We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Marginal Ulcer Perforation after One Anastomosis Gastric Bypass: Surgical Treatment and Two-Year Outcomes.
- Authors
Abu-Abeid, Adam; Litmanovich, Adi; Yuval, Jonathan Benjamin; Tome, Jawad; Keidar, Andrei; Eldar, Shai Meron
- Abstract
Background: Marginal ulcer (MU) perforation is a chronic complication after One-anastomosis Gastric Bypass (OAGB). This study's purpose was to analyze patients undergoing OAGB revision due to MU perforation and describe the two-year outcomes. Methods: A retrospective analysis of a database in a single-tertiary hospital. All patients undergoing surgical revision due to MU perforation were included. Results: During the study period, 22 patients underwent OAGB revision due to MU perforation. The rate of MU perforation was 0.98%. The median age was 48 years and there were 13 men (59%). The median time from OAGB to MU perforation was 19 months with a median total weight loss of 31.5%. Nine patients (41%) were smokers. Omental patch (±primary closure) was performed in 19 patients (86%) and three patients (14%) underwent conversion to Roux-en-Y gastric bypass (RYGB). At a median follow-up of 48 months, three patients (14%) had recurrent MU diagnosis, of which one had a recurrent MU perforation. Four patients (18%) underwent conversion to RYGB during follow-up. Conclusions: MU perforation is a chronic complication after OAGB. In this cohort, most patients were men and likely to be smokers. Omental patch was effective in most cases. Recurrent MU rates at two years follow-up were acceptable.
- Subjects
GASTRIC bypass; REOPERATION; SURGICAL anastomosis; ULCERS; INTESTINAL perforation; DATABASES; MORBID obesity
- Publication
Journal of Clinical Medicine, 2024, Vol 13, Issue 11, p3075
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm13113075