Comparison of size of proximal gastric pouch and short-term weight loss following routine upper gastrointestinal contrast study after laparoscopic Roux-en-Y gastric bypass

Abstract Background It is already known that Laparoscopic sleeve gastrectomy (LSG) has gained popularity as a stand-alone procedure with good short-term results for weight loss. However, in the long-term, weight regain is considered as a complication. Demand for secondary surgery is rising, partly for this reason, but through that study we try to discover the efficacy of conversion of failed sleeve gastrectomy to one anastomosis gastric bypass (OAGB) regarding weight loss and metabolic outcomes. Objective To asses the efficacy and safety of one anastomosis gastric bypass (OAGB) as a conversion surgery post Sleeve Gastrectomy failure as regard weight loss and metabolic outcomes. Patients and Methods This study is a retrospective cohort study which included 20 patients underwent one anastomosis gastric bypass at Ain-Shams University El-Demerdash Hospital, Cairo, Egypt and specialized bariatric center, Cairo, Egypt From February 2019 to July 2019 with 6 months of postoperative follow up till January 2019. Results In this study, we reviewed and analyzed the outcomes from the revision of the SG due to either inadequate weight loss or weight regain to one anastomosis gastric bypass (OAGB) with %EBWL of 6.65% at 1 month, 13.61 % at 3 months and 20.86% at 6 months. Conclusion OAGB appears to be an effective and safe therapeutic technique as a revisional surgery for failed primary SG with good short-term results for treating morbid obesity and its associated comorbidities with a significantly low rate of complications. However the EBWL was less than what is reported after primary OAGB weight. Multicenter studies with larger series of patients and longer term follow up after SG revisions to OAGB are warranted.

Download Full-text

Comparison of weight loss, food consumption and frequency of vomiting among Roux-en-Y gastric bypass patients with or without constriction ring

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-6720201400s100011 ◽

2014 ◽

Vol 27 (suppl 1) ◽

pp. 43-46 ◽

Cited By ~ 3

Author(s):

Silvia Leite FARIA ◽

Orlando Pereira FARIA ◽

Mariane de Almeida CARDEAL

Keyword(s):

Weight Loss ◽

Gastric Bypass ◽

Medical Records ◽

Excess Weight Loss ◽

Gastric Pouch ◽

Excess Weight ◽

Bariatric Patient ◽

Constriction Ring ◽

Ring Group ◽

Weight Protein

BACKGROUND: After Roux-en-Y gastric bypass to avoid rapid gastric emptying, dumping syndrome and regained weight due to possible dilation of the gastric pouch, was proposed to place a ring around the gastric pouch. AIM: To compare weight loss, consumption of macronutrients and the frequency of vomiting among patients who underwent Roux-en-Y gastric bypass with and without the placement of a constriction ring around the pouch. METHOD: A retrospective study, in which an analysis of medical records was carried out, collecting data of two groups of patients: those who underwent the operation with the placement of a constriction ring (Ring Group) and those who underwent without the placement of a ring (No-Ring Group). The food intake data were analyzed using three 24-hour recalls collected randomly in postoperative nutritional accompaniment. Data on the percentage of excess weight loss and the occurrence of vomiting were collected using the weight corresponding to the most recent report at the time of data collection. RESULTS: Medical records of 60 patients were analyzed: 30 from the Ring Group (women: 80%) and 30 from the No-Ring Group (women: 87%). The average time since the Ring Group underwent the operation was 88±17.50 months, and for the No-Ring Group 51±15.3 months. The percentage of excess weight loss did not differ between the groups. The consumption of protein (g), protein/kg of weight, %protein and fiber (g) were higher in the No-Ring Group. The consumption of lipids (g) was statistically higher in the Ring Group. The percentage of patients who never reported any occurrence was statistically higher in the No-Ring Group (80%vs.46%). The percentage who frequently reported the occurrence was statistically higher in the Ring Group (25%vs.0%). CONCLUSION: The placement of a ring seems to have no advantages in weight loss, favoring a lower intake of protein and fiber and a higher incidence of vomiting, factors that have definite influence in the health of the bariatric patient.

Download Full-text

Dextrogastria and Malrotation of Midgut in a Neonate

Journal of Neonatal Surgery ◽

10.21699/jns.v7i2.688 ◽

2018 ◽

Vol 7 (2) ◽

pp. 26

Author(s):

Dandamudi Meghana ◽

Attibele Mahadevaiah Shubha ◽

Kanishka Das

Keyword(s):

Contrast Study ◽

Upper Gastrointestinal Contrast Study ◽

Bilious Vomiting ◽

Upper Gastrointestinal ◽

Ladd’S Procedure

A neonate presented with bilious vomiting and hematochezia. The infantogram and upper gastrointestinal contrast study were suggestive of dextrogastria with malrotation of midgut. Laparotomy confirmed isolated dextrogastria, malrotation of the midgut and volvulus. Reverse Ladd’s procedure was done.

Download Full-text

Erratum to: Revisional Laparoscopic Gastric Pouch Resizing for Inadequate Weight Loss After Roux-en-Y Gastric Bypass

Obesity Surgery ◽

10.1007/s11695-015-1701-z ◽

2015 ◽

Vol 25 (7) ◽

pp. 1109-1109 ◽

Cited By ~ 1

Author(s):

Ibtisam Al-Bader ◽

Mousa Khoursheed ◽

Khalid Al Sharaf ◽

Ali Mouzannar ◽

Aqeel Ashraf ◽

...

Keyword(s):

Weight Loss ◽

Gastric Bypass ◽

Gastric Pouch ◽

Gastric Pouch Resizing ◽

Inadequate Weight Loss ◽

Pouch Resizing

Download Full-text

Cryoballoon ablation for gastric pouch and/or outlet reduction in patients with weight regain post Roux-en-Y gastric bypass

Endoscopy ◽

10.1055/a-1086-3433 ◽

2020 ◽

Vol 52 (03) ◽

pp. 227-230

Author(s):

Lea Fayad ◽

Arvind J. Trindade ◽

Petros C. Benias ◽

Cem Simsek ◽

Micheal Raad ◽

...

Keyword(s):

Gastric Bypass ◽

Weight Regain ◽

Gastric Pouch ◽

Body Weight Loss ◽

Retrospective Chart Review ◽

Total Body Weight ◽

Stricture Formation ◽

Cryoballoon Ablation ◽

Short Term ◽

Total Body

Abstract Background Cryoballoon ablation could induce stricture formation to achieve outlet and pouch reduction in patients regaining weight after Roux-en-Y gastric bypass (RYGB). This pilot study aimed to assess technical feasibility and short-term efficacy. Methods A retrospective chart review (January – November 2018) at two academic centers identified patients with weight regain post-RYGB, treated with cryoablation if pouch > 4 cm and/or outlet > 15 mm. Patients were scheduled for surveillance endoscopies at 8 weeks. Results 22 patients presented 10.5 years (SD 4.42) post-RYGB with weight regain of 30.9 kg (SD 13.7). Technical success was 89.5 % for outlet ablation and 93.0 % for pouch ablation. From baseline to 8 weeks, the outlet was reduced from 24.1 mm (95 % confidence interval [CI] 19.8 to 28.5) to 17.1 mm (95 %CI 13.1 to 21.1; P < 0.001), and pouch from 5 cm (95 %CI 4.1 to 5.9) to 3.9 cm (95 %CI 2.6 to 5.1; P < 0.05). Total body weight loss at 8 weeks was 8.1 % (SD 12.8 %). Conclusion Cryoablation appears technically feasible and effective for outlet and/or pouch reduction in the short term.

Download Full-text