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首页> 外文期刊>Surgical Endoscopy >Efficiency and risks of laparoscopic conversion of omega anastomosis gastric bypass to Roux-en-Y gastric bypass
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Efficiency and risks of laparoscopic conversion of omega anastomosis gastric bypass to Roux-en-Y gastric bypass

机译：ωAastomosis胃旁路腹腔镜转化对Roux-en-Y胃旁路的效率和风险

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BackgroundThere is a paucity on literature data related to conversion of Omega anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB).MethodsThis is a retrospective study. Records of all patients who underwent this conversion were analyzed. Additionally, patients were contacted to answer a questionnaire on their current clinical condition.ResultsTwenty-eight patients underwent laparoscopic conversion between September 2007 and June 2016. Indications were peritonitis in 7 patients (leaks after OAGB in 5, perforated marginal ulcer (MU) and blow-out remnant with concomitant leak in one patient each), anastomotic bleeding in one, bile reflux in 6, recalcitrant MU in 4, afferent loop syndrome in 6, postprandial vomiting in 2 (related to anastomotic stenosis and perianastomotic diverticulum, one each), and malnutrition and hypoglycemia both in 1. Thirty-day mortality was zero, complication rate (Clavien-Dindo grade III or more) 5% ((N=1/20), abscess) when conversion was elective and 50.0% ((N=4/8), all persisting leaks) when conversion was urgent. All 4 leaks persisting after conversion were successfully treated by endoscopic stenting, despite stent migration in 2 patients. Follow-up was available in 92.9%, for a mean time of 64.530.1 months. Successful symptom relief (Likert score 4 or more) was noted for bile reflux and postprandial vomiting. Additionally, malnutrition was corrected.Conclusions When indicated, conversion of OAGB to RYGB is a safe treatment strategy. In case conversion is performed for leak after OAGB, persisting subclinical leaks are frequent but can be efficiently addressed by endoscopic stenting.
机译：Backgroundshere是与欧米茄吻合胃旁路（OAGB）转化为Roux-en-Y胃旁路（RygB）的文学数据的缺乏.Methodsthis是一个回顾性研究。分析了接受这种转化率的所有患者的记录。此外，联系患者以回答其目前的临床状况的问卷。患者在2007年9月和2016年6月之间接受了腹腔镜转换的腹腔镜转换。7名患者的腹膜炎（oagb泄漏5，穿孔边缘溃疡（mu）和吹口-out伴随着伴随在一名患者中的伴随泄漏），吻合口腔，胆汁回流在6，4，传入循环综合征在6中，在2（吻合口狭窄和植物吻合口憩室有关），营养不良和低血糖中的1.在转化率选择时，30天死亡率为零，并发症（Clavien-dindo等级III级或更多）5％（（n = 1/20），脓肿），50.0％（（n = 4/8），当转换紧急时，全部持续存在。尽管2名患者在迁移支架迁移，所以通过内窥镜支架成功处理转化后持续的所有4次泄漏。随访时间为92.9％，平均时间为64.530.1个月。胆汁回流和餐后呕吐成功症状救济（李克特分数4或更多）。此外，营养不良被纠正。指出时结论，OAGB转换为RYGB是一种安全的处理策略。在OAGB之后进行泄漏的情况下，持续存在的亚透明泄漏频繁，但可以通过内窥镜支架有效地解决。

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