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

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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

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