One-anastomosis gastric bypass with a short limb

Khirurgiia
V V EvdoshenkoA S Tsepkovsky

Abstract

To develop an acceptable method of surgical treatment of patients with obesity grade 1 and 2 in accordance with the following criteria: high safety, no risk or minimal risk of intestinal malabsorption, no limitations for postoperative gastrointestinal examination, no need for organ resection and surgical reversibility in case of necessity. In accordance with the above-mentioned criteria, we have modified OAGB (one-anastomosis gastric bypass). A gastric tube was formed from a lesser curvature using 33Fr stomach catheter with a length of at least 25 cm. Manual retrogastric retrocolic anastomosis in «end-to-side» fashion was performed within 20 cm from the ligament of Treitz. This type of anastomosis made it possible to preserve gastric tube length as much as possible that reduces the risk of jejunogastroesophageal reflux. There were 16 patients (15 females and 1 male) aged 23-48 years for the period from June 2019 till March 2020. Mean weight of patients was 86.12 kg (range 62-124). Mean BMI was 35.15 kg/m2 (ranged 21.96-39.62). In 6 months after surgery, all patients achieved normal BMI. Man BMI dropped to 23.8 kg/m2. Minimal excessive weight loss was 81.8%, maximal excessive weight loss - 125%. Control esophagogastroduodenoscop...Continue Reading

References

Sep 1, 1991·Obesity Surgery·V S Hubbard, W H Hall
Aug 25, 2006·The American Journal of Gastroenterology·Nimish VakilUNKNOWN Global Consensus Group
Apr 4, 2015·Obesity Surgery·L AngrisaniN Scopinaro
Feb 1, 2017·Polski przeglad chirurgiczny·Tomasz KlimczakPiotr Jurałowicz
Oct 1, 2017·Diabetes Research and Clinical Practice·Pablo Aschner
Jun 23, 2018·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S Chiappetta, R Weiner
May 12, 2019·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Italo Braghetto, Owen Korn
Jan 14, 2020·Chirurgia·Mira Runkel, Norbert Runkel

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