
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
FAU - Chang, Shu-Wei
AU  - Chang SW
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
FAU - Hsu, Kuo-Feng
AU  - Hsu KF
AUID- ORCID: 0000-0001-9556-9221
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan. hsukf97@ndmctsgh.edu.tw.
FAU - Chen, Yen-Ju
AU  - Chen YJ
AD  - Research Assistant Center, Tainan Municipal Hospital (Managed By Show Chwan 
      Medical Care Corporation), Tainan, Taiwan.
FAU - Pan, Hsin-Mei
AU  - Pan HM
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
FAU - Liao, Guo-Shiou
AU  - Liao GS
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
FAU - Lin, Chien-Hua
AU  - Lin CH
AD  - Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 
      National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, 
      Taipei, Taiwan.
AD  - IRCAD Taiwan, Department of Surgery, Chang-Bing Show Chwan Memorial Hospital, 
      Changhua, Taiwan.
FAU - Wang, Sheng-Chun
AU  - Wang SC
AD  - Division of General Surgery, Department of Surgery, Cardinal Tien Hospital, 
      Taipei, Taiwan.
LA  - eng
PT  - Journal Article
PT  - Video-Audio Media
DEP - 20230301
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
RN  - 0 (Glycated Hemoglobin)
SB  - IM
MH  - Humans
MH  - Female
MH  - Adult
MH  - *Gastric Bypass/methods
MH  - *Obesity, Morbid/surgery
MH  - *Diabetes Mellitus, Type 2/surgery
MH  - Glycated Hemoglobin
MH  - Obesity/surgery
MH  - Reoperation/methods
MH  - *Laparoscopy
MH  - Gastrectomy/methods
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Bariatric surgery
OT  - Diabetes
OT  - Duodenal-jejunal bypass
OT  - One anastomosis gastric bypass
OT  - Remission
OT  - Revision
OT  - Sleeve gastrectomy
OT  - Weight regain
EDAT- 2023/03/02 06:00
MHDA- 2023/05/05 06:42
CRDT- 2023/03/01 11:21
PHST- 2023/01/09 00:00 [received]
PHST- 2023/02/23 00:00 [accepted]
PHST- 2023/02/17 00:00 [revised]
PHST- 2023/05/05 06:42 [medline]
PHST- 2023/03/02 06:00 [pubmed]
PHST- 2023/03/01 11:21 [entrez]
AID - 10.1007/s11695-023-06529-y [pii]
AID - 10.1007/s11695-023-06529-y [doi]
PST - ppublish
SO  - Obes Surg. 2023 May;33(5):1616-1619. doi: 10.1007/s11695-023-06529-y. Epub 2023 
      Mar 1.