Technical Variations and Considerations around OAGB in IFSO-APC and IFSO-MENAC Chapters, an Expert Survey

期刊论文
发表日期：

2024年4月25日

查看全文

Mohammad Kermansaravi,
Shahab Shahabi Shahmiri,
Lilian Kow,
Khaled Gawdat,
Syed Imran Abbas,
Ahmad Aly,
Ahmad Bashir,
Mohit Bhandari,
Ashraf Haddad,
Mohamad Hayssam ElFawal,
Atif Inam,
Kazunori Kasama,
Sang Hyun Kim,
Kuldeepak Singh Kular,
Muffazal Lakdawala,
Laurent Abram Layani,
Wei-Jei Lee,
Abdolreza Pazouki,
Arun Prasad,
Bassem Safadi,
Cunchuan Wang,
Wah Yang,
Reza Adib,
Amir Hossein Davarpanah Jazi,
Asim Shabbir

摘要

Objective

This study aimed to evaluate the technical variations of one-anastomosis gastric bypass (OAGB) among IFSO-APC and MENAC experts.

Background

The multitude of technical variations and patient selection challenges among metabolic and bariatric surgeons worldwide necessitates a heightened awareness of these issues. Understanding different perspectives and viewpoints can empower surgeons performing OAGB to adapt their techniques, leading to improved outcomes and reduced complications.

Methods

The scientific team of IFSO-APC, consisting of skilled bariatric and metabolic surgeons specializing in OAGB, conducted a confidential online survey. The survey aimed to assess technical variations and considerations related to OAGB within the IFSO-APC and IFSO-MENAC chapters. A total of 85 OAGB experts participated in the survey, providing their responses through a 35-question online format. The survey took place from January 1, 2024, to February 15, 2024.

Results

Most experts do not perform OAGB for children and adolescents younger than 18 years. Most experts create the gastric pouch over a 36–40-F bougie and prefer to create a gastrojejunostomy, at the posterior wall of the gastric pouch. An anti-reflux suture during OAGB is performed in all patients by 51.8% of experts. Most experts set a common limb length of > 4 m in revisional and conversional OAGBs to prevent nutritional complications.

Conclusion

The ongoing debate among metabolic and bariatric surgeons regarding the technical variations and patient selection in OAGB remains a significant point of discussion. This survey demonstrated the variations in technical aspects and patient selection for OAGB among MBS surgeons in the IFSO-APC and IFSO-MENAC chapters. Standardizing the OAGB technique is crucial to ensure optimal safety and efficacy in this procedure.

Graphical Abstract