Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative malnutrition

Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative... Purpose Malnutrition after mini-gastric bypass (MGB) is a on patients who underwent RMGB (video included) for rare and dreaded complication with few data available regard- SRMS following MGB. Results Twenty-six of 2934 patients underwent a RMGB at a ing its surgical management. We aim to report the feasibility, mean delay of 20.9 ± 13.4 months post-MGB. At presentation, safety, and results of laparoscopic reversal of MGB to normal anatomy (RMGB) in case of severe and refractory malnutri- mean body mass index (BMI), excess weight loss (%EWL), and albumin serum level were 22 ± 4.4 kg/m , 103.6 ± 22.5%, and tion syndrome after intensive nutritional support (SRMS). 25.5 ± 3.6 gr/L, respectively. Seventeen (63.5%) patients had at least one severe malnutrition related complication including se- vere edema in 13 (50%), venous ulcers in 2 (7.7%), infectious * Laurent Genser complications in 7 (27%), deep venous thrombosis in 5 (19.2%), laurent.genser@aphp.fr and motor deficit in 5 (19.2%) patients. At surgical exploration, 8 of 12 (66.5%) patients had a biliary limb longer than 200 cm Antoine Soprani and9(34.6%) hadbilerefluxsymptoms. Overall morbidity was antoinesoprani@hotmail.com 30.8% but lower when resecting the entire previous Malek Tabbara gastrojejunostomy with creation of a new jejunojejunostomy malektabbara@gmail.com http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Langenbeck's Archives of Surgery Springer Journals

Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative malnutrition

Loading next page...
 
/lp/springer_journal/laparoscopic-reversal-of-mini-gastric-bypass-to-original-anatomy-for-1X9UZRPIod
Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany
Subject
Medicine & Public Health; General Surgery; Abdominal Surgery; Cardiac Surgery; Thoracic Surgery; Traumatic Surgery; Vascular Surgery
ISSN
1435-2443
eISSN
1435-2451
D.O.I.
10.1007/s00423-017-1615-4
Publisher site
See Article on Publisher Site

Abstract

Purpose Malnutrition after mini-gastric bypass (MGB) is a on patients who underwent RMGB (video included) for rare and dreaded complication with few data available regard- SRMS following MGB. Results Twenty-six of 2934 patients underwent a RMGB at a ing its surgical management. We aim to report the feasibility, mean delay of 20.9 ± 13.4 months post-MGB. At presentation, safety, and results of laparoscopic reversal of MGB to normal anatomy (RMGB) in case of severe and refractory malnutri- mean body mass index (BMI), excess weight loss (%EWL), and albumin serum level were 22 ± 4.4 kg/m , 103.6 ± 22.5%, and tion syndrome after intensive nutritional support (SRMS). 25.5 ± 3.6 gr/L, respectively. Seventeen (63.5%) patients had at least one severe malnutrition related complication including se- vere edema in 13 (50%), venous ulcers in 2 (7.7%), infectious * Laurent Genser complications in 7 (27%), deep venous thrombosis in 5 (19.2%), laurent.genser@aphp.fr and motor deficit in 5 (19.2%) patients. At surgical exploration, 8 of 12 (66.5%) patients had a biliary limb longer than 200 cm Antoine Soprani and9(34.6%) hadbilerefluxsymptoms. Overall morbidity was antoinesoprani@hotmail.com 30.8% but lower when resecting the entire previous Malek Tabbara gastrojejunostomy with creation of a new jejunojejunostomy malektabbara@gmail.com

Journal

Langenbeck's Archives of SurgerySpringer Journals

Published: Aug 12, 2017

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off