Laparoscopic revision after one anastomosis gastric bypass (OAGB): a 4-years experience in a single high-volume bariatric surgery center in northern Italy - Takeaways - MDSpire

Laparoscopic revision after one anastomosis gastric bypass (OAGB): a 4-years experience in a single high-volume bariatric surgery center in northern Italy

  • By

  • Luigi Eduardo Conte

  • Bruno Sensi

  • Giulia Griguolo

  • Michela Orsi

  • Francesco Cutrupi

  • Francesca Serio

  • Giulia Conti

  • Michela Campanelli

  • Domenico Benavoli

  • Paolo Gentileschi

  • August 2, 2025

  • 0 min

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  • 1

    One anastomosis gastric bypass (OAGB) is a simpler surgical technique compared to Roux-en-Y gastric bypass, requiring only a single anastomosis.

  • 2

    Revision rates for OAGB range from 2% to 5%, with common causes for revision including inadequate weight loss and severe bile reflux.

  • 3

    Various revision techniques for OAGB include biliary-pancreatic limb lengthening, pouch re-sizing, and conversion to Roux-en-Y gastric bypass.

  • 4

    All surgeries were performed laparoscopically, with a standardized approach to OAGB involving specific measurements for the gastric pouch and anastomosis.

  • 5

    Postoperative follow-up included evaluations at multiple intervals, focusing on complications, revisional success, and percentage of excess weight loss.

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