One Anastomosis/Mini Gastric Bypass (OAGB-MGB) as revisional bariatric surgery after failed primary adjustable gastric band (LAGB) and sleeve gastrectomy (SG): A systematic review of 1075 patients

Aug 2, 2020International journal of surgery (London, England)

Using One Anastomosis/Mini Gastric Bypass as Revision Surgery After Failed Adjustable Gastric Band or Sleeve Gastrectomy: Review of 1075 Patients

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Abstract

Cumulative results indicate 1075 revisional One Anastomosis/Mini Gastric Bypass (OAGB-MGB) procedures have been performed.

  • The mean age of patients undergoing revisional surgery was 43.1 years, with a female to male ratio of 3.04:1.
  • Primary procedures that led to revisional OAGB-MGB included gastric banding, sleeve gastrectomy, vertical banded gastroplasty, and gastric plication.
  • The average body mass index (BMI) decreased from 47.05 kg/m² at the primary procedure to 41.6 kg/m² at revisional surgery.
  • The mean follow-up period after revisional surgery was 2.44 years, with an average operative time of 119.3 minutes.
  • Complication rates included a leak rate of 1.54%, a marginal ulcer rate of 2.44%, and an anemia rate of 1.9%.
  • The excess weight loss at one year was 65.2% and at two years was 68.5%.

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