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- Title
Closure of Mesenteric Defects in Laparoscopic Gastric Bypass: a Meta-Analysis.
- Authors
Magouliotis, Dimitrios E.; Tzovaras, George; Tasiopoulou, Vasiliki S.; Christodoulidis, Grigorios; Zacharoulis, Dimitris
- Abstract
Introduction: The purpose of the current study was to review the available literature on morbidly obese patients treated with laparoscopic Roux-en-Y gastric bypass (LRYGB) in order to assess the clinical outcomes of the routine closure of the mesenteric defects. Methods: A literature search was performed in PubMed, Cochrane library, and Scopus, in accordance with the PRISMA guidelines. Results: Nine studies met the inclusion criteria. A total of 16,520 patients were incorporated with a mean follow-up ranging from 34 to 120 months. The closure of the mesenteric defects was associated with a lower incidence of internal hernias (odds ratio, 0.25 [95% confidence interval 0.20, 0.31]; p < 0.01), small bowel obstruction (SBO) (0.30 [0.17, 0.52]; p < 0.0001) and reoperations (0.28 [0.15, 0.52]; p < 0.001). Both approaches presented similar complication rates and % excess weight loss (%EWL). Conclusion: The present meta-analysis is the best currently available evidence on the topic and supports the routine closure of the mesenteric defects.
- Subjects
GASTRIC bypass; META-analysis; BOWEL obstructions; WEIGHT loss; ODDS ratio
- Publication
Obesity Surgery, 2020, Vol 30, Issue 5, p1935
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-020-04418-2