Restricted accessResearch articleFirst published online 2022-09
The Outcomes of Revisional One Anastomosis Gastric Bypass Versus Revisional Roux-en-Y Gastric Bypass After Primary Restrictive Procedures: A Prospective Nonrandomized Comparative Study
Failed restrictive procedures are usually managed with conversion to another bariatric procedure. Our aim was to evaluate one -anastomosis gastric bypass (OAGB) as a revisional option for failed restrictive procedures. In addition, we compare the outcomes of OAGB versus Roux-en-Y gastric bypass as a revisional bariatric procedures.
Material and Methods:
The current series is a prospective study, from May 2009 to December 2016. A total of 348 patients with failed restrictive bariatric operations underwent laparoscopic revisional gastric bypass. Revisional OAGB was performed in 243 patients and revisional Roux-en-Y gastric bypass in 105 patients. The demographic data and outcomes were studied by our multidisciplinary team.
Result:
By the end of the study, the mean age was 39.3 ± 10.3 years with body mass index of 37.5 ± 9.2 kg/m2. At 2-year follow-up, the overall intractable reflux (Symptom-Severity score questionnaire >4) was significantly higher after revisional OAGB (21.4%). The reflux with scoring ≥4 was significantly higher in the vertical band gastroplasty than laparoscopic adjustable gastric band and laparoscopic gastric sleeve (25.2%, 16.9%, and 14.3%, respectively).
Conclusion:
Although laparoscopic revisional OAGB is a feasible and safe option after failed restrictive procedures, it has a higher chance of reflux in long-term follow-up.
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