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Abstract
The most accepted procedures as conversion for poor weight changes after sleeve gastrectomy (SG), are malabsorptive surgeries. This study was designed to evaluate the 5-year outcomes of One Anastomosis Gastric Bypass (OAGB) following SG due to weight loss failure and weight regain. From September 2014 to January 2017, totally 23 patients with a history of SG conversion to OAGB in terms of weight loss failure or weight regain who had completed their 5-year follow-ups were studied. Some obesity related co-morbidities containing type-2 diabetes (DM), hypertension (HTN), dyslipidemia, obstructive sleep apnea (OSA) and gastroesophageal reflux disease (GERD) were also investigated at 1, 2, 3 and 5 years after conversional surgery. All cases had remission/improvement in DM, DLP, HTN and OSA 1 year after conversional OAGB. Analysis showed statistically significant (P < 0.001) change in trend of BMI. Mean BMI before conversional surgery, at 1, 2, 3and 5 years were 46.3 ± 10.4, 34.5 ± 8.5, 34.1 ± 8.6, 35.7 ± 8.7 and 37.5 ± 11.6, respectively. Mean percent excess weight loss (%EWL) at 1, 2, 3 and 5 years was 51.6 ± 11.0, 52.9 ± 13.1, 45.5 ± 16.4 and 41.0 ± 18.0, respectively. Mean percent total weight loss (%TWL) at 1, 2, 3 and 5 years was 26.6 ± 5.9, 27.4 ± 7.2, 23.9 ± 9.2 and 20.9 ± 9.3, respectively. OAGB is an effective conversional procedure for insufficient weight loss and weight regain following failed SG and lead to satisfactory changes in obesity associated medical problems. The optimal weight loss results are obtained at 2-year follow-ups and these effects are then reduced.
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Details
1 Iran University of Medical Sciences, Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-E Akram Hospital, School of Medicine, Tehran, Iran (GRID:grid.411746.1) (ISNI:0000 0004 4911 7066); Hazrat_e Rasool Hospital, Center of Excellence of European Branch of International Federation for Surgery of Obesity, Tehran, Iran (GRID:grid.411746.1)
2 Iran University of Medical Sciences, Minimally Invasive Surgery Research Center, Tehran, Iran (GRID:grid.411746.1) (ISNI:0000 0004 4911 7066)
3 Iran University of Medical Sciences, Minimally Invasive Surgery Research Center, Tehran, Iran (GRID:grid.411746.1) (ISNI:0000 0004 4911 7066); Iran University of Medical Science, Department of Epidemiology, Student Research Committee, School of Public Health, Tehran, Iran (GRID:grid.411746.1) (ISNI:0000 0004 4911 7066)
4 Iran University of Medical Sciences, Endometriosis Research Center, School of Medicine, Tehran, Iran (GRID:grid.411746.1) (ISNI:0000 0004 4911 7066)
5 CHU Félix Guyon, Department of Digestive Surgery, Saint Denis, France (GRID:grid.411746.1)