Excluded-stomach Perforation after Roux-en-Y and One-anastomosis Gastric Bypass: A Systematic Review with Video-illustrated Case Report - Summary - MDSpire
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Excluded-stomach Perforation after Roux-en-Y and One-anastomosis Gastric Bypass: A Systematic Review with Video-illustrated Case Report
To systematically review the evidence on gastric remnant or duodenal perforation after Roux-en-Y gastric bypass (RYGB) and one-anastomosis gastric bypass (OAGB), with a strong focus on clinical presentation, diagnosis, management, and outcomes.
Key Findings:
Perforation of the excluded gastric remnant is a rare but serious complication, with significant clinical implications.
Clinical presentation and diagnostic challenges were highlighted, particularly with non-diagnostic CT findings, which complicate timely intervention.
The study synthesized findings across six analytic domains without establishing pooled estimates, indicating a need for further research.
Interpretation:
The findings underscore the need for heightened awareness of potential complications following OAGB and RYGB, particularly given the challenges in diagnosis due to the inaccessibility of the excluded stomach, which may affect patient outcomes.
Limitations:
Limited to case reports and small series, restricting the ability to establish incidence or causality, which may impact clinical decision-making.
Potential bias in reporting and selection of studies, which could influence the perceived prevalence of complications.
Conclusion:
The systematic review provides descriptive insights into perforation risks associated with excluded gastric remnants, emphasizing the importance of careful monitoring, diagnostic strategies, and the need for future research to better understand these complications.
