Technical Tips Following 850 Consecutive One Anastomosis Gastric Bypass (OAGB) Patients.

IF 1.4 4区医学 Q3 SURGERY

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-07-01 DOI:10.4293/JSLS.2023.00024

Mohit Bhatia, Sharmila Vijayan, Elia Azir, Shamsi El-Hasanii

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引用次数: 0

Abstract

Background: The surgical procedure One Anastomosis Gastric Bypass (OAGB) has become widely used worldwide. Since its inception, many modifications have been introduced to improve results.

Objectives: The primary aim of this study was to share the modifications that we have introduced to our OAGB technique after reflecting on the problems and complications we have faced during the evolution of this procedure in our unit.

Method: A total of 850 patients who underwent OAGB under the same surgical team at two different hospitals in the United Kingdom were displayed according to demography and comorbidities. All complications were reviewed and analysed to instigate the changes in our technique.

Results: There were 756 (89%) primary and 94 (11%) revisional procedures. There were 596 females (70.11%) and 254 males (29.89%) in our study group. The body mass index range was 32-84 and the mean was 45. The pre-operative weight range was 89-274 kg and the mean was 126.4 kg.

Conclusions: With experience and reflecting on our complications we have modified our surgical approach, and these alterations have helped us to adopt OAGB as the mainstream bariatric procedure. We want to share our experience with the bariatric community for the benefit of patient care.

查看原文本刊更多论文

850例连续一次吻合胃旁路术（OAGB）患者的技术提示。

背景：一次性吻合胃旁路术（OAGB）已在世界范围内得到广泛应用。自成立以来，已经引入了许多修改以改进结果。目的：本研究的主要目的是分享我们对OAGB技术进行的修改，这些修改是在反思了我们单位在该手术发展过程中面临的问题和并发症之后提出的。方法：根据人口统计学和合并症，对英国两家不同医院的850名在同一手术团队下接受OAGB的患者进行统计。对所有并发症进行了回顾和分析，以促使我们的技术发生变化。结果：共有756例（89%）初次手术和94例（11%）翻修手术。我们的研究组中有596名女性（70.11%）和254名男性（29.89%）。体重指数范围为32-84，平均值为45。术前体重范围为89-274 kg，平均值为126.4 kg。结论：根据经验和对并发症的反思，我们改进了手术方法，这些改变帮助我们采用OAGB作为主流减肥手术。为了患者护理的利益，我们希望与减肥社区分享我们的经验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JSLS : Journal of the Society of Laparoendoscopic Surgeons SURGERY-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.