Abstract
Gastro-oesophageal reflux disease (GORD) after one anastomosis gastric bypass (OAGB) remains a concern. We reviewed the current literature on revisional surgery after OAGB for GORD. MEDLINE, EMBASE, and PubMed databases were searched. We identified 21 studies, appraising 13,658 OAGB patients. A total of 230 (1.6%) patients underwent revisional surgery for GORD. Revision to Roux-en-Y configuration was performed in 211 (91.7%) patients. Six (2.6%) patients had a Braun entero-enterostomy added to the OAGB. Thirteen (5.6%) patients underwent excluded stomach fundoplication (ESF). Reflux symptoms resolved in 112 (48.6%) patients, persisted in 13 (5.6%) patients, and were not reported in 105 (45.6%) patients. Revisional surgery after OAGB for GORD appears to be rare, and when required, conversion to Roux-en-Y configuration is the commonest choice.
| Original language | English |
|---|---|
| Pages (from-to) | 4057-4065 |
| Number of pages | 9 |
| Journal | Obesity Surgery |
| Volume | 32 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 2022 |
Bibliographical note
Publisher Copyright:© 2022, Crown.
Funding
The authors would like to thank the medical illustrator Ashraf Ragab Refaey, a veterinarian, for his help in the illustrations for Figs. 2A , B , C , and 3.
| Funders | Funder number |
|---|---|
| Ashraf Ragab Refaey |
Keywords
- Acid reflux
- Bile reflux
- Gastro-oesophageal reflux
- Loop gastric bypass
- Mini gastric bypass
- Omega loop gastric bypass
- One anastomosis gastric bypass
