Abstract:
INTRODUCTION:One anastomosis gastric bypass (OAGB) is now a recognized mainstream bariatric procedure being adopted by an increasing number of surgeons. The purpose of this review was to present an evidence-based summary of its key technical aspects and prevention and management of its specific complications. EVIDENCE ACQUISITION:We examined PubMed for all published articles on OAGB, including the ones published under one of its various other names. EVIDENCE SYNTHESIS:An ideal OAGB procedure has a long, narrow pouch constructed carefully to avoid going too close to the greater curvature of the stomach especially at the bottom of the pouch and maintains a safe distance from the angle of His. A bilio-pancreatic limb length of 150 cm appears to be safest and a limb length of >200 cm is associated with a significantly increased incidence of protein-calorie malnutrition. We recommend routine closure of Petersen's space to prevent Petersen's hernia and suggest a protocol for micronutrient supplementation. This review also presents evidence-based algorithms for prevention and management of marginal ulcers, protein-calorie malnutrition, and gastroesophageal reflux disease after OAGB. We suggest lifelong supplementation with two multivitamin/mineral supplements (each containing at least 1.0 mg copper and 15 mg zinc) daily, 1.5 mg vitamin B12 orally daily or 3-monthly injection with 1 mg vitamin B12, 120 mg elemental iron daily, 1500 mg elemental calcium daily, and 3000 international units of vitamin D daily. CONCLUSIONS:This review examines key technical steps of OAGB. We also discuss how to prevent and manage its specific complications.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Mahawar KK,Parmar C,Graham Ydoi
10.23736/S0026-4733.18.07844-6subject
Has Abstractpub_date
2019-04-01 00:00:00pages
126-136issue
2eissn
0026-4733issn
1827-1626pii
S0026-4733.18.07844-6journal_volume
74pub_type
杂志文章,评审abstract:INTRODUCTION:We provide a comprehensive description of the physio-pathological theories behind oligometastatic prostate cancer (PCa) and analyze modern imaging techniques, presenting a systematic review of the available evidences regarding salvage lymph node dissection (sLND). EVIDENCE ACQUISITION:A systematic review ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.18.07796-9
更新日期:2019-02-01 00:00:00
abstract::A case of giant hydatid cyst of the left lung submitted to conservative surgery is reported. The postoperative period was complicated by the appearance of a bronchopleural fistula and a residual cavity. The complication was treated with targeted double lumen drainage which enabled pleuroclysis with saline solution and...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::The Authors report a case of leiomyosarcoma of the small bowel, a rare neoplasm with severe limitations of pre-operative diagnosis. A discussion of the pathological staging, diagnosis and surgical therapy follows. At the moment, better diagnostic techniques and greater awareness of the disease notwithstanding, the pro...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-09-30 00:00:00
abstract::The extensive literature on the efficacy of chlorhexidine is reviewed. Personal experience with the substance in the daily and preoperative disinfection of the hands of medical and paramedical personnel in a surgical department, and the medication of surgical wounds, over a period of one year confirmed its low toxicit...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-10-31 00:00:00
abstract::Mean daily doses of 4-800,000 units iant. Cal. Trasylol administered i.v. for about 7 days prevented oedema and improved circulation after revascularisation surgery of the lower extremities involving the femoropopliteal axis in a large number of clinical cases. ...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:1975-02-15 00:00:00
abstract::Over the last years, several new systemic cancer therapy strategies have been introduced to turn the growing insights of molecular aberrations involved in the development and progression of lung cancer into better treatment options fort the patients. This review presents some of the most important biological targets a...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2011-06-01 00:00:00
abstract:INTRODUCTION:Laparoscopic cholecystectomy now represents a valid alternative to traditional surgery in the treatment of gallstone diseases. For the past twenty years laparotomic cholecystectomy has represented the golden standard of gallstone treatment given its extremely low mortality rate (0.5%) and equally acceptabl...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::The authors analyse the results relating to the use of a technical variation of entero-enteroanastomosis preparation in the reconstruction of the continuity of upper digestive tract with a defunctionalised Roux en Y loop. This variation includes the use of a circular Proximate ILS mechanical stapler. The series examin...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract::Renal oncocytoma is an uncommon benign neoplasm of tubular epithelial origin. It usually occurs as single mass and clinically may be confused with renal cell carcinoma. Angiographic, CT and ultrasound studies may suggest the diagnosis but they are not pathognomonic. The clinical, diagnostic and anatomopathological fea...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-05-31 00:00:00
abstract:BACKGROUND:To evaluate the possible role and the effectiveness of videothoracoscopy (VATS) in the treatment of pleural empyema. METHODS:Personal experience on 40 cases of pleural empyema treated by (VATS) during 5 years is reported. The underlying diseases were: pneumonia (32), pneumothorax (3), tuberculosis (2), abdo...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract::Esophago-jejunal reconstruction, after total gastrectomy, is best performed by one of the following three operations: interposed jejunal loop, Roux-en-Y loop and "omega" loop with Braun anastomosis. To assess the effects of the three mentioned techniques three groups of 15 patients each were examined after total gastr...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-09-15 00:00:00
abstract::The length of stay (LOS) is one of the major determinants of rising costs in surgical patient care. We studied the timing of the diagnostic procedures performed in 323 surgical patients admitted to 8 surgical departments of a large hospital. Of these: 50 underwent gastrectomy, 28 colectomy, 90 biliary tract (BT) opera...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-10-15 00:00:00
abstract:BACKGROUND:Meckel's diverticulum (MD) is the most common anomaly of the large intestinal tract (1-3%) and is more frequent in children (62% < 2 years) and in males (66%). It often involves ectopic gastric mucosa which manifests through gastrointestinal bleeding in 50% of cases. 99m-Technetium scintigraphy (99mTcO4) is ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract:AIM:Electromagnetic navigation bronchoscopy (ENB) was reported to increase diagnostic yield in pulmonary nodules (PNs). The aim of this study was to assess if rapid on site evaluation (ROSE) associated with ENB could improve diagnostic accuracy in PNs after non-diagnostic fluoroscopy-guided bronchoscopy added to ROSE. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::A case of aneurysm of the hepatic artery associated with aneurysm of the abdominal artery in fissuration is discussed. The indications, possibilities and limits of exclusion or removal of the aneurysm without reconstructing the main artery axis in the treatment of cases involving the hepatic artery are examined in the...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1978-01-15 00:00:00
abstract::5 cases of pulmonary embolism are reported. 3 of these were subjected to pulmonary embolectomy with complete success; repeated controls bear witness to the good long-term cardiorespiratory condition. Two patients died, one following angiography, the other at anaesthetic induction; this fact shows the desirability of s...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-04-15 00:00:00
abstract:INTRODUCTION:Surgical management of external rectal prolapse (ERP) remains a challenge with the breadth of choices available and varies on the international, national, regional and locoregional level. Significant innovation has led to new techniques to manage ERP including changes to both abdominal and perineal approac...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:10.23736/S0026-4733.16.07205-9
更新日期:2017-02-01 00:00:00
abstract:AIM:Postoperative air leaks and in particular persistent air leaks (>5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this experimental trial was to investigate the efficacy of the use of bovine pericardium strips (in terms of reduction of postop...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:2012-02-01 00:00:00
abstract::The authors underline that, although rarely found, leiomyomas of the gastrointestinal tract are the most frequent benign tumours of the small intestine. On occasions, from being a simple autoptic finding or diagnosed during the course of explorative laparotomy, they may be responsible for emergency abdominal surgery, ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract::Combined esophago-gastric pH measurements has been recently employed to better define gastroesophageal reflux and to simultaneously evaluate esophageal and gastric acidity. We studied 21 patients with esophagitis and 11 controls. Gastric acidity was rather similar in the two groups. A significant difference (p less th...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-04-15 00:00:00
abstract::The paper reports a case of splenic rupture during the course of chronic pancreatitis, an event rarely reported in the literature. The anatomical arrangement of organs and peripancreatic vessels is a predisposing factor for this complication. There are essentially three different but correlated pathogenetic hypotheses...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
abstract::Exceptional surgical reports of widespread atherosclerotic involvement of both internal and external carotid arteries required us to carry out an unusual surgical procedure. During a four years period an original carotid endarterectomy's technique was performed in four patients. We point on the importance of a correct...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-05-31 00:00:00
abstract::The surgical approach to acute cholecystitis has changed through the years. It was extended to all ages. The authors report their 10-year experience with 562 cases of cholecystitis. The mortality rate was 1.5% the morbidity rate was 7.6% The authors propose early surgery (within 72 hours of diagnosis) in the majority ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract:BACKGROUND:Numerous hypotheses are called to explain the beneficial effect on glucose metabolism after bariatric surgery. Some authors advocate for the secretion and release of various substances with endocrine functions for the explanation on this event. One of the substances most marked as effector, with contrasting ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.18.07681-2
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:The aim of this article is to describe the technique used in the treatment of ventral hernia using the laparoscopic method and at the same time to evaluate the possible advantages of this surgical approach. METHODS:The clinical case we present regards a case of a patient who had undergone a double eventratio...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Robotic complete mesocolic excision (CME) has recently emerged as promising technique to enhance oncologic results in hemicolectomy for cancer. The potential near-infrared (NIR) fluorescence with indocyanine-green (ICG) dye for lymphatic mapping is under investigation and few small case-series are reported. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.18.07831-8
更新日期:2019-04-01 00:00:00
abstract::Ductal carcinoma in situ (DCIS) has been the subject of much controversy since the advent of population based breast screening programs. An increasing number of asymptomatic women are being diagnosed with this condition and there is uncertainty over the best treatment algorithm for this condition if treatment is to be...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:10.23736/S0026-4733.18.07729-5
更新日期:2018-06-01 00:00:00
abstract::The anatomical region identified with the "head and neck region" has got the highest functional concentration of the human body and the highest incidence of malignant tumours per unit of surface. A pathology, that forced to serious and destroying surgical interventions in this area, will carry necessarily out a series...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract::We have reported two patients with unilateral adrenal hyperplasia as a rare cause of primary aldosteronism, and discussed the literature on this subject. When diagnosed by NMR-CT imaging and selective sampling from adrenal veins, the treatment of this disorder appears to be surgical. Whether its pathogenesis is relate...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::Advanced hepatocellular carcinoma remains an entity that is hard to approach therapeutically and has shown disappointing results in terms of survival. For many years, the only accepted option for this setting was the use of a multikinase inhibitor, sorafenib. Nevertheless, through the years, a deeper knowledge has ari...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2015-04-01 00:00:00