Laparoscopic one anastomosis gastric bypass as revisional surgery for failed laparoscopic gastric plication

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Abstract

Introduction
Laparoscopic gastric plication (LGP) had been widely used in Egypt as being less expensive and safe bariatric surgery as compared with sleeve gastrectomy. However, it carries unsatisfactory long-term weight loss.
Aim
The aim of this study is to present and asses our technique and the results of laparoscopic one anastomosis gastric bypass (LOAGB) as revisional surgery for failed LGP.
Patients and methods
This study included 37 patients with failed LGP done at least 24 months earlier. LOAGB was used as revisional surgery for those patients. This prospective randomized study was conducted between January 2016 and February 2019. Patients were followed up for 18 months after revisional surgery.
Results
Mean BMI decreased from 45.1±7 to 27.2±2.3 kg/m. Mean percentage of excess weight loss was 72.9. The mean operative time was 168±22 min. The mean hospital stay was 3 days. Complications occurred in the form of anastomotic leakage (one patient), intraoperative bleeding (two patients), postoperative hematemesis (one patient), and conversion to open procedure (one patient). There were no mortalities during this study.
Conclusion
LOAGB is a safe and effective revisional surgery for failed LGP.

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