Dumping Syndrome After One Anastomosis Gastric Bypass-A Systematic Review.

IF 2.9 3区 医学 Q1 SURGERY
Obesity Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-17 DOI:10.1007/s11695-025-07860-2
Mohammad Kermansaravi, Masoumeh Shahsavan, Bassem Amr, Christine Stier, Chetan Parmar, Sonja Chiappetta
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引用次数: 0

Abstract

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.

一次胃分流术后倾倒综合征的系统评价
吻合胃旁路手术(OAGB)目前是世界上第三大最常见的代谢和减肥手术,但不同的长期并发症,如倾倒综合征(DS)的影响仍有待解决。本研究旨在通过对PubMed和Scopus上发表的论文进行系统综述,了解OAGB后DS的发生率。最终纳入17项研究,共3420例患者。术后平均随访11.91±1.5个月。在使用Sigstad倾倒评分和患者自我报告的退行性椎体滑移的研究中,退行性椎体滑移的发生率分别在9% - 42.9%和0.5% - 27.8%之间。OAGB后退行性痴呆的治疗主要包括饮食改变和药物治疗。到目前为止,退行性椎体滑移似乎是OAGB后罕见的长期并发症,可能不需要修正/转换干预。需要更多的时间来了解未来OAGB的后果。
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来源期刊
Obesity Surgery
Obesity Surgery 医学-外科
CiteScore
5.80
自引率
24.10%
发文量
567
审稿时长
3-6 weeks
期刊介绍: Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions. Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.
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