Bandlamudi, Nanda, Holt, Guy, Madhok, Brijesh, Graham, Yitka, O'Kane, Mary, Singhal, Rishi, Parmar, C., Sakran, Nasser, Mahawar, Kamal, Pouwels, Sjaak and Potluri, Sudha (2023) Malnutrition following one anastomosis gastric bypass: a systematic review. Obesity Surgery, 33 (12). pp. 4137-4146. ISSN 0960-8923
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Manuscript revised.pdf - Accepted Version
Abstract
Abstract
Severe malnutrition following one-anastomosis gastric bypass (OAGB) remains a concern. Fifty studies involving 49,991 patients were included in this review. In-hospital treatment for severe malnutrition was needed for 0.9% (n = 446) of patients. Biliopancreatic limb (BPL) length was 150 cm in five (1.1%) patients, > 150 cm in 151 (33.9%), and not reported in 290 (65%) patients. OAGB was revised to normal anatomy in 126 (28.2%), sleeve gastrectomy in 46 (10.3%), Roux-en-Y gastric bypass in 41 (9.2%), and shortening of BPL length in 17 (3.8%) patients. One hundred fifty-one (33.8%) patients responded to treatment; ten (2.2%) did not respond and was not reported in 285 (63.9%) patients. Eight (0.02%) deaths were reported. Standardisation of the OAGB technique along with robust prospective data collection is required to understand this serious problem.
| Item Type: | Article |
|---|---|
| Additional Information: | This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s11695-023-06907-6. |
| Depositing User: | Yitka Graham |
| URI: | https://sure.sunderland.ac.uk/id/eprint/17191 |
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