Section of Minimally Invasive and Bariatric Surgery, Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, Box 956904, 72-239 CHS, Los Angeles, CA, 90095, USA.
UCLA Center for Advanced Surgical & Interventional Technology (CASIT), Los Angeles, CA, USA.
Obes Surg. 2020 Apr;30(4):1564-1573. doi: 10.1007/s11695-019-04276-7.
In addition to being a relatively reversible and less complex operation, mini-gastric bypass-one anastomosis gastric bypass (MGB-OAGB) has demonstrated comparable weight loss and metabolic improvement rates with Roux-en-Y gastric bypass (RYGB). However, surgical strategies for managing its failures and late complications were poorly defined. This article aims to review the indications, operative techniques, and outcomes for revisional surgery following MGB-OAGB. A systematic review was performed using the PubMed database from 1997 to 2019. Of 179 included patients, 89 underwent revision to RYGB; 52 to sleeve gastrectomy (SG); 32 reversal to original anatomy; and 6 underwent partial revision with gastro-gastrostomy alone. Most common indications were severe malnutrition, chronic bile reflux, intractable marginal ulcerations, and insufficient weight loss. Postoperative complication rates ranged from 5 to 35%.
除了相对可逆且较为简单的操作外，迷你胃旁路-单吻合胃旁路术（MGB-OAGB）在减重和改善代谢方面与 Roux-en-Y 胃旁路术（RYGB）效果相当。然而，其失败和晚期并发症的手术治疗策略尚未明确。本文旨在回顾 MGB-OAGB 术后的翻修手术的适应证、手术技术和结果。使用 PubMed 数据库对 1997 年至 2019 年的文献进行了系统回顾。在纳入的 179 例患者中，89 例行 RYGB 翻修术；52 例行袖状胃切除术（SG）；32 例恢复到原解剖结构；6 例仅行胃-胃吻合术的部分修正。最常见的适应证为严重营养不良、慢性胆汁反流、难治性边缘溃疡和减重不足。术后并发症发生率为 5%至 35%。
