Challenges and Opportunities in Addressing Obesity Health Problems in One Anastomosis Gastric Bypass (OAGB): A Systematic Review
Year: 2024
Type: review
Study design: Systematic Review
Abstract: Introduction: One Anastomosis Gastric Bypass (OAGB) procedure is one of the effective therapies that lead to significant weight loss in obese individuals. Although the results of OAGB are generally good, some controversies still occur in the OAGB procedure. This review aims to evaluate the efficacy and safety of OAGB in obese patients. Methods: This systematic review was conducted based on PRISMA 2020, with a literature search strategy in the PubMed database without publication year restrictions. Inclusion criteria included clinical trials related to the efficacy and safety of OAGB in the obese population, while exclusion criteria included case reports and non-English studies. Data were extracted and analyzed quantitatively and qualitatively to conclude. Results: From 13 articles, this systematic review analyzed 7,080 patients who underwent OAGB procedures. These studies came from nine countries, with the United States contributing four. The mean age of the participants ranged from 37.2 to 48.09 years, and the mean BMI ranged from 43.9 to 55.8 kg/m², indicating that most patients were obese. Mortality rates ranged from 0.08% to 0.9%, and up to 5.6% of patients experienced postoperative complications. The mean hospital stay was 1 to 2.5 days, reflecting rapid recovery after the procedure. Conclusion: OAGB is a safe bariatric procedure with significant weight loss efficacy, short hospital stays, and a low mortality rate. However, post-OAGB complications such as marginal ulcers and anemia, as well as weight regain, are standard. Long-term studies are needed to evaluate complications and immune responses that may occur.
Source: Intisari Sains Medis
Authors: Tjokorda Istri Anom Saturti, Gede Eka Rusdi Antara
Institution: Udayana University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4414836734