Kermansaravi Mohammad, Shahsavan Masoumeh, Amr Bassem, Stier Christine, Parmar Chetan, Chiappetta Sonja
Department of Surgery, Division of Minimally Invasive and Bariatric Surgery, Hazrat-e Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Center of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat_e Rasool Hospital, Tehran, Iran.
Obes Surg. 2025 Apr 17. doi: 10.1007/s11695-025-07860-2.
One anastomosis gastric bypass (OAGB) is now the third most common metabolic and bariatric surgery around the world, but the impact of different long-term complications such as dumping syndrome (DS) need still to be addressed. This study aims to the incidence of DS after OAGB through a systematic review of published papers on PubMed, and Scopus. Finally, 17 studies included 3420 patients were included. The mean postoperative follow-up was 11.91 ± 1.5 months. The incidence of DS was reported between 9 to 42.9% and 0.5% to 27.8% in studies using the Sigstad dumping score and patients' self-reported DS, respectively. Treatment of DS after OAGB included mainly dietary changes and medications. Up to date, DS seems to be a rare long-term complication after OAGB and revisional/conversional interventions might not be needed. Further time is necessary to reach out about the consequences of OAGB in the future.
单吻合口胃旁路术(OAGB)目前是全球第三常见的代谢和减重手术,但诸如倾倒综合征(DS)等不同长期并发症的影响仍有待探讨。本研究旨在通过对PubMed和Scopus上已发表论文的系统评价,了解OAGB术后DS的发生率。最终,纳入了17项研究,共3420例患者。术后平均随访时间为11.91±1.5个月。在使用Sigstad倾倒评分的研究中,DS的发生率报告为9%至42.9%,而在患者自我报告的DS中,发生率为0.5%至27.8%。OAGB术后DS的治疗主要包括饮食调整和药物治疗。到目前为止,DS似乎是OAGB术后一种罕见的长期并发症,可能不需要进行翻修/转换干预。未来还需要更多时间来了解OAGB的后果。