Anastomotic Gastro-Jejunal Ulcer Perforation Following One Anastomosis Gastric Bypass: Clinical Presentation and Options of Management—Case Series and Review of Literature

Hussein, Bassem Abou; Marzouqi, Omar Al; Khammas, Ali

doi:10.1007/s11695-020-04423-5

Cited by 13 publications

(2 citation statements)

References 18 publications

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“…Several theories have been attributed to its origin, including a chronic acid secretion from the gastric pouch causing erosions at the edges of the GJ junction, smoking tobacco, the presence of Helicobacter pylori, as well as longterm use of nonsteroidal anti-inflammatory medications. 72,73 Malnutrition is defined by deficiencies of micronutrients such as iron, folate, vitamin A, and vitamin B 12 . This is the most controversial complication after OAGB and a common cause of postoperative conversion.…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Single-Anastomosis Procedures in Metabolic Surgery

Qudah¹,

Barajas‐Gamboa²,

Sun³

et al. 2021

Digestive Disease Interventions

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The most effective long-term treatment for severe obesity is bariatric surgery with improvement or resolution of obesity-related comorbidities. Single-anastomosis procedures including single-anastomosis duodenoileal bypass and one-anastomosis gastric bypass are relatively new procedures that are gaining popularity worldwide. These surgical techniques are perceived to be less complex with a shorter learning curve in comparison to the standard biliopancreatic diversion with duodenal switch and Roux-en-Y gastric bypass; however, long-term outcomes and complications remain controversial. This article aims to review one-anastomosis procedures, evaluate their outcomes, and review potential complications.

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Section: Postoperative Complicationsmentioning

confidence: 99%

Single-Anastomosis Procedures in Metabolic Surgery

Qudah¹,

Barajas‐Gamboa²,

Sun³

et al. 2021

Digestive Disease Interventions

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“…No entanto, a incidência de complicações pós-operatórias, que podem ser mais frequentes que no BGYR clássico, é o ponto mais preocupante, como a anemia ferropriva, o refluxo sintomático e a hipoalbuminemia que pode chegar a 30% em 3 anos. A úlcera marginal pós OAGB também pode ser mais frequente que no BGYR (Hussein;Baksi et al, 2020).…”

Section: Introductionunclassified

Fisiopatologia da úlcera marginal após bypass gástrico e o seu tratamento: uma revisão integrativa

Martins

Santos

Rasera

2022

RSD

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Devido à epidemia de obesidade no mundo, o número de cirurgias bariátricas aumentou em uma velocidade exponencial e, associado a este, o aumento na ocorrência de complicações cirúrgicas que acompanham o processo, como a úlcera anastomótica (UA), também chamadas Úlcera Marginal, pós Bypass Gástrico em Y de Roux (BGYR). O objetivo deste estudo é analisar a relação entre o BGYR e a formação de UA bem como discutir seu tratamento. Trata-se de uma revisão integrativa da literatura. Foram utilizadas as bases de dados: National Library of Medicine National Institutes of Health (PubMed) e Biblioteca Virtual em Saúde (BVS/MEDLINE). O processo de triagem contou com os seguintes critérios de inclusão: artigos que respondessem à pergunta da pesquisa, na lingua inglesa, portuguesa e espanhola e publicados entre 2017 a 2022. Foram obtidos um total de 12 estudos. Para a discussão, foram divididos quatro eixos temáticos: 1. Fisiopatologia das UA, entendido como um processo de isquemia da mucosa e processo inflamatório associado à liberação de gastrina devido ao estímulo vagal em alguns pacientes. 2. Fatores que influenciam a formação das UA, sendo divididos em cirúrgicos e não cirúrgicos, dentre os não cirúrgicos estão o uso de AINES e a infecção por H. pylori. 3. Quadro clínico e complicações das UA, como a hemorragia, a estenose, a malignidade ou a perfuração. Por fim, o quarto tópico abordou a conduta clínica frente ao quadro de UA, comparando a revisão cirúrgica.

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One-anastomosis gastric bypass (OAGB) versus Roux-en-Y gastric bypass (RYGB) as revisional procedures after failed laparoscopic sleeve gastrectomy (LSG): systematic review and meta-analysis of comparative studies

Vitiello,

Berardi,

Peltrini

et al. 2023

Langenbecks Arch Surg

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Introduction The aim of this study was to compare weight loss and gastroesophageal reflux disease (GERD) remission after one-anastomosis gastric bypass (OAGB) versus Roux-en-Y gastric bypass (RYGB) as revisional procedures after laparoscopic sleeve gastrectomy (LSG). Methods In PubMed, Embase, and Cochrane Library, a search was performed using the terms “Roux-en-Y gastric bypass versus one anastomosis gastric bypass,” “revisional surgery,” and “sleeve gastrectomy.” Only original articles in English language comparing OAGB and RYGB were included. No temporal interval was set. The primary outcome measure was weight loss (%TWL). The secondary endpoints were leak, bleeding, marginal ulcer, and GERD. PRISMA flowchart was used. Differences in continuous and dichotomous outcome variables were expressed as mean difference (MD) and risk difference (RD) with 95% CI, respectively. Heterogeneity was assessed by using I2 statistic. Results Six retrospective comparative articles were included in the present meta-analysis. Weight loss analysis showed a MD = 5.70 (95% CI 4.84–6.57) in favor of the OAGB procedure with a statistical significance (p = 0.00001) and no significant statistical heterogeneity (I2 = 0.00%). There was no significant RD for leak, bleeding, or marginal ulcer after the two revisional procedures. After conversion to OAGB, remission from GERD was 68.6% (81/118), and it was 80.6% (150/186) after conversion to RYGB with a RD = 0.10 (95% CI −0.04, 0.24), no statistical significance (p = 0.19), and high heterogeneity (I2 = 96%). De novo GERD was 6.3% (16/255) after conversional OAGB, and it was 0.5% (1/180) after conversion to RYGB with a RD = −0.23 (95% CI −0.57, 0.11), no statistical significance (p = 0.16), and high heterogeneity (I2 = 92%).

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Anastomotic Gastro-Jejunal Ulcer Perforation Following One Anastomosis Gastric Bypass: Clinical Presentation and Options of Management—Case Series and Review of Literature

Cited by 13 publications

References 18 publications

Single-Anastomosis Procedures in Metabolic Surgery

Single-Anastomosis Procedures in Metabolic Surgery

Fisiopatologia da úlcera marginal após bypass gástrico e o seu tratamento: uma revisão integrativa

One-anastomosis gastric bypass (OAGB) versus Roux-en-Y gastric bypass (RYGB) as revisional procedures after failed laparoscopic sleeve gastrectomy (LSG): systematic review and meta-analysis of comparative studies

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