Technical Considerations in One Anastomosis Gastric Bypass—the Israeli Society of Metabolic and Bariatric Surgery Experience

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2024年4月23日

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Adam Abu-Abeid,
Jonathan Benjamin Yuval,
Andrei Keidar,
Eran Nizri,
Guy Lahat,
Shai Meron Eldar,
Shimon Sapojnikov,
Zvi Howard Perry,
Nissim Geron,
Hasan Kais,
Igor Waksman,
Gideon Sroka,
Jacob Rachmuth,
Idan Carmeli,
Kamal Khatib,
David Goitein,
David Hazzan,
Yonatan Lessing,
Boris Kirshtein,
Shlomi Rayman,
George Daud,
Moaad Farraj,
Asnat Raziel,
Sa’d Sayida,
Nasser Sakran,
Mordechai Shimonov,
Ronit Grinbaum,
Dvir Froylich,
Ahmad Assalia,
Ahmad Mahajna,
Mohamad Jazmawi,
Anya Wexler Feigin,
BADRAN BADRAN,
Uri Kaplan,
Joseph Kuriansky,
Subhi Abu-Abeid,
Igor Dashkovsky,
Jamal Gazmawi,
BISHARA BISHARA,
Harbi Khalayleh,
Moshe Rubin

摘要

Background

One anastomosis gastric bypass (OAGB) is gaining popularity worldwide due to its safety and effectiveness. OAGB is the most commonly performed metabolic bariatric surgery (MBS) in Israel. Israel is the only country where OAGB is the most prevalent MBS. Our aim is to address OAGB technical aspects using a national survey completed by members of the Israeli Society of Metabolic and Bariatric Surgery (ISMBS).

Materials and Methods

An online-survey composed of a 17-item–based questionnaire was sent to ISMBS members. All responses were collected and analyzed.

Results

A total of 47/64 (73.4%) ISMBS members participated in the survey. Most surgeons (74.5%) had > 10 years of MBS experience, and most (61.7%) performed > 100 MBS/year. The majority (78.7%) perform OAGB as their most common procedure. Most surgeons fashion a 10–15-cm pouch and use a 36-Fr bougie, (57.4% and 38.3%). Regarding bowel length measurement, 70% use visual estimation and 10.6% routinely measure total small bowel length (TSBL). The most common reasons for creating a longer biliopancreatic limb (BPL) were high body mass index (BMI) and revisional surgery (83.3% and 66%, respectively). In a primary procedure of a patient with a BMI = 40, most (76.6%) would create a 150–200-cm BPL. In patients with a BMI > 50 or revisional cases, most (70.2% and 68.0%) would create a 175–225-cm BPL.

Conclusion

OAGB is the most prevalent MBS performed in Israel. This survey showed common preferences and variations among ISMBS members. Further studies are needed in order to standardize and build a consensus on OAGB technique.