Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 5 Issue 3

A Single-Centre Retrospective Study to Evaluate the Technical Feasibility, Safety and Operative Outcomes of Laparoscopic Reversal of Omega Loop Bypass Surgery

Enas Al-Alawi1*, Mohamed Nadir2 Taweela and Tarek Nassar3

1Department of Bariatric Surgery, HMS Group Algarhoud Hospital Dubai UAE, Royal College of Surgeons Edinburgh Scotland
2Department of Bariatric Surgery, HMS Group Algarhoud Hospital Dubai UAE, Al Azhar University Egypt
3Department of Anesthesia and Intensive Care, HMS Group Algarhoud Hospital Dubai UAE, Tana University Egypt

*Corresponding Author: Enas Al-Alawi, Department of Bariatric Surgery, HMS Group Algarhoud Hospital Dubai UAE, Royal College of Surgeons Edinburgh Scotland.

Received: January 30, 2022; Published: February 16, 2022

Abstract

The abstract should be clear, relative, descriptive, self-explanatory and no longer than 400 words. Do not include references or formulae or any special character in the abstract. An epidemic of obesity is sweeping across the Middle East with no good signs of control [1]. It is associated with diabetes, hypertension, hyperlipidemia and high cholesterol levels, as well as, snoring and sleep apnea [2]. A large number of patients undergo bariatric surgeries every year in United Arab Emirates3. This explosion in bariatric surgery, inherently comes with an increase in the number of complications, secondary interventions and even reversal of procedures in about one fourth of the patients [4]. It is now widely acknowledged that laparoscopic Omega Loop Bypass (OLB) is as effective as Roux-en-Y Gastric Bypass (RYGB), for treating obesity and associated comorbidities. OLB takes less time to perform, is technically less demanding and has shorter learning curve for the operating surgeon [5]. Therefore, this procedure is gaining popularity and is rapidly spreading as a preferred choice of bariatric surgery. Despite a proven track record of nearly two decades, the risk of symptomatic bile reflux, marginal ulceration, severe malnutrition, chronic steatorrhea, hypoglycemic attacks and long-term risk of gastro-esophageal cancers are some of the commonly voiced concerns. These conditions usually can be managed conservatively, i.e., by behavioral and medical therapy, but occasionally, a surgical re-intervention may be needed. In extreme cases, a secondary procedure may consist of reversal to normal anatomy.

Keywords: Retrospective; Omega Loop Bypass; Laparoscopic Reversal; Roux-en-Y Gastric Bypass; Technical Feasibility; ROLB

References

  1. Arman GA., et al. “Medium-Term Outcomes after Reversal of Roux-en-Y Gastric Bypass”. Obesity Surgery3 (2018): 781-790.
  2. Brolin RE and Asad M. "Rationale for reversal of failed bariatric operation”. Surgery for Obesity and Related Diseases 5 (2009): 673-677.
  3. Dindo D., et al. “Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey”. Annals of Surgery 240 (2004): 205-213.
  4. Gagner M., et al. “Laparoscopic reoperative bariatric surgery: experience from 27 consecutive patients”. Obesity Surgery 12 (2002): 254-260.
  5. Genser L., et al. “Laparoscopic reversal of mini-gastric bypass to original anatomy for severe postoperative malnutrition”. Langenbeck's Archives of Surgery8 (2017): 1263-1270.
  6. Lee WJ., et al. “Laparoscopic Roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: A 10-year experience”. Obesity Surgery 22 (2012): 1827-1834.
  7. Sulaiman N., et al. “Prevalence of overweight and obesity in United Arab Emirates Expatriates: the UAE National Diabetes and Lifestyle Study”. Diabetology and Metabolic Syndrome1 (2017): 88.
  8. Vats MG., et al. “Obesity and Sleep-Related Breathing Disorders in Middle East and UAE”. Canadian Respiratory Journal (2016): 9673054.

Citation

Citation: Enas Al-Alawi., et al. “A Single-Centre Retrospective Study to Evaluate the Technical Feasibility, Safety and Operative Outcomes of Laparoscopic Reversal of Omega Loop Bypass Surgery". Acta Scientific Gastrointestinal Disorders 5.3 (2022): 15-18.

Copyright

Copyright: © 2022 Enas Al-Alawi., et al.. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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