Table 3.
Postoperative morbi-mortality and late complications after one anastomosis gastric bypass (OAGB) for severe obesity with BMI >50 kg/m2
| Early morbi-mortality | N (%) | Treatment |
|---|---|---|
| Postoperative death | 0 (0%) | |
| Early postoperative complications | 14 (5.7%) | |
| Gastro-intestinal bleeding | 7 (2.9%) | 5 = red blood cells transfusions |
| 2 = upper GI endoscopy and treatment of the bleeding source | ||
| Pneumonia | 3 (1.2%) | Antibiotics |
| Anastomotic leak/perianastomotic abscess | 3 (1.2%) | 2 = antibiotics and fasting |
| 1 = re-laparoscopic exploration with Kher placement into the fistulous orifice and drainage, | ||
| Phlebitis | 1 (0.4%) | Medical treatment |
| Late complications | N (%) | Treatment |
| Late postoperative complications | 22 (9.0%) | |
| Internal hernia | 6 (2.4%) | Surgery |
| Anastomotic ulcer | 3 (1.2%) | 1 = surgery |
| 2 = medical treatment | ||
| Additional surgery for insufficient | 2 (0.8%) | 1 = 2-step conversion into SADI |
| Weight loss | 1 = calibration band added | |
| Long-term deaths | 2 (0.8%) | 1 = colon cancer at 14 months |
| GERDrequiring conversion to RYGB | 3 (1.2%) | 1 = myocardial infarction at 18 months |
| Chronic diarrhea | 4 (1.6%) | Medical treatment |
| Glycemic troubles | 2 (0.8%) | Medical treatment |
| Overall complications* | 36 (14.7%) |
OAGB, one anastomosis gastric bypass; GERD, gastroesophageal reflux disease; SADI, single anastomosis duodeno-ileal bypass; RYGB, Roux-en-Y gastric bypass; GI, gastrointestinal
*Early + late complications