TY - JOUR
T1 - Technical Variations and Considerations around OAGB in IFSO-APC and IFSO-MENAC Chapters, an Expert Survey
AU - Kermansaravi, Mohammad
AU - Shahmiri, Shahab Shahabi
AU - Kow, Lilian
AU - Gawdat, Khaled
AU - Abbas, Syed Imran
AU - Aly, Ahmad
AU - Bashir, Ahmad
AU - Bhandari, Mohit
AU - Haddad, Ashraf
AU - ElFawal, Mohamad Hayssam
AU - Inam, Atif
AU - Kasama, Kazunori
AU - Kim, Sang Hyun
AU - Kular, Kuldeepak Singh
AU - Lakdawala, Muffazal
AU - Layani, Laurent Abram
AU - Lee, Wei Jei
AU - Pazouki, Abdolreza
AU - Prasad, Arun
AU - Safadi, Bassem
AU - Wang, Cunchuan
AU - Yang, Wah
AU - Adib, Reza
AU - Jazi, Amir Hossein Davarpanah
AU - Shabbir, Asim
AU - IFSO-APC/MENAC collaborators
PY - 2024/6
Y1 - 2024/6
N2 - 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: (Figure presented.)
AB - 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: (Figure presented.)
KW - Mini gastric bypass
KW - One-anastomosis gastric bypass
KW - Survey
KW - Technical variation
UR - http://www.scopus.com/inward/record.url?scp=85191300108&partnerID=8YFLogxK
U2 - 10.1007/s11695-024-07239-9
DO - 10.1007/s11695-024-07239-9
M3 - Article
C2 - 38662251
AN - SCOPUS:85191300108
SN - 0960-8923
VL - 34
SP - 2054
EP - 2065
JO - Obesity Surgery
JF - Obesity Surgery
IS - 6
ER -
