Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series
Introduction. Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication rate. Recent publications suggest that dumping s...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2022/4942052 |
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| author | Michela Campanelli Emanuela Bianciardi Domenico Benavoli Giulia Bagaglini Giorgio Lisi Paolo Gentileschi |
| author_facet | Michela Campanelli Emanuela Bianciardi Domenico Benavoli Giulia Bagaglini Giorgio Lisi Paolo Gentileschi |
| author_sort | Michela Campanelli |
| collection | DOAJ |
| description | Introduction. Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication rate. Recent publications suggest that dumping syndrome and weight regain might be reduced by placing a silicone ring over the gastric pouch during the procedure, so called laparoscopic banded one anastomosis gastric bypass (LBOAGB). Methods. 86 patients undergoing LBOAGB between 2018 and 2020 were enrolled in this retrospective study. Hospital records were used to assess weight loss, comorbidity resolution, and any complications either in the short or medium term. Results. 54 Female and 32 male patients were included with a mean age of 43 years (25–64), preoperative body mass index of 42 kg/m2 (35–49), and preoperative weight of 114 kg (86–162). Thirty-four patients presented with type 2 diabetes (39.5%), 42 patients (49%) diagnosed with hypertension, 24 presented with OSAS (28%), and 21 (24%) hypercholesterolaemia patients were included. In total, 36 patients were diagnosed with multiple comorbidities. The operative data showed an average operative time of 48 minutes with 3.4% of patients suffering from early (minor) complications and 2.3% with a late (minor) complication. One patient required reoperation due to intra-abdominal bleeding. The median length of hospital stay was 2.5 days. Median follow-up was 18 months (5–36). In that period, no patient required ring removal or conversion to Roux-en-Y gastric bypass surgery. Food intolerance/vomiting was present in 1 patient (1.1%), bile reflux was present in 1 patient (1.1%), and no stomal ulcers were observed. Mean % excess weight loss at 12 and 24 months was 72% and 80%, respectively. Fifty-two out of 86 patients (60%) had a complete resolution of comorbidities. A CONUT score >2 (mild malnutrition) was found in 40% of patients, while a CONUT score 0-1 was found in 60% of patients. Conclusion. LBOAGB shows promising results in terms of safety and efficacy in the short term. Further prospective studies will be required to evaluate the consistency of the results in the long term. |
| format | Article |
| id | doaj-art-ce1165164c8f453b999ef2d11be74499 |
| institution | Kabale University |
| issn | 2090-0716 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-ce1165164c8f453b999ef2d11be744992025-02-03T01:11:54ZengWileyJournal of Obesity2090-07162022-01-01202210.1155/2022/4942052Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center SeriesMichela Campanelli0Emanuela Bianciardi1Domenico Benavoli2Giulia Bagaglini3Giorgio Lisi4Paolo Gentileschi5Department of Bariatric and Metabolic SurgeryChair of PsychiatryDepartment of Bariatric and Metabolic SurgeryGeneral Surgery Residency SchoolDepartment of SurgeryDepartment of Bariatric and Metabolic SurgeryIntroduction. Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication rate. Recent publications suggest that dumping syndrome and weight regain might be reduced by placing a silicone ring over the gastric pouch during the procedure, so called laparoscopic banded one anastomosis gastric bypass (LBOAGB). Methods. 86 patients undergoing LBOAGB between 2018 and 2020 were enrolled in this retrospective study. Hospital records were used to assess weight loss, comorbidity resolution, and any complications either in the short or medium term. Results. 54 Female and 32 male patients were included with a mean age of 43 years (25–64), preoperative body mass index of 42 kg/m2 (35–49), and preoperative weight of 114 kg (86–162). Thirty-four patients presented with type 2 diabetes (39.5%), 42 patients (49%) diagnosed with hypertension, 24 presented with OSAS (28%), and 21 (24%) hypercholesterolaemia patients were included. In total, 36 patients were diagnosed with multiple comorbidities. The operative data showed an average operative time of 48 minutes with 3.4% of patients suffering from early (minor) complications and 2.3% with a late (minor) complication. One patient required reoperation due to intra-abdominal bleeding. The median length of hospital stay was 2.5 days. Median follow-up was 18 months (5–36). In that period, no patient required ring removal or conversion to Roux-en-Y gastric bypass surgery. Food intolerance/vomiting was present in 1 patient (1.1%), bile reflux was present in 1 patient (1.1%), and no stomal ulcers were observed. Mean % excess weight loss at 12 and 24 months was 72% and 80%, respectively. Fifty-two out of 86 patients (60%) had a complete resolution of comorbidities. A CONUT score >2 (mild malnutrition) was found in 40% of patients, while a CONUT score 0-1 was found in 60% of patients. Conclusion. LBOAGB shows promising results in terms of safety and efficacy in the short term. Further prospective studies will be required to evaluate the consistency of the results in the long term.http://dx.doi.org/10.1155/2022/4942052 |
| spellingShingle | Michela Campanelli Emanuela Bianciardi Domenico Benavoli Giulia Bagaglini Giorgio Lisi Paolo Gentileschi Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series Journal of Obesity |
| title | Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series |
| title_full | Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series |
| title_fullStr | Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series |
| title_full_unstemmed | Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series |
| title_short | Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series |
| title_sort | laparoscopic banded one anastomosis gastric bypass a single center series |
| url | http://dx.doi.org/10.1155/2022/4942052 |
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