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Comment on: Intrathoracic pouch migration in single-anastomosis gastric bypass with and without hiatoplasty: a 3-dimensional–computed tomography volumetry study

Published:December 08, 2022DOI:https://doi.org/10.1016/j.soard.2022.12.006
      I congratulate Felsenreich et al. [

      Felsenreich DM, Arnoldner MA, Wintersteller L, et al. Intrathoracic pouch migration in single-anastomosis gastric bypass with and without hiatoplasty: a 3-dimensional–computed tomography volumetry study. Surg Obes Relat Dis. Epub 2022 Nov 18.

      ] for their study evaluating intrathoracic pouch migration (ITM) and gastroesophageal reflux disease (GERD) after one-anastomosis gastric bypass (OAGB) with and without hiatoplasty. In this study, to assess intrathoracic pouch migration, GERD, and quality of life after OAGB with or without hiatal hernia (HH) repair, the authors used 3-dimensional–computed tomography (3D-CT) volumetry, GERD symptoms and proton pump inhibitor (PPI) use, and the Bariatric Quality of Life (BQL) and Gastrointestinal Quality of Life Index (GIQLI)] questionnaires, respectively. This is a retrospective, single-institution exploratory study of 50 patients after primary OAGB (25 with HH repair and 25 without HH repair selected from a sample of 722 patients who had OAGB [150-cm biliopancreatic limb]). All patients had preoperative upper endoscopy and were confirmed not to have GERD. Mean follow-up from the time of 3D-CT volumetry was 44.0 ± 23.1 months, all patients (50/50) had 3D-CT volumetry, and 92% (46/50) completed both GERD questionnaires (BQL and GIQLI).
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      References

      1. Felsenreich DM, Arnoldner MA, Wintersteller L, et al. Intrathoracic pouch migration in single-anastomosis gastric bypass with and without hiatoplasty: a 3-dimensional–computed tomography volumetry study. Surg Obes Relat Dis. Epub 2022 Nov 18.

        • Talari K.
        • Goyal M.
        Retrospective studies – utility and caveats.
        J R Coll Physicians Edinb. 2020; 50: 398-402
        • Soricelli E.
        • Casella G.
        • Baglio G.
        • Maselli R.
        • Ernesti I.
        • Genco A.
        Lack of correlation between gastroesophageal reflux disease symptoms and esophageal lesions after sleeve gastrectomy.
        Surg Obes Relat Dis. 2018; 14: 751-756
        • Jenkinson A.D.
        • Kadirkamanathan S.S.
        • Scott S.M.
        • Yazaki E.
        • Evans D.F.
        Relationship between symptom response and oesophageal acid exposure after medical and surgical treatment for gastro-oesophageal reflux disease.
        Br J Surg. 2004; 91: 1460-1465
        • Mahawar K.K.
        • Reed A.N.
        • Graham Y.N.H.
        Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of surgeons.
        Clin Obes. 2017; 7: 151-156

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