Kuwait Medical School, Kuwait University, Kuwait City, Kuwait.
Obes Surg. 2020 Jun;30(6):2280-2284. doi: 10.1007/s11695-020-04484-6.
Failure of sleeve gastrectomy poses a potential challenge for surgeons as variable options exist for revision. One anastomosis gastric bypass (OAGB) is a potential revisional option, and in this study, we sought to determine the safety and efficacy of OAGB post sleeve gastrectomy.
Prospective study on our initial experience with a consecutive group of patients who underwent OAGB as a revisional surgery for sleeve gastrectomy in the period between January 2015 and December 2018 was carried out. Morbidity and mortality data were recorded as well as the effect on comorbidities and weight loss.
A total of 56 patients underwent OAGB as a revision of sleeve gastrectomy. The average weight prior to OAGB was 112 ± 24.6 kg. The minimum weight they have reached after is 85 ± 21.3 kg after a duration of 19 ± 9.2 months. Percentage of total weight loss (TWL%) at 1, 3, 6, and 12 months postoperatively was found to be 7.6%, 9.8%, 14.1%, and 28.8%, respectively. TWL% on the last day of follow-up was 24%. Two patients had marginal ulcers, in which one had a perforation.
OAGB is safe and effective for weight regain post sleeve gastrectomy.
袖状胃切除术失败对外科医生来说是一个潜在的挑战，因为有多种选择可以进行修正。单吻合胃旁路术（OAGB）是一种潜在的修正选择，在这项研究中，我们旨在确定 OAGB 在袖状胃切除术后的安全性和有效性。
对我们在 2015 年 1 月至 2018 年 12 月期间进行的连续组患者进行 OAGB 作为袖状胃切除术修正手术的初始经验进行前瞻性研究。记录发病率和死亡率数据，以及对合并症和体重减轻的影响。
共有 56 例患者接受了 OAGB 作为袖状胃切除术的修正手术。OAGB 前的平均体重为 112 ± 24.6 公斤。他们在 19 ± 9.2 个月后达到的最低体重为 85 ± 21.3 公斤。术后 1、3、6 和 12 个月的总体重减轻百分比（TWL%）分别为 7.6%、9.8%、14.1%和 28.8%。最后一次随访的 TWL%为 24%。有 2 例患者出现边缘性溃疡，其中 1 例穿孔。
OAGB 对于袖状胃切除术后的体重反弹是安全有效的。
