Reflux symptoms in patients with mini gastric bypass-one anastomotic bypass (MGB-OAGB) after failed laparoscopic gastric banding (LAGB) - Long-term follow-up and therapeutic options

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2026-06-01 Epub Date: 2026-02-28 DOI:10.1016/j.amjsurg.2026.116893

Ingeborg Bohlmann, Werner Müller, Claudius Falch

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引用次数: 0

Abstract

Background

Reflux after Mini-Gastric-Bypass - One-Anastomosis-Gastric-Bypass (MGB-OAGB) is well documented. Although uncommon after primary MGB-OAGB, affected patients may experience a significant reduction in quality of life.

In this study we provide a clinical evaluation of long-term, recurrent reflux symptoms and their impact on daily life in patients who underwent revisional OAGB-MGB after failed laparoscopic gastric banding (LAGB). The median follow-up period was 13 years.

Material and methods

From March 2004 to February 2008 18 patients underwent a revisional MGB-OAGB after failure of LAGB. The main reasons for LAGB failure were penetration, slipping, repeated leakage, intolerance, insufficient weight loss/weight regain. The MGB-OAGB was performed according to Robert Rutledge, the procedure was carried out as a one-step surgery.

In 2017 we conducted a telephone survey with a median of 13 years after revision to MGB-OAGB. We used the standardized GERD- Health Related Quality of Life Questionnaire (GERD-HRQL).

Results

We could reach out to 15 of the 18 patients. The maximum score of the GERD-HRQL is 30, the cut-off for severe reflux symptoms is 12 points. 2/3 of our patients showed a score considerably above 12 points.

Approximately 1/3 of the patients above had to go through a second revision surgery to RYGB.

Conclusion

Based on the results of our survey and clinical symptoms we discontinued to use MGB-OAGB as a revisional option after LAGB. The outcome of this highly selective group of patients cannot be generally applied to revisional bariatric surgery.

查看原文本刊更多论文

腹腔镜胃束带（LAGB）失败后行小型胃旁路-一次吻合口旁路（MGB-OAGB）患者的反流症状-长期随访和治疗选择

背景：Mini-Gastric-Bypass - one -吻合术- gastric - bypass （MGB-OAGB）后的回流有很好的文献记载。虽然在原发性MGB-OAGB后不常见，但受影响的患者可能会经历生活质量的显著下降。在这项研究中，我们对腹腔镜胃束带（LAGB）失败后接受改版OAGB-MGB的患者的长期、复发性反流症状及其对日常生活的影响进行了临床评估。中位随访期为13年。材料和方法从2004年3月到2008年2月，18例患者在LAGB失败后接受了改进性MGB-OAGB。LAGB失效的主要原因是渗透、打滑、反复渗漏、不耐受、减重/增重不足。根据罗伯特·拉特里奇的说法，MGB-OAGB手术是一步完成的。2017年，我们在修订MGB-OAGB后进行了一次电话调查，中位数为13年。我们使用标准化的GERD-健康相关生活质量问卷（GERD- hrql）。结果18例患者中有15例成功接触。GERD-HRQL的最高评分为30分，严重反流症状的分界点为12分。2/3的患者得分明显高于12分。大约三分之一以上的患者必须进行第二次RYGB翻修手术。基于我们的调查结果和临床症状，我们停止使用MGB-OAGB作为LAGB后的修正选择。这一高度选择性患者组的结果不能普遍应用于改进性减肥手术。

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

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.