The Surgical Technique of Primary Modified Fundoplication Using the Excluded Stomach with Simultaneous Gastric Bypass

Ospanov, Oral

doi:10.1007/s11695-023-06505-6

Cited by 3 publications

(5 citation statements)

References 13 publications

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“…In the first group, we applied the method of FundoRingOAGB described in the article by Ospanov et al [ 11 ]. In the second group, the method NissenOAGB performed, as described in the articles by Werapitiya, S.B.…”

Section: Methodsmentioning

confidence: 99%

“…In the FundoRingOAGB group ( Figure 2 C), the execution of various steps differed from NissenOAGB [ 7 , 11 ]: The gastrosplenic ligament was always divided to ensure good mobilization of the gastric fundus. The anterior and posterior parts of the mobilized fundus were joined at 2–3 o’clock.…”

Section: Methodsmentioning

confidence: 99%

“…In the FundoRingOAGB group (Figure 2C), the execution of various steps differed from NissenOAGB [7,11]:…”

Section: Intervention Proceduresmentioning

confidence: 97%

“…The suture line was completely covered using a remnant stomach for the prevention of bleeding and a leak of the gastric pouch (Figure 2C). In the FundoRingOAGB group (Figure 2C), the execution of various steps differed from NissenOAGB [7,11]:…”

Section: Intervention Proceduresmentioning

confidence: 97%

“…Revisional use of the Nissen procedure for the treatment of refractory bile reflux after OAGB may have promise in bariatric surgery [ 10 ]. In addition, we developed a modification of the Nissen procedure using the excluded stomach, which we called “FundoRing” [ 11 ]. Previously, we published the results of a randomized study using our method FundoRingOAGB (f-OAGB) vs. standard OAGB (s-OAGB) with 24 h pH impedance monitoring data [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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A Three-Arm Randomized Controlled Trial of Primary One-Anastomosis Gastric Bypass: With FundoRing or Nissen Fundoplications vs. without Fundoplication for the Treatment of Obesity and Gastroesophageal Reflux Disease

Ospanov,

Zharov,

Yelembayev

et al. 2024

Medicina

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Background and Objectives: Obesity and gastroesophageal reflux disease (GERD) are steadily increasing world weight and antireflux surgery must be performed simultaneously with bariatric surgery in obese patients. The purpose of this study is to compare bariatric and antireflux results after OAGB with different methods of fundoplication using the excluded stomach and without fundoplication. Materials and methods: This open-label, randomized, parallel three-arm trial was conducted from March 2019 and December 2021. All patients underwent laparoscopic one-anastomosis gastric bypass and suture cruroplasty, and then had a follow-up at 24 months. Group 1 of patients had fundoplication FundoRing using the excluded stomach (FundoRingOAGB); Group 2, with Nissen fundoplication using the excluded stomach (NissenOAGB); and Group 3, without fundoplication (OAGB). We studied changes in BMI, GERD symptoms (GERD-HRQL), and the VISICK score. Results: Of 219 participants screened, 150 were randomly allocated to 3 groups: FundoRingOAGB group (n = 50), NissenOAGB group (n = 50), and OAGB group (n = 50). At post-treatment month 24, BMI changes were as follows: from 40.7 ± 5.9 (31–53) to 24.3 ± 2.8 (19–29) kg/m2 in FundoRingOAGB group; from 39.9 ± 5.3 (32–54) to 26.3 ± 2.9 (23–32) kg/m2 in Nissen group; and from 40.9 ± 6.2 (32–56) to 28.5 ± 3.9 (25–34) kg/m2 in OAGB group. The mean pre-operative GERD-HRQL heartburn score improved post-op in FundoRingOAGB group from 20.6 ± 2.24 (19.96, 21.23) to 0.44 ± 0.73 (0.23, 0,64); in NissenOAGB group from 21.34 ± 2.43 (20.64, 22.03) to 1.14 ± 1.4 (0.74, 1.53); and in OAGB group 20.5 ± 2.17 (19.9, 21.25) to 2.12 ± 1.36 (1.73, 2.5). GERD-HRQL total scores were from pre-op 25.2 ± 2.7 (24.4, 25.9) to 4.34 ± 1.3 (3.96, 4.7) post-op in FundoRingOAGB group; 24.8 ± 2.93 (24, 25.67) pre-op to 5.42 ± 1.7 (4.9, 5.9) in the NissenOAGB group; and from 21.46 ± 2.7 (20.7, 22.2) to 7.44 ± 2.7 (6.6, 8.2) in the OAGB group. The mean VISICK score improved from 3.64 ± 0.94 (3.7, 3.9) to 1.48 ± 1.26 (1.12, 1.84) in FundoRingOAGB, from 3.42 ± 0.97 (3.1, 3,7) to 2.5 ± 1.46 (2.06, 2.9) in NissenOAGB group and from 3.38 ± 0.88 (3.1, 3,69) to 2.96 ± 1.19 (2.62, 3.2) in OAGB group. Conclusions: Antireflux and bariatric results of FundoRingOAGB are better than using the NissenOAGB method and significantly better than OAGB without the use of fundoplication.

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Section: Methodsmentioning

confidence: 99%