I congratulate Felsenreich et al. [
[1]
] 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).To read this article in full you will need to make a payment
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References
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.
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- 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
- Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of surgeons.Clin Obes. 2017; 7: 151-156
Article info
Publication history
Published online: December 08, 2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
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- Intrathoracic pouch migration in one-anastomosis gastric bypass with and without hiatoplasty: A 3-dimensional-computed tomography volumetry studySurgery for Obesity and Related Diseases
- PreviewCurrently, 4.8% of bariatric operations worldwide are one-anastomosis gastric bypass (OAGB) procedures. If a hiatal hernia is detected in a preoperative gastroscopy, OAGB can be combined with hiatoplasty. Intrathoracic pouch migration (ITM) is common after bypass procedures because the fundus, a natural abutment, is separated from the pouch.
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