A Systematic Review of One Anastomosis/Mini Gastric Bypass as a Metabolic Operation for Patients with Body Mass Index = 35 kg/m(2)
Background One anastomosis/mini gastric bypass (OAGB-MGB) is now an established bariatric procedure for patients suffering from obesity. The purpose of this review is to evaluate the role of this operation in patients with body mass index (BMI)
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| Veröffentlicht in: | Obesity surgery 2020-02, Vol.30 (2), p.725-735 |
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| creator | Parmar, Chetan D. Zakeri, Roxanna Mahawar, Kamal |
| description | Background One anastomosis/mini gastric bypass (OAGB-MGB) is now an established bariatric procedure for patients suffering from obesity. The purpose of this review is to evaluate the role of this operation in patients with body mass index (BMI) |
| doi_str_mv | 10.1007/s11695-019-04293-6 |
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| fullrecord | <record><control><sourceid>webofscience</sourceid><recordid>TN_cdi_webofscience_primary_000498096800003</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>000498096800003</sourcerecordid><originalsourceid>FETCH-LOGICAL-s155t-6c701827049a9703b7126eb4631e691ff416feb47730f3389e7f146a7473b99d3</originalsourceid><addsrcrecordid>eNqNUMtOwzAQtBCIlsIPcPIRhELXduLHgUMbQanUqojHuXJSGwJNXMWGkitfjgt8ANJKO7OaHc0uQqcELgmAGHpCuMoSICqBlCqW8D3UJwLkjsp91AfFIZGKsh468v4VgBJO6SHqMSI4cEj76GuEHzofTK1DVeJ781GZLXYWLxqDR432wdXOV344r5oKTyJvo2zcbbT3WMfCcxN04dZxutiYNrq4BlvX4rsITRM83lbhBY_dqsPz3dK0WZlPfIVZht-eh_UZPT9GB1avvTn56wP0dHP9mN8ms8Vkmo9miSdZFhJeCiCSCkiVVgJYIQjlpkg5I4YrYm1KuI1cCAaWMamMsCTlWqSCFUqt2ABd_PpuTeGsL2O80iw3bVXrtlsCRGMZPyYjAhbV8v_qvAo_l-fuvQnsG8JadqA</addsrcrecordid><sourcetype>Enrichment Source</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>A Systematic Review of One Anastomosis/Mini Gastric Bypass as a Metabolic Operation for Patients with Body Mass Index = 35 kg/m(2)</title><source>Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>SpringerLink Journals - AutoHoldings</source><creator>Parmar, Chetan D. ; Zakeri, Roxanna ; Mahawar, Kamal</creator><creatorcontrib>Parmar, Chetan D. ; Zakeri, Roxanna ; Mahawar, Kamal</creatorcontrib><description>Background One anastomosis/mini gastric bypass (OAGB-MGB) is now an established bariatric procedure for patients suffering from obesity. The purpose of this review is to evaluate the role of this operation in patients with body mass index (BMI) <= 35 kg/m(2). Methods A literature review was performed as per preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Results This review reports cumulative results of 376 OAGB-MGB procedures with a mean age of 44.28 years and mean BMI of 29.16 kg/m(2) (range 22-35). Females represented 67.67% of the patients. The leak rate was 0.27%. The mean follow-up was 32.6 months (6-84 months). The mean operative time was 89.45 min. The median limb length was 120 cm (range 100-200 cm). The mean fasting plasma glucose (FPG) decreased from 196.97 to 103.28 mg/dL. The mean HbA1c came down from 9.13% preoperatively to 6.14% postoperatively. The total cholesterol levels came down from a mean of 197.8 mg/dL preoperatively to 120.6 mg/dL postoperatively. The low-density lipoprotein (LDL) and triglyceride levels came down from 127.7 and 209.3 mg/dL to 81 and 94.8 mg/dL, respectively. Mortality was 0%. Marginal ulceration rate of 6.3% and an anaemia rate of 4.7% were reported. Low albumin was reported in 1 (0.2%) patient. The mean BMI came down to 23.76 kg/m(2) at 12 months. Conclusions We conclude that there is now satisfactory evidence to consider OAGB-MGB as a safe and effective metabolic procedure for diabetic patients with BMI <= 35 kg/m(2). Randomised studies comparing different bariatric procedures with longer term follow-up are needed.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-019-04293-6</identifier><identifier>PMID: 31760604</identifier><language>eng</language><publisher>NEW YORK: Springer Nature</publisher><subject>Life Sciences & Biomedicine ; Science & Technology ; Surgery</subject><ispartof>Obesity surgery, 2020-02, Vol.30 (2), p.725-735</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>20</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000498096800003</woscitedreferencesoriginalsourcerecordid><cites>FETCH-LOGICAL-s155t-6c701827049a9703b7126eb4631e691ff416feb47730f3389e7f146a7473b99d3</cites><orcidid>0000-0002-1238-6524</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930,28253</link.rule.ids></links><search><creatorcontrib>Parmar, Chetan D.</creatorcontrib><creatorcontrib>Zakeri, Roxanna</creatorcontrib><creatorcontrib>Mahawar, Kamal</creatorcontrib><title>A Systematic Review of One Anastomosis/Mini Gastric Bypass as a Metabolic Operation for Patients with Body Mass Index = 35 kg/m(2)</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><description>Background One anastomosis/mini gastric bypass (OAGB-MGB) is now an established bariatric procedure for patients suffering from obesity. The purpose of this review is to evaluate the role of this operation in patients with body mass index (BMI) <= 35 kg/m(2). Methods A literature review was performed as per preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Results This review reports cumulative results of 376 OAGB-MGB procedures with a mean age of 44.28 years and mean BMI of 29.16 kg/m(2) (range 22-35). Females represented 67.67% of the patients. The leak rate was 0.27%. The mean follow-up was 32.6 months (6-84 months). The mean operative time was 89.45 min. The median limb length was 120 cm (range 100-200 cm). The mean fasting plasma glucose (FPG) decreased from 196.97 to 103.28 mg/dL. The mean HbA1c came down from 9.13% preoperatively to 6.14% postoperatively. The total cholesterol levels came down from a mean of 197.8 mg/dL preoperatively to 120.6 mg/dL postoperatively. The low-density lipoprotein (LDL) and triglyceride levels came down from 127.7 and 209.3 mg/dL to 81 and 94.8 mg/dL, respectively. Mortality was 0%. Marginal ulceration rate of 6.3% and an anaemia rate of 4.7% were reported. Low albumin was reported in 1 (0.2%) patient. The mean BMI came down to 23.76 kg/m(2) at 12 months. Conclusions We conclude that there is now satisfactory evidence to consider OAGB-MGB as a safe and effective metabolic procedure for diabetic patients with BMI <= 35 kg/m(2). Randomised studies comparing different bariatric procedures with longer term follow-up are needed.</description><subject>Life Sciences & Biomedicine</subject><subject>Science & Technology</subject><subject>Surgery</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><recordid>eNqNUMtOwzAQtBCIlsIPcPIRhELXduLHgUMbQanUqojHuXJSGwJNXMWGkitfjgt8ANJKO7OaHc0uQqcELgmAGHpCuMoSICqBlCqW8D3UJwLkjsp91AfFIZGKsh468v4VgBJO6SHqMSI4cEj76GuEHzofTK1DVeJ781GZLXYWLxqDR432wdXOV344r5oKTyJvo2zcbbT3WMfCcxN04dZxutiYNrq4BlvX4rsITRM83lbhBY_dqsPz3dK0WZlPfIVZht-eh_UZPT9GB1avvTn56wP0dHP9mN8ms8Vkmo9miSdZFhJeCiCSCkiVVgJYIQjlpkg5I4YrYm1KuI1cCAaWMamMsCTlWqSCFUqt2ABd_PpuTeGsL2O80iw3bVXrtlsCRGMZPyYjAhbV8v_qvAo_l-fuvQnsG8JadqA</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Parmar, Chetan D.</creator><creator>Zakeri, Roxanna</creator><creator>Mahawar, Kamal</creator><general>Springer Nature</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><orcidid>https://orcid.org/0000-0002-1238-6524</orcidid></search><sort><creationdate>20200201</creationdate><title>A Systematic Review of One Anastomosis/Mini Gastric Bypass as a Metabolic Operation for Patients with Body Mass Index = 35 kg/m(2)</title><author>Parmar, Chetan D. ; Zakeri, Roxanna ; Mahawar, Kamal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-s155t-6c701827049a9703b7126eb4631e691ff416feb47730f3389e7f146a7473b99d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Life Sciences & Biomedicine</topic><topic>Science & Technology</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parmar, Chetan D.</creatorcontrib><creatorcontrib>Zakeri, Roxanna</creatorcontrib><creatorcontrib>Mahawar, Kamal</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parmar, Chetan D.</au><au>Zakeri, Roxanna</au><au>Mahawar, Kamal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Systematic Review of One Anastomosis/Mini Gastric Bypass as a Metabolic Operation for Patients with Body Mass Index = 35 kg/m(2)</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><date>2020-02-01</date><risdate>2020</risdate><volume>30</volume><issue>2</issue><spage>725</spage><epage>735</epage><pages>725-735</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background One anastomosis/mini gastric bypass (OAGB-MGB) is now an established bariatric procedure for patients suffering from obesity. The purpose of this review is to evaluate the role of this operation in patients with body mass index (BMI) <= 35 kg/m(2). Methods A literature review was performed as per preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Results This review reports cumulative results of 376 OAGB-MGB procedures with a mean age of 44.28 years and mean BMI of 29.16 kg/m(2) (range 22-35). Females represented 67.67% of the patients. The leak rate was 0.27%. The mean follow-up was 32.6 months (6-84 months). The mean operative time was 89.45 min. The median limb length was 120 cm (range 100-200 cm). The mean fasting plasma glucose (FPG) decreased from 196.97 to 103.28 mg/dL. The mean HbA1c came down from 9.13% preoperatively to 6.14% postoperatively. The total cholesterol levels came down from a mean of 197.8 mg/dL preoperatively to 120.6 mg/dL postoperatively. The low-density lipoprotein (LDL) and triglyceride levels came down from 127.7 and 209.3 mg/dL to 81 and 94.8 mg/dL, respectively. Mortality was 0%. Marginal ulceration rate of 6.3% and an anaemia rate of 4.7% were reported. Low albumin was reported in 1 (0.2%) patient. The mean BMI came down to 23.76 kg/m(2) at 12 months. Conclusions We conclude that there is now satisfactory evidence to consider OAGB-MGB as a safe and effective metabolic procedure for diabetic patients with BMI <= 35 kg/m(2). Randomised studies comparing different bariatric procedures with longer term follow-up are needed.</abstract><cop>NEW YORK</cop><pub>Springer Nature</pub><pmid>31760604</pmid><doi>10.1007/s11695-019-04293-6</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-1238-6524</orcidid></addata></record> |
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| subjects | Life Sciences & Biomedicine Science & Technology Surgery |
| title | A Systematic Review of One Anastomosis/Mini Gastric Bypass as a Metabolic Operation for Patients with Body Mass Index = 35 kg/m(2) |
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