One-Anastomosis Gastric Bypass Versus Roux-en-Y Gastric Bypass as Revisional Surgery After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

被引：9
作者：
Batista Dantas, Anna Carolina [1 ]
Branco, Leonardo Torres [2 ]
Tustumi, Francisco [2 ]
Cerqueira Ferreira de Oliveira, Daniel Riccioppo [1 ]
Pajecki, Denis [1 ]
Santo, Marco Aurelio [1 ]
机构：
[1] Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med,Unidade Cirurgia Bariatr & Metab, Dept Gastroenterol,Disciplina Cirurgia Aparelho D, Sao Paulo, SP, Brazil
[2] Univ Sao Paulo, Hosp Clin HCFMUSP, Fac Med, Dept Gastroenterol,Disciplina Cirurgia Aparelho D, Sao Paulo, SP, Brazil
来源：
OBESITY SURGERY | 2022年 / 32卷 / 12期
关键词：
Bariatric surgery; Sleeve gastrectomy; Weight recurrence; Revisional surgery; WEIGHT-LOSS; LIMB;
D O I：
10.1007/s11695-022-06326-z
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The demand for revisional bariatric surgery after sleeve gastrectomy (SG) has increased, but the ideal procedure remains unclear. A systematic review and meta-analysis were performed to compare the outcomes of weight loss and safety of one-anastomosis gastric bypass (OAGB) and Roux-en-Y gastric bypass (RYGB) as revisional procedures for failed SG. Four retrospective comparative studies were included, comprising 499 individuals. Patients submitted to OAGB had a more significant total weight loss (TWL) (MD = - 5.89%; 95% CI - 6.80 to - 4.97) after revisional surgery. Overall early complication rate was similar between procedures (RD = 0.04; 95% CI: - 0.05 to 0.12). Limited and heterogeneous data prevent meaningful conclusions, but the present analysis suggests that OAGB has a better TWL after revisional surgery.
引用
收藏
页码：4082 / 4088
页数：7
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