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Obesity Surgery
Published in: Obesity Surgery 9/2019

01-09-2019 | Sleeve Gastrectomy | Review Article

One Anastomosis Gastric Bypass in Morbidly Obese Patients with BMI ≥ 50 kg/m2: a Systematic Review Comparing It with Roux-En-Y Gastric Bypass and Sleeve Gastrectomy

Authors: Chetan D. Parmar, Catherine Bryant, Enrique Luque-de-Leon, Cesare Peraglie, Arun Prasad, Karl Rheinwalt, Mario Musella

Published in: Obesity Surgery | Issue 9/2019

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Abstract

Background

To explore the role of one anastomosis (Mini) gastric bypass (OAGB) for the super-obese patients.

Method

Literature review was performed in March 2019 as per PRISMA guidelines.

Results

A total of 318 patients were identified. Mean age was 31.8 years. Mean body mass index (BMI) was 57.4 kg/m2. The mean operative time was 93.1 min with median length of stay of 4.5 days. The biliopancreatic limb (BPL) varied from 190 to 350 cm(median 280 cm). Early mortality was 0.31% with seven complications (including 1 revisional surgery). Leak rate was 0%. Mean %excess weight loss (EWL) at 12, 18–24 and 60 months was 67.7%, 71.6% and 90.75%, respectively.

Conclusions

OAGB is a safe and effective option for management of super and super-super obese patients with tailoring of the BPL. Larger comparison, follow-up and randomised trials are necessary to validate these findings.
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Metadata
Title
One Anastomosis Gastric Bypass in Morbidly Obese Patients with BMI ≥ 50 kg/m2: a Systematic Review Comparing It with Roux-En-Y Gastric Bypass and Sleeve Gastrectomy
Authors
Chetan D. Parmar
Catherine Bryant
Enrique Luque-de-Leon
Cesare Peraglie
Arun Prasad
Karl Rheinwalt
Mario Musella
Publication date
01-09-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 9/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04034-9

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