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Obesity Surgery

, Volume 27, Issue 8, pp 1952–1960 | Cite as

Outcomes of Omega Loop Gastric Bypass, 6-Years Experience of 1520 Cases

  • Osama Taha
  • Mahmoud Abdelaal
  • Mohamed Abozeid
  • Awny Askalany
  • Mohamed Alaa
Original Contributions

Abstract

Background

Omega loop gastric bypass (OLGB) has been viewed with skepticism after the failure of the “old Mason loop.” During the past 15 years, a growing number of authors worldwide approved that OLGB is a safe and effective procedure, which appears clearly from the operative outcome and long-term follow-up of consecutive cohort studies of patients who underwent OLGB. The aim of this study is to evaluate the outcomes of OLGB at the bariatric center of our university hospital between 2009 and 2015.

Methods

The data of 1520 patients who underwent OLGB from November 2009 to December 2015 at our center were reviewed. Mean age was 37.15 years, mean preoperative BMI was 46.8 ± 6.6 kg/m2, mean preoperative weight was 127.4 ± 25.3 kg, and 62.7% were women. Diabetes mellitus (DM) affected 683 (44.9%) of the 1520 patients, whereas 773 of the 1520 patients (50.9%) presented with hypertension. The mean operative time was 35 min.

Results

The 1-year postoperative BMI mean decreased to 29.6 ± 3.1 kg/m2, and at the 3-year follow-up, it was 27.5 ± 3.4 kg/m2. The mean of weight decreased to 81.3 ± 16.7 kg and to 78.9 ± 16.9 kg at the 1-year and the 3-year follow-up, respectively. Mortality rate was 0.1%. Overall complications were 9.3%; 0.8% required reoperations. Early complications were encountered in 50 patients (3.3%), and the late complications rate was (6.1%).

Conclusions

In this study, greater excess weight loss was observed with OLGB which appeared to be a short, simple, low-risk, effective, and durable bariatric procedure.

Keywords

Omega loop gastric bypass Mini gastric bypass Obesity 

Notes

Compliance with Ethical Standards

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Plastic and Obesity Surgery DepartmentAssiut University HospitalAssiutEgypt
  2. 2.Overweight ClinicsCairoEgypt
  3. 3.Bariatric Unit, Plastic Surgery DepartmentAssiut University HospitalAssiutEgypt
  4. 4.General Surgery Department, Ain Shams University HospitalAin Shams UniversityCairoEgypt

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