Why the study?
In patients with BMI ≥ 50 kg/m2, selecting an appropriate bariatric procedure that achieves optimum results remains difficult.
Does one anastomosis gastric bypass (OAGB) improve weight loss and obesity-associated medical problems in patients with BMI ≥ 50 kg/m2?
Does one anastomosis gastric bypass (OAGB) improve weight loss and obesity-associated medical problems in patients with BMI ≥ 50 kg/m2?
One anastomosis gastric bypass is a safe and effective one-stage procedure for patients with BMI ≥ 50 kg/m2, providing sustained weight loss and high remission rates of metabolic comorbidities at 5 years.
In patients with BMI ≥ 50 kg/m 2 , it is difficult to select an appropriate procedure that can lead to optimum results. This study aims to evaluate mid-term weight loss outcomes in patients with BMI ≥ 50 kg/m 2 following one anastomosis gastric bypass (OAGB) as a one-stage procedure. A prospective study was conducted on patients with BMI ≥ 50 kg/m 2 , aged 18 years and above who had undergone primary OAGB from January 2016 to February 2019 with at least two years follow-ups. A total of 197 patients with BMI ≥ 50 kg/m 2 had underwent OAGB. The mean age was 38 years and the mean pre-operative BMI was 53.7 kg/m 2 . Mean EWL% were 63.7%, 67.8% and 66.2% at one, two and five years after OAGB respectively. The highest level of EWL% was 68.4%, which was achieved in the 18th month following OAGB. OAGB can be performed safely in patients with BMI ≥ 50 kg/m 2 as a one-stage procedure with acceptable weight loss outcomes and remission of obesity associated medical problems.
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Kermansaravi et al. (2022) studied this question.
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