Late Complications of MGB: Prevention and Treatment

Chapter

Abstract

The aim of this chapter is to illustrate late complications following MGB, to report their rate and to suggest their treatment. The experience of many authors has been therefore evaluated. Gastro-esophageal reflux (GER) and malnutrition problems are the most frequent complication following this surgical technique. Frequently, medical treatment reduces the need for reoperation due to these causes.

Keywords

Late complications Mini-gastric bypass One anastomosis gastric bypass Gastro-esophageal reflux (GER) Malnutrition 

References

  1. 1.
    Musella M, Susa A, Manno E, De Luca M, Greco F, Raffaelli M, Cristiano S, Milone M, Bianco P, Vilardi A, Damiano I, Segato G, Pedretti L, Giustacchini P, Fico D, Veroux G, Piazza L. Complications following the mini/one anastomosis gastric bypass (MGB/OAGB): a multi-institutional survey on 2678 patients with a mid-term (5 years) follow-up. Obes Surg. 2017;27:2956–67.  https://doi.org/10.1007/s11695-017-2726-2.CrossRefGoogle Scholar
  2. 2.
    Sifrim D. Management of bile reflux. Gastroenterol Hepatol (NY). 2013;9:179–80.Google Scholar
  3. 3.
    Vaezi MF, Richter JE. Duodenogastroesophageal reflux and methods to monitor nonacidic reflux. Am J Med. 2001;111(Suppl 8A):160S–8S.CrossRefGoogle Scholar
  4. 4.
    Vakil N, van Zanten SV, Kahrilas P, et al. Global Consensus Group. The Montreal definition and classification of gastroesophageal re-flux disease: a global evidence-based consensus. Am J Gastroenterol. 2006;101:1900–20.CrossRefGoogle Scholar
  5. 5.
    Tolone S, Cristiano S, Savarino E, et al. Effects of omega-loop bypass on esophagogastric junction function. Surg Obes Relat Dis. 2016;12:62–9.CrossRefGoogle Scholar
  6. 6.
    Mion F, Tolone S, Garros A, Savarino E, Pelascini E, Robert M, Poncet G, et al. High-resolution impedance manometry after sleeve gastrectomy: Increased intragastric pressure and reflux are frequent events. Obes Surg. 2016;26:2449–56.CrossRefGoogle Scholar
  7. 7.
    Chevallier JM, Arman GA, Guenzi M, et al. 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. 2015;25:951–8.CrossRefGoogle Scholar
  8. 8.
    Lee WJ, Lee YC, Ser KH, et al. Revisional surgery for laparoscopic minigastric bypass. Surg Obes Relat Dis. 2011;7:486–92.CrossRefGoogle Scholar
  9. 9.
    Luque-de-Leon E, Carbajo MA. Conversion of one-anastomosis gastric bypass (OAGB) is rarely needed if standard operative techniques are performed. Obes Surg. 2016;26:1588–91.CrossRefGoogle Scholar
  10. 10.
    Carbajo MA, Luque-de-León E, Jiménez JM, Ortiz-de-Solórzano J, Pérez-Miranda M, Castro-Alija MJ. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg. 2017;27:1153–67.CrossRefGoogle Scholar
  11. 11.
    Fuchs KH, Maroske J, Fein M, et al. Variability in the composition of physiologic duodenogastric reflux. J Gastrointest Surg. 1999;3:389–95.CrossRefGoogle Scholar
  12. 12.
    Atak I, Ozdil K, Yücel M, et al. The effect of laparoscopic cholecystectomy on the development of alkaline reflux gastritis and intestinal metaplasia. Hepato-Gastroenterol. 2012;59:59–61.Google Scholar
  13. 13.
    Schindlbeck NE, Heinrich C, Stellaard F, et al. Healthy controls have as much bile reflux as gastric ulcer patients. Gut. 1987;28:1577–83.CrossRefGoogle Scholar
  14. 14.
    Jammu GS, Sharma R. A 7-year clinical audit of 1107 cases comparing sleeve gastrectomy, Roux-en-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obes Surg. 2016;26:926–32.CrossRefGoogle Scholar
  15. 15.
    Nimeri A, Al Shaban T, Maasher A. Laparoscopic conversion of one anastomosis gastric bypass/mini gastric bypass to Roux-en-Y gastric bypass for bile reflux gastritis. Surg Obes Relat Dis. 2017;13:119–21.CrossRefGoogle Scholar
  16. 16.
    Georgiadou D, Sergentanis TN, Nixon A, et al. Efficacy and safety of laparoscopic mini-gastric bypass. A systematic review. Surg Obes Relat Dis. 2014;10:984–91.CrossRefGoogle Scholar
  17. 17.
    Lee WJ, Ser KH, Lee YC, et al. Laparoscopic Roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg. 2012;22:1827–34.CrossRefGoogle Scholar
  18. 18.
    Kular KS, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses – first study from Indian subcontinent. Obes Surg. 2014;24:1430–5.CrossRefGoogle Scholar
  19. 19.
    Lee WJ, Wang W, Lee YC, et al. Laparoscopic mini-gastric bypass: experience with tailored bypass limb according to body weight. Obes Surg. 2008;18:294–9.CrossRefGoogle Scholar
  20. 20.
    Noun R, Skaff J, Riachi E, et al. One thousand consecutive mini-gastric bypass: short and long-term outcome. Obes Surg. 2012;22:697–703.CrossRefGoogle Scholar
  21. 21.
    García-Caballero M, Reyes-Ortiz A, Garcia M, et al. Changes of body composition in patients with BMI 23-50 after tailored one anastomosis gastric bypass (BAGUA): influence of diabetes and metabolic syndrome. Obes Surg. 2014;24:2040–7.CrossRefGoogle Scholar
  22. 22.
    Higa K, Ho T, Tercero F, et al. Laparoscopic Roux- en-Y gastric bypass: 10-year follow-up. Surg Obes Relat Dis. 2011;7:516–25.CrossRefGoogle Scholar
  23. 23.
    Bernert CP, Ciangura C, Coupaye M, et al. Nutritional deficiency after gastric bypass: diagnosis, prevention and treatment. Diabetes Metab. 2007;33:13–24.CrossRefGoogle Scholar
  24. 24.
    Hammer HF. Medical complications of bariatric surgery: focus on malabsortion and dumping syndrome. Dig Dis. 2012;30:182–6.CrossRefGoogle Scholar
  25. 25.
    Rubin DC, Levin MS. Mechanisms of intestinal adaptation. Best Pract Res Clin Gastroenterol. 2016;30:237–48.CrossRefGoogle Scholar
  26. 26.
    Rutledge R, Walsh W. Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obes Surg. 2005;15:1304–8.CrossRefGoogle Scholar
  27. 27.
    Musella M, Sousa A, Greco F, et al. The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multi-center review. Surg Endosc. 2014;28:156–63.CrossRefGoogle Scholar
  28. 28.
    Sverdén E, Mattsson F, Sondén A, et al. Risk factors for marginal ulcer after gastric bypass surgery for obesity: a population-based cohort study. Ann Surg. 2016;263:733–7.CrossRefGoogle Scholar
  29. 29.
    Johnson WH, Fernandez AZ, Farrell TM, et al. Surgical revision of loop (mini) gastric bypass procedure: multicenter review of complications and conversions to Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2007;3:37–41.CrossRefGoogle Scholar
  30. 30.
    Woodward GA, Morton JM. Stomal stenosis after gastric bypass. In: Deitel M, Gagner M, Dixon JB, Himpens J, editors. Handbook of obesity surgery. Toronto: FD-Communications; 2010. p. 102–7.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Advanced Biomedical Sciences“Federico II” UniversityNaplesItaly

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