One Anastomosis/Mini-Gastric Bypass (Oagb/Mgb) As Revisional Surgery Following Primary Restrictive Bariatric Procedures: A Systematic Review and Meta-Analysis Publisher Pubmed



Kermansaravi M¹ ; Shahmiri SS² ; Davarpanahjazi AH² ; Valizadeh R³ ; Berardi G⁴ ; Vitiello A⁴ ; Musella M⁴ ; Carbajo M⁵
Source: Obesity Surgery Published:2021

Abstract

One anastomosis gastric bypass (OAGB/MGB) has gained popularity in the past decade. International databases were searched for articles published by September 10, 2020, on OAGB/MGB as a revisional procedure after restrictive procedures. Twenty-six studies examining a total of 1771 patients were included. The mean initial BMI was 45.70 kg/m2, which decreased to 31.52, 31.40, and 30.54 kg/m2 at 1, 3, and 5-year follow-ups, respectively. Remission of type-2 diabetes mellitus (T2DM) following OAGB/MGB at 1-, 3-, and 5-year follow-up was 65.16 ± 24.43, 65.37 ± 36.07, and 78.10 ± 14.19%, respectively. Remission/improvement rate from gastroesophageal reflux disease (GERD). Also, 7.4% of the patients developed de novo GERD following OAGB/MGB. Leakage was the most common major complication. OAGB/MGB appears to be feasible and effective as a revisional procedure after failed restrictive bariatric procedures. © 2020, The Author(s).