학술논문
Technical Variations and Considerations around OAGB in IFSO-APC and IFSO-MENAC Chapters, an Expert Survey
Document Type
Original Paper
Author
Kermansaravi, Mohammad; Shahmiri, Shahab Shahabi; Kow, Lilian; Gawdat, Khaled; Abbas, Syed Imran; Aly, Ahmad; Bashir, Ahmad; Bhandari, Mohit; Haddad, Ashraf; ElFawal, Mohamad Hayssam; Inam, Atif; Kasama, Kazunori; Kim, Sang Hyun; Kular, Kuldeepak Singh; Lakdawala, Muffazal; Layani, Laurent Abram; Lee, Wei-Jei; Pazouki, Abdolreza; Prasad, Arun; Safadi, Bassem; Wang, Cunchuan; Yang, Wah; Adib, Reza; Jazi, Amir Hossein Davarpanah; Shabbir, Asim
Source
Obesity Surgery: The Journal of Metabolic Surgery and Allied Care. :1-12
Subject
Language
English
ISSN
0960-8923
1708-0428
1708-0428
Abstract
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: