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Marginal Ulcer Perforation After One-Anastomosis Gastric Bypass: Case Report and Literature Review

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Abstract

One-anastomosis gastric bypass is an accepted bariatric procedure performed worldwide. Perforation of the gastrojejunal anastomosis ulcer is a rare and rather serious complication for which there is no well-defined treatment. Suturing of perforation with omentopexy is the most common treatment. Bile diversion from the anastomotic ulcer may be additionally required in some cases.

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References

  1. Mahawar KK, Jennings N, Brown J et al (2013) “Mini” gastric bypass: systematic review of a controversial procedure. Obes Surg 23:1890–1898

    Article  Google Scholar 

  2. Musella M, Susa A, Greco F et al (2014) The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surg Endosc 28:156–163

    Article  CAS  Google Scholar 

  3. Kular KS, Manchanda N, Rutledge R (2014) A 6-year experience with 1,054 mini-gastric bypasses—first study from Indian subcontinent. Obes Surg 24:1430–1435

    Article  CAS  Google Scholar 

  4. Chevallier JM, Arman GA, Guenzi M et al (2015) One thousand single anastomosis (omega loop) gastric bypasses to treat morbid obesity in a 7-year period: outcomes show few complications and good efficacy. Obes Surg 25:951–958

    Article  Google Scholar 

  5. Carbajo MA, Luque-de-León E, Jiménez JM et al (2017) Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg 27:1153–1167

    Article  Google Scholar 

  6. Lee WJ, Lin YH (2014) Single-anastomosis gastric bypass (SAGB): appraisal of clinical evidence. Obes Surg 24:1749–1756

    Article  Google Scholar 

  7. Mahawar KK, Kumar P, Carr WRJ et al (2016) Current status of mini-gastric bypass. J. Minim Access Surg 12:305–310

    Article  Google Scholar 

  8. Kermansaravi M, Shahmiri SS, DavarpanahJazi AH, Valizadeh R, Berardi G, Vitiello A et al (2021) One anastomosis/mini-gastric bypass (OAGB/MGB) as revisional surgery following primary restrictive bariatric procedures: a systematic review and meta-analysis. Obes Surg 31:370–383

    Article  Google Scholar 

  9. Sumer A, Mahawar K, Aktokmakyan TV, Savas OA, Peksen C, Barbaros U et al (2021) Bridged one anastomosis gastric bypass: technique and preliminary results. Surg Today 51:1371–1378

    Article  Google Scholar 

  10. Rheinwalt KP, Plamper A, Rückbeil MV, Kroh A, Neumann UP, Ulmer TF (2020) One anastomosis gastric bypass-mini-gastric bypass (OAGB-MGB) versus Roux-en-Y Gastric Bypass (RYGB)-a mid-term cohort study with 612 patients. Obes Surg 30:1230–1240

    Article  Google Scholar 

  11. Mahawar KK, Reed AN, Graham YNH (2017) Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of surgeons. Clin Obes 7:151–156

    Article  CAS  Google Scholar 

  12. Mahawar KK, Parmar C, Graham Y (2019) One anastomosis gastric bypass: key technical features, and prevention and management of procedure-specific complications. Minerva Chir 74:126–136

    Article  Google Scholar 

  13. Goel R, Nasta AM, Goel M, Prasad A, Jammu G, Fobi M et al (2021) Complications after bariatric surgery: a multicentric study of 11,568 patients from Indian bariatric surgery outcomes reporting group. J Minim Access Surg 17:213–220

    Article  Google Scholar 

  14. Magouliotis DE, Tasiopoulou VS, Tzovaras G (2019) One anastomosis gastric bypass versus Roux-en-Y gastric bypass for morbid obesity: an updated meta-analysis. Obes Surg 29:2721–2730

    Article  Google Scholar 

  15. Musella M, Vitiello A, Susa A, Greco F, De Luca M, Manno E et al (2022) Revisional surgery after one anastomosis/minigastric bypass: an Italian multi-institutional survey. Obes Surg 32:256–265

    Article  Google Scholar 

  16. Parmar CD, Gan J, Stier C, Dong Z, Chiappetta S, El-Kadre L et al (2020) One anastomosis/mini gastric bypass (OAGB-MGB) as revisional bariatric surgery after failed primary adjustable gastric band (LAGB) and sleeve gastrectomy (SG): a systematic review of 1075 patients. Int J Surg 81:32–38

    Article  Google Scholar 

  17. Aviran E, Rayman S, Yehuda AB, Goitein D (2021) Marginal ulcer causing delayed anastomotic perforation following one anastomosis gastric bypass (OAGB). Surg Obes Relat Dis 17:379–383

    Article  Google Scholar 

  18. Johnson WH, Fernanadez AZ, Farrell TM, Macdonald KG, Grant JP, McMahon RL et al (2007) Surgical revision of loop (“mini”) gastric bypass procedure: multicenter review of complications and conversions to Roux-en-Y gastric bypass. Surg Obes Relat Dis 3:37–41

    Article  Google Scholar 

  19. Godina M, Nagliati C, Menegon P, Caruso V (2017) Emergency laparoscopic conversion from mini/one anastomosis gastric bypass to modified Roux-en-Y-gastric bypass due to acute bleeding from a recurrent marginal ulcer. Updates Surg 69:421–424

    Article  Google Scholar 

  20. Daryabari SN, Maleknia SA, Meimand FE, Pazouki A, Kermansaravi M (2021) Phlegmon formation due to perforated marginal ulcer after one anastomosis gastric bypass; conversion to Roux-en-Y gastric bypass: a video case report. Obes Surg 31:5102–5103

    Article  Google Scholar 

  21. Hussain A, El-Hasani S (2021) Anastomotic gastrojejunal ulcer perforation following one anastomosis gastric bypass. Obes Surg 31:1334–1335

    Article  Google Scholar 

  22. Hussain A, Van den Bossche M, Kerrigan DD, Alhamdani A, Parmar C, Javed S et al (2019) Retrospective cohort study of 925 OAGB procedures. The UK MGB/OAGB collaborative group. Int J Surg 69:13–18

    Article  CAS  Google Scholar 

  23. Garcia DPC, Dos Reis CF, de Figueiredo LO, Mota GVM, Guimarães LQ, Santos FAV et al (2019) Perforated gastric ulcer post mini gastric bypass treated by laparoscopy: a case report. Ann Med Surg (Lond) 17:24–27

    Google Scholar 

  24. Abou HB, Al Marzouqi O, Khammas A (2020) Anastomotic gastro-jejunal ulcer perforation following one anastomosis gastric bypass: clinical presentation and options of management-case series and review of literature. Obes Surg 30:2423–2428

    Article  Google Scholar 

  25. Nimeri A, Maasher A, Al Shaban T (2017) Efferent limb obstruction and unexpected perforated marginal ulcer in a pregnant patient after one anastomosis gastric bypass/mini gastric bypass. Surg Obes Relat Dis 13:713–715

    Article  Google Scholar 

  26. Abu-Abeid A, Tome J, Lahat G, Eldar SM, Dayan D (2022) Anastomotic ulcer perforation following one anastomosis gastric bypass. Obes Surg. https://doi.org/10.1007/s11695-022-06088-8

  27. Bacoeur-Ouzillou O, Perinel J, Pelascini E, Abdallah M, Poncet G, Pasquer A et al (2022) Management strategies of anastomotic ulcer after gastric bypass and risk factors of recurrence. Surg Endosc. https://doi.org/10.1007/s00464-022-09393-6

  28. Jamal MH, Elabd R, AlMutairi R, Albraheem A, Alhaj A, Alkhayat H et al (2020) The safety and efficacy of one anastomosis gastric bypass as a revision for sleeve gastrectomy. Obes Surg 30:2280–2284

    Article  Google Scholar 

  29. Bolckmans R, Arman G, Himpens J (2019) Efficiency and risks of laparoscopic conversion of omega anastomosis gastric bypass to Roux-en-Y gastric bypass. Surg Endosc 33:2572–2582

    Article  Google Scholar 

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Pavel Vasil’evich Kolyadko, Vasily Pavlovich Kolyadko, Evgeniy Nikolaevich Degovtsov, Vladimir Sergeevich Samoylov, Artem Vladimirovich Stepanenko, and Vladimir Alekseevich Satinov have contributed equally to this work.

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Correspondence to Pavel Vasil’evich Kolyadko.

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Vasil’evich Kolyadko, P., Kolyadko, V.P., Degovtsov, E.N. et al. Marginal Ulcer Perforation After One-Anastomosis Gastric Bypass: Case Report and Literature Review. Indian J Surg (2023). https://doi.org/10.1007/s12262-023-03683-6

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