Attention to Technical Details Is Important for Best Outcomes with One Anastomosis Gastric Bypass
I read the paper by Shenouda et al.  published recently in “Obesity Surgery” with considerable interest. Authors should be commended for their attempt to scientifically understand one of the most controversial aspects of one anastomosis gastric bypass (OAGB) [2, 3]. But there are several important aspects of this study that I would seek your permission to highlight.
Authors performed routine oesophago-gastro-duodenoscopy (OGD) 6 months after surgery in 20 consecutive OAGB and found that 12 patients had normal mucosa or mild gastritis, 6 patients had moderate to severe gastritis, and 2 patients had severe gastritis with erosions and metaplasia.
It is worth noting that 14/20 of these patients tested positive for Helicobacter Pylori postoperatively. This is entirely in keeping with previous studies that have shown a high prevalence of Helicobacter Pylori infection in their population [4, 5, 6]. It is hence interesting that authors performed the CLO test “selectively on...
one anastomosis gastric bypass
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