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Obesity Surgery
Published in: Obesity Surgery 6/2016

01-06-2016 | Letter to the Editor

What a Mini/One Anastomosis Gastric Bypass (MGB/OAGB) Is

Authors: Mario Musella, Marco Milone, Mervyn Deitel, Kuldeepak S. Kular, Robert Rutledge

Published in: Obesity Surgery | Issue 6/2016

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Excerpt

We observed with interest the video from the Italian group headed by Marcello Lucchese [1]. It is purported to show the surgical resolution of one of the complications described following the mini/one anastomosis gastric bypass (MGB/OAGB)—intractable esophageal bile reflux. This complication is reported in large series to require revisional surgery at a rate ranging from 0.1 to 0.7 % following primary MGB/OAGB [2‐5]. We reported the Italian experience with the MGB/OAGB in 2014, describing eight patients (8/818, 0.9 %) complaining of gastric (no esophageal) bile reflux, but this drawback resolved autonomously with conservative treatment [6]. Furthermore, an endoscopy surveillance program following MGB/OAGB performed in two units from the Italian experience, including both symptomatic and asymptomatic patients, did not show any particular histologic damage [7] at 36 months. This is confirmed in another large series [8]. …
Literature
1.
Facchiano E, Leuratti L, Veltri M, et al. Laparoscopic conversion of one anastomosis gastric bypass to Roux-en-Y gastric bypass for chronic bile reflux. Obes Surg. 2016 Jan 8. [Epub ahead of print]
2.
Kular KS, Manchanda N, Rutledge R. A 6-year experience with 1054 mini-gastric bypasses—first study from Indian subcontinent. Obes Surg. 2014;24(9):1430–5.CrossRefPubMed
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Lee WJ, Lee YC, Ser KH, et al. Revisional surgery for laparoscopic minigastric bypass. Surg Obes Relat Dis. 2011;7(4):486–91.CrossRefPubMed
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Rutledge R. The mini-gastric bypass: experience with the first 1274 cases. Obes Surg. 2001;11(3):276–80.CrossRefPubMed
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Chevallier JM, Arman GA, Guenzi M, et al. One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg. 2015;25(6):951–8.CrossRefPubMed
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Musella M, Susa A, Greco F, et al. The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surg Endosc. 2014;28:156–63.CrossRefPubMed
7.
Musella M, Manno E, Galloro G, et al. Endoscopic surveillance following mini gastric bypass: the role of computed virtual chromoendoscopy technologies (EGDS-CVCT). Obes Surg. 2014;24(8):1153(abst O.072).
8.
Chevallier JM, Trelles N, Arienzo R, et al. Endoscopic findings after laparoscopic omega loop gastric bypass. Obes Surg. 2011;21(8):956(abst PL.01–06).
9.
Musella M, Milone M, Gaudioso D, et al. A decade of bariatric surgery. What have we learned? Outcome in 520 patients from a single institution. Int J Surg. 2014;12 Suppl 1:S183–8.CrossRefPubMed
Metadata
Title
What a Mini/One Anastomosis Gastric Bypass (MGB/OAGB) Is
Authors
Mario Musella
Marco Milone
Mervyn Deitel
Kuldeepak S. Kular
Robert Rutledge
Publication date
01-06-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2168-2

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