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POSTED 19 de septiembre de 2019

OAGB-MGB: The positive aspects

IFSO International Consensus Conference on OAGB-MGB

Professor Miguel Carbajo (Spain) said that bariatric surgery should have minimal risk of complications and lead to substantial durable weight loss, eliminate or ameliorate comorbidities, improve quality of life, and lengthen life expectancy. Both MGB and OAGB share a long gastric reservoir and only one anastomosis. However, there are several differences between MGB and OAGB:

In MGB no routine total small bowel (SB) counting, but establishing a fixed bilio-pancreatic limb length
OAGB (with its higher hypo-absortive component due to longer biliopancreatic limb length after having measured the total SB length) may even be compared with the more complex bilopancreatic diverting procedures

Professor Miguel Carbajo summarised that OAGB-MGB is technically simpler than RYGB and biliopancreatic diverting procedures and thus carries less perioperative risks, leading to a shorter learning curve and other benefits such as short operative time, rapid mobilization, short hospitalization, less perioperative complications and even few re-admissions. As the procedure is less complex, it is a highly reproducible and adaptable procedure, and suitable for special subgroups such as those at with extreme BMIs and age (11-13).

“OAGB-MGB is indeed a superb and simple option to revise other fully restrictive or mixed failed procedures, conversion from sleeve gastrectomy to OAGB-MGB may become the most common revisional operation in the next years,” he concluded. “OAGB-MGB is a safe and effective powerful alternative, but standardising teaching and performance is mandatory to avoid violating its basic principles.”
 
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