Bile reflux after laparoscopic mini/one anastomosis gastric bypass: the problem and prevention

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅存取

详细

Currently, laparoscopic mini-gastric bypass (LMGB) is a common bariatric surgical operation. One of the reasons for reoperations after LMGB is pathological bile reflux, which, in addition to a noticeable decrease in the quality of life of patients, poses a potential threat to the neoplastic processes in the stomach and esophagus.

This study aimed to systematize and analyze modern literature information on terminology, diagnosis and frequency of detection, pathophysiological significance, and methods of preventing bile reflux post-LMGB. Russian and English full-text studies on bile reflux after LMGB in the bibliographic databases of the Russian Science Citation Index, PubMed, Google Scholar, and ScienceDirect were analyzed.

The frequency of diagnosing bile reflux after LMGB varies from 2.0 to 57.9%, depending on the instrumental diagnostic methods used: flexible endoscopy, 24-hour pH impedance measurements, spectrophotometry of bilirubin in refluxate, and hepatobiliary scintigraphy. The pathogenetic effect of the contents of the small intestine on the mucous membrane of the stomach and esophagus after LMGB is noted because of the direct cytotoxic and receptor-mediated effects of bile acids. The safety of the main stages of LMGB (creation of a gastric pouch and formation of a single anastomosis) is currently being reviewed from the standpoint of minimizing the risk of developing bile reflux. Furthermore, novel techniques have been proposed to reduce the likelihood of intestinal contents entering the stomach and esophagus; however, their effectiveness remains controversial.

作者简介

Yurii Vinnik

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Clinical hospital «RZD-Medicine»

Email: yuvinnik@ya.ru
ORCID iD: 0000-0002-8995-2862
SPIN 代码: 5070-8140

MD, Dr. Sci. (Medicine), professor

俄罗斯联邦, Krasnoyarsk; Krasnoyarsk

Aleksandr Chaykin

Clinical hospital «RZD-Medicine»

Email: chaiki@inbox.ru
ORCID iD: 0009-0009-0994-081X
SPIN 代码: 8291-9867

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Krasnoyarsk

Dmitriy Chaykin

Clinical hospital «RZD-Medicine»

Email: conte4@yandex.ru
ORCID iD: 0000-0003-0098-1761
SPIN 代码: 4098-5263

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Krasnoyarsk

Olga Teplyakova

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Clinical hospital «RZD-Medicine»

编辑信件的主要联系方式.
Email: teplyakova-olga@ya.ru
ORCID iD: 0000-0003-0005-3316
SPIN 代码: 4975-0569
Scopus 作者 ID: 57627507000
Researcher ID: M-7060-2014

MD, Dr. Sci. (Medicine), professor

俄罗斯联邦, Krasnoyarsk; Krasnoyarsk

Margarita Yureva

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: hizhnenko2009@ya.ru
ORCID iD: 0009-0005-9185-278X
SPIN 代码: 4551-1020

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Krasnoyarsk

Nina Boyakova

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: n79039248058@gmail.com
ORCID iD: 0000-0002-1761-4717
SPIN 代码: 2081-2424

MD, Cand. Sci. (Med.)

俄罗斯联邦, Krasnoyarsk

Dmitrii Vlasenko

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: vdima2002@ya.ru
ORCID iD: 0009-0008-8550-5361
俄罗斯联邦, Krasnoyarsk

Valentina Bakhshyan

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: v.a.bahshyan@gmail.com
ORCID iD: 0009-0000-5454-9961
SPIN 代码: 6989-5951
俄罗斯联邦, Krasnoyarsk

参考

  1. De Luca M, Piatto G, Merola G, et al. IFSO update position statement on one anastomosis gastric bypass (OAGB). Obes Surg. 2021;31(7):3251–3278. doi: 10.1007/s11695-021-05413-x
  2. Scavone G, Caltabiano DC, Gulino F, et al. Laparoscopic mini/one anastomosis gastric bypass: anatomic features, imaging, efficacy and postoperative complications. Updates Surg. 2020;72(2):493–502. doi: 10.1007/s13304-020-00743-4
  3. Moradi M, Kabir A, Khalili D, et al. Type 2 diabetes remission after Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and one anastomosis gastric bypass (OAGB): results of the longitudinal assessment of bariatric surgery study. BMC Endocr Disord. 2022;22(1):260. doi: 10.1186/s12902-022-01171-8
  4. Lautenbach A, Wernecke M, Mann O, et al. Low-grade hepatic steatosis is associated with long-term remission of type 2 diabetes independent of type of bariatric-metabolic surgery. Obes Surg. 2023;33(2):530–538. doi: 10.1007/s11695-022-06406-0
  5. Kermansaravi M, Mahawar KK, Davarpanah Jazi AH, et al. Revisional surgery after one anastomosis/mini gastric bypass: a narrative review. J Res Med Sci. 2020;25:62. doi: 10.4103/jrms.JRMS_727_19
  6. Musella M, Vitiello A, Susa A, et al. Revisional surgery after one anastomosis/minigastric bypass: an italian multi-institutional survey. Obes Surg. 2022;32(2):256–265. doi: 10.1007/s11695-021-05779-y
  7. Runkel M, Runkel N. Esophago-gastric cancer after one anastomosis gastric bypass (OAGB). Chirurgia (Bucur). 2019; 114(6):686–692. doi: 10.21614/chirurgia.114.6.686
  8. Lange UG, Moulla Y, Mehdorn M, et al. Laparoscopic conversion of omega loop gastric bypass to Roux-en-Y gastric bypass for Barrett’s esophagus: case report. BMC Surg. 2022;22(1):273. doi: 10.1186/s12893-022-01695-9
  9. Santore LA, Tarczynski C, Abou Chaar MK, et al. Esophagectomy for cancer after one anastomosis gastric bypass. Annals of Thoracic Surgery Short Reports. 2023;1(3):509–511. doi: 10.1016/j.atssr.2023.03.020
  10. Keighley MR, Asquith P, Alexander-Williams J. Duodenogastric reflux: a cause of gastric mucosal hyperaemia and symptoms after operations for peptic ulceration. Gut. 1975;16(1):28–32. doi: 10.1136/gut.16.1.28
  11. Hoare AM, Jones EL, Alexander-Williams J, et al. Symptomatic significance of gastric mucosal changes after surgery for peptic ulcer. Gut. 1977;18(4):295–300. doi: 10.1136/gut.18.4.295
  12. Evdoshenko VV, Fedenko VV, Bordan NS, et al. One-anastomosis gastric bypass with a short limb. Pirogov Russian Journal of Surgery. 2020;(11):37–47. EDN: BSYWYJ doi: 10.17116/hirurgia202011137
  13. Doulami G, Triantafyllou S, Albanopoulos K, et al. Acid and nonacid gastroesophageal reflux after single anastomosis gastric bypass. An objective assessment using 24-hour multichannel intraluminal impedance-pH metry. Surg Obes Relat Dis. 2018;14(4):484–488. doi: 10.1016/j.soard.2017.10.012
  14. Felsenreich DM, Zach ML, Vock N, et al. Esophageal function and non-acid reflux evaluated by impedance-24 h-pH-metry, high-resolution manometry, and gastroscopy after one-anastomosis gastric bypass-outcomes of a prospective mid-term study. Surg Endosc. 2023;37(5):3832–3841. doi: 10.1007/s00464-022-09857-9
  15. Eldredge TA, Myers JC, Kiroff GK, Shenfine J. Detecting bile reflux-the enigma of bariatric surgery. Obes Surg. 2018;28(2): 559–566. doi: 10.1007/s11695-017-3026-6
  16. Eldredge TA, Bills M, Ting YY, et al. Once in a bile — the incidence of bile reflux post-bariatric surgery. Obes Surg. 2022;32(5): 1428–1438. doi: 10.1007/s11695-022-05977-2
  17. Livzan MA, Mozgovoi SI, Gaus OV, et al. Diagnostic principles for chronic gastritis associated with duodenogastric reflux. Diagnostics (Basel). 2023;13(2):186. doi: 10.3390/diagnostics13020186
  18. Basnayake C, Geeraerts A, Pauwels A, et al. Systematic review: duodenogastroesophageal (biliary) reflux prevalence, symptoms, oesophageal lesions and treatment. Aliment Pharmacol Ther. 2021;54(6):755–778. doi: 10.1111/apt.16533
  19. Othman AA, Dwedar AA, ElSadek HM, et al. Post-cholecystectomy bile reflux gastritis: prevalence, risk factors, and clinical characteristics. Chronic Illn. 2023;19(3):529–538. doi: 10.1177/17423953221097440
  20. Carbajo MA, Luque-de-León E, Jiménez JM, et al. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg. 2017;27(5):1153–1167. doi: 10.1007/s11695-016-2428-1
  21. Ramos AC, Chevallier JM, Mahawar K, et al. IFSO (International Federation for Surgery of Obesity and Metabolic Disorders) consensus conference statement on one-anastomosis gastric bypass (OAGB-MGB): results of a modified delphi study. Obes Surg. 2020;30(5):1625–1634. doi: 10.1007/s11695-020-04519-y
  22. Quake SYL, Mohammadi-Zaniani G, Musbahi A, et al. Routine use of esophago-gastro-duodenoscopy (EGD) in bariatric surgery-an international survey of our current practice. Obes Surg. 2022;32(11):3627–3634. doi: 10.1007/s11695-022-06252-0
  23. Shenouda MM, Harb SE, Mikhail SAA, et al. Bile gastritis following laparoscopic single anastomosis gastric bypass: pilot study to assess significance of bilirubin level in gastric aspirate. Obes Surg. 2018;28(2):389–395. doi: 10.1007/s11695-017-2885-1
  24. Saarinen T, Pietiläinen KH, Loimaala A, et al. Bile reflux is a common finding in the gastric pouch after one anastomosis gastric bypass. Obes Surg. 2020;30(3):875–881. doi: 10.1007/s11695-019-04353-x
  25. Arnon-Sheleg E, Farraj M, Michael S, et al. Modified hepatobiliary scintigraphy for the diagnosis of bile reflux in one-anastomosis gastric bypass surgery: a prospective multicenter study. Obes Surg. 2023;33(7):1997–2004. doi: 10.1007/s11695-023-06632-0
  26. Molendijk J, Kolka CM, Cairns H, et al. Elevation of fatty acid desaturase 2 in esophageal adenocarcinoma increases polyunsaturated lipids and may exacerbate bile acid-induced DNA damage. Clin Transl Med. 2022;12(5):e810. doi: 10.1002/ctm2.810
  27. Kunst RF, Verkade HJ, Oude Elferink RPJ, et al. Targeting the four pillars of enterohepatic bile salt cycling; lessons from genetics and pharmacology. Hepatology. 2021;73(6):2577–2585. doi: 10.1002/hep.31651
  28. Liu H, Irobalieva RN, Bang-Sørensen R, et al. Structure of human NTCP reveals the basis of recognition and sodium-driven transport of bile salts into the liver. Cell Res. 2022;32(8):773–776. doi: 10.1038/s41422-022-00680-4
  29. Straub D, Oude Elferink RPJ, Jansen PLM, et al. Glyco-conjugated bile acids drive the initial metaplastic gland formation from multi-layered glands through crypt-fission in a murine model. PLoS One. 2019;14(7):e0220050. doi: 10.1371/journal.pone.0220050
  30. Zhang S, Shen Y, Liu H, et al. Inflammatory microenvironment in gastric premalignant lesions: implication and application. Front Immunol. 2023;14:1297101. doi: 10.3389/fimmu.2023.1297101
  31. Li S, Hoefnagel SJM, Krishnadath KK. Molecular biology and clinical management of esophageal adenocarcinoma. Cancers (Basel). 2023;15(22):5410. doi: 10.3390/cancers15225410
  32. Mendes-Rocha M, Pereira-Marques J, Ferreira RM, et al. gastric cancer: the microbiome beyond Helicobacter pylori. Curr Top Microbiol Immunol. 2023;444:157–184. doi: 10.1007/978-3-031-47331-9_6
  33. Wang S, Kuang J, Zhang H, et al. Bile acid-microbiome interaction promotes gastric carcinogenesis. Adv Sci (Weinh). 2022;9(16):e2200263. doi: 10.1002/advs.202200263
  34. Rohr M, Aljabban J, Rudeski-Rohr T, et al. Meta-analysis reveals the prognostic relevance of nuclear and membrane-associated bile acid receptors in gastric cancer. Clin Transl Gastroenterol. 2021;12(1):e00295. doi: 10.14309/ctg.0000000000000295
  35. Režen T, Rozman D, Kovács T, et al. The role of bile acids in carcinogenesis. Cell Mol Life Sci. 2022;79(5):243. doi: 10.1007/s00018-022-04278-2
  36. Canakis A, Lee A, Halvorson AE, et al. Bile acid sequestrant use and gastric cancer: a national retrospective cohort analysis. Clin Transl Gastroenterol. 2023;14(12):e00596. doi: 10.14309/ctg.0000000000000596
  37. Jang JY, Im E, Choi YH, et al. Mechanism of bile acid-induced programmed cell death and drug discovery against cancer: a review. Int J Mol Sci. 2022;23(13):7184. doi: 10.3390/ijms23137184
  38. Rutledge R, Kular K, Manchanda N. The mini-gastric bypass original technique. Int J Surg. 2019;61:38–41. doi: 10.1016/j.ijsu.2018.10.042
  39. Cornejo J, Evans LA, Castillo-Larios R, et al. One anastomosis gastric bypass as a primary bariatric surgery: MBSAQIP database analysis of short-term safety and outcomes. Surg Endosc. 2024;38(1):270–279. doi: 10.1007/s00464-023-10535-7
  40. Salminen P, Kow L, Aminian A, et al. IFSO consensus on definitions and clinical practice guidelines for obesity management-an international delphi study. Obes Surg. 2024;34(1):30–42. doi: 10.1007/s11695-023-06913-8
  41. Sohrabi Maralani M, Azadnajafabad S, Elyasinia F, et al. Postoperative outcomes and advantages of hand-sewn laparoscopic one-anastomosis gastric bypass: experience on 805 patients. Obes Surg. 2021;31(2):627–633. doi: 10.1007/s11695-020-04981-8
  42. Khitaryan AG, Mezhunts AV, Starzhinskaya OB, et al. Тhe results of morbid obesity treatment by mini-gastric bypass via a stapler or suture gastroenteroanastomosis, comparative analysis. Endoscopic Surgery. 2018;24(6):19–29. EDN: VUFWLD doi: 10.17116/endoskop20182406119
  43. Slagter N, Hopman J, Altenburg AG, et al. Applying an anti-reflux suture in the one anastomosis gastric bypass to prevent biliary reflux: a long-term observational study. Obes Surg. 2021;31(5):2144–2152. doi: 10.1007/s11695-021-05238-8
  44. Saad AS, Elnabil-Mortada A, Nageeb RM, et al. Handsewn antireflux one-anastomosis gastric bypass: a novel technique. The Egyptian Journal of Surgery. 2022;41(2):772–780. doi: 10.4103/ejs.ejs_93_22
  45. Hutopila I, Copaescu C. Hiatal hernia is more frequent than expected in bariatric patients. intraoperative findings during laparoscopic sleeve gastrectomy. Chirurgia (Bucur). 2019;114(6): 779–789. doi: 10.21614/chirurgia.114.6.779
  46. Kermansaravi M, Kabir A, Mousavimaleki A, et al. Association between hiatal hernia and gastroesophageal reflux symptoms after one-anastomosis/mini gastric bypass. Surg Obes Relat Dis. 2020;16(7):863–867. doi: 10.1016/j.soard.2020.03.011
  47. Carandina S, Soprani A, Sista F, et al. Conversion of one-anastomosis gastric bypass (OAGB) to Roux-en-Y gastric bypass (RYGB) for gastroesophageal reflux disease (GERD): who is more at risk? A multicenter study. Surg Endosc. 2024;38(3):1163–1169. doi: 10.1007/s00464-023-10611-y
  48. Felsenreich DM, Arnoldner MA, Wintersteller L, et al. Intrathoracic pouch migration in one-anastomosis gastric bypass with and without hiatoplasty: a 3-dimensional-computed tomography volumetry study. Surg Obes Relat Dis. 2023;19(5):492–499. doi: 10.1016/j.soard.2022.11.009
  49. Dayan D, Abu-Abeid A. Huge diaphragmatic hernia following revisional one anastomosis gastric bypass. Obes Surg. 2024;34(2):704–705. doi: 10.1007/s11695-023-07029-9
  50. Runkel A, Scheffel O, Chiappetta S, et al. Hiatoplasty for intrathoracic gastric migration associated with one anastomosis gastric bypass (OAGB). Obes Surg. 2020;30(12):4986–4994. doi: 10.1007/s11695-020-04886-6
  51. Runkel A, Scheffel O, Marjanovic G, et al. Augmentation of hiatal repair with the ligamentum teres hepatis for intrathoracic gastric migration after bariatric surgery. Obes Surg. 2021;31(4):1422–1430. doi: 10.1007/s11695-020-05153-4
  52. Werapitiya SB, Ruwanpura SP, Coulson TR. Laparoscopic fundoplication using the excluded stomach as a novel management option for refractory bile reflux following one anastomosis gastric bypass (OAGB). Obes Surg. 2022;32(2):561–566. doi: 10.1007/s11695-021-05804-0
  53. Soprani A, Boullenois H, Zulian V, et al. One-anastomosis gastric bypass and hiatal hernia: nissen fundoplication with the excluded stomach to decrease the risk of postoperative gastroesophageal reflux. J Clin Med. 2022;11(21):6441. doi: 10.3390/jcm11216441
  54. Ospanov O, Yeleuov G, Buchwald JN, et al. A randomized controlled trial of acid and bile reflux esophagitis prevention by modified fundoplication of the excluded stomach in one-anastomosis gastric bypass: 1-year results of the fundoring trial. Obes Surg. 2023;33(7):1974–1983. doi: 10.1007/s11695-023-06618-y

版权所有 © Eco-Vector, 2024


 


##common.cookie##