Establishing Methods of Defect Closure in Roux-en-Y Gastric Bypass: an International Survey.
Absorbable suture
Antegastric antecolic
Antegastric retrocolic
Bariatric surgery
Consensus
Defect
Delayed closure
Endohernia
Internal hernia
Jejunojejunostomy
Laparoscopic gastric bypass
Mesenteric
Mesocolic
Metabolic surgery
Non-absorbable suture
Non-closure
Petersen’s
Qualitative
Retrogastric antecolic
Retrogastric retrocolic
Roux-en-Y
Survey
Weight loss
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
received:
01
09
2022
accepted:
14
12
2022
revised:
09
12
2022
medline:
10
4
2023
pubmed:
8
1
2023
entrez:
7
1
2023
Statut:
ppublish
Résumé
Internal herniation (IH) can be a life-threatening complication of Roux-en-Y gastric bypass (RYGB). Randomised controlled trials support the routine closure of mesenteric spaces at RYGB. However, there is currently no consensus on the method of closure in clinical practice. The purpose of this survey is to understand bariatric surgeons' practice in this regard. We conducted an international survey, whereby questions were created through collaboration of a consensus group of bariatric surgeons and hosted on the SurveyMonkey platform. The survey was distributed among British Obesity and Metabolic Surgery Society (BOMSS) members and international professional channels including The Upper Gastrointestinal Society (TUGS) and social media. One hundred and thirty-six surgeons from 34 countries completed the survey. Of these, 49 respondents were UK-based surgeons with a cumulative experience of approximately 2500 RYGB per annum. Forty-five (91.8%) respondents reported always closing mesenteric defects, of whom 57.8% elected to use non-absorbable non-barbed sutures, followed by staples/clips in 28.9% and a selection of other methods. Most respondents used more than one method. A total of 2 UK and 14 non-UK participants reported never closing mesenteric spaces. This survey has shown heterogeneity among defect closure and no consensus on preferred type. Additionally, there remains a practice of non-closure of mesenteric defects. We hope these findings help to inform further needed research and consensus building among experts.
Identifiants
pubmed: 36609742
doi: 10.1007/s11695-022-06420-2
pii: 10.1007/s11695-022-06420-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1049-1059Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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