27 August 2022: Articles
Laparoscopic Reversion of One-Anastomosis Gastric Bypass to Normal Anatomy: Case Series and Literature Review
Unusual or unexpected effect of treatment
Ahmed Al-Garzaie A* , Abdullah A. Alqarzaie A , Hana A. Al-Zahrani E , Enas M. Alqahtani B , Sharifah A. Othman B , Faisal F. Alzahrani BDOI: 10.12659/AJCR.936776
Am J Case Rep 2022; 23:e936776
Table 1. Summary of the cases.
| Patient | Age | Sex | Pre-OAGB BMI* (kg/m2) | Pre-reversal BMI (kg/m2) | Past medical illness | Time to revisional surgery | Reason for reversal surgery | Post-reversal complications | Follow-up |
|---|---|---|---|---|---|---|---|---|---|
| Case 1 | 40 | Female | 41 | 21 | None | 2 years | Generalized weakness, peripheral neuropathy, lower limb edema, severe intolerance of food and biliary reflux | None | BMI 32 |
| Walking with mild limping in right limb | |||||||||
| Case 2 | 30 | Female | 35 | 19 | None | 1 year | Hypoglycemia, hypoproteinemia, and proteinuria | Drop of hemoglobin treated with blood transfusion | BMI 25 |
| She was in good condition | |||||||||
| Case 3 | 40 | Female | 42 | 19 | None | 1 year | Social pressure and depression | Mild gastroparesis | BMI: 28 |
| She was satisfied and happy due to regaining weight | |||||||||
| Case 4 | 28 | Female | 39 | 18 | None | 2 years | Social pressure and depression | None | BMI: 30 |
| She was satisfied with regaining weight | |||||||||
| Case 5 | 52 | Female | 45 | 18 | Hypothyro-idism | 8 months | Liver failure, and hepatic encephalopathy managed conservatively | Delayed Refeeding Syndrome | BMI: 23 |
| Liver function within normal | |||||||||
| BMI – body mass index; OAGB – one-anastomosis gastric bypass. |