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©The Author(s) 2025.
World J Gastrointest Surg. Jul 27, 2025; 17(7): 107092
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.107092
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.107092
Table 1 Patient demographics
OAGB, n = 385 | |
Age (mean), years | 41 (17-70) |
Female gender, n (%) | 264 (69.0) |
BMI (mean) | 43 (26-70) |
Previous bariatric surgery, n (%) | 87 (22.6) |
Previous LAGB | 44 (50.6) |
Previous sleeve | 43 (49.4) |
Smoking, n (%) | 77 (20.0) |
Diabetes, n (%) | 68 (17.7) |
Hypertension, n (%) | 83 (21.6) |
Hyperlipidemia, n (%) | 113 (29.4) |
Fatty liver, n (%) | 290 (75.3) |
Table 2 Abnormal upper gastrointestinal swallow studies
Patient | Diagnosis on UGI | Clinical signs | Work-up | Outcome |
1 (Figure 1) | Slow passage | None | Repeat UGI swallow study on POD 2 showed normal passage | Discharge on POD 3 |
2 (Figure 2A) | Suspected anastomotic leak | None | Immediate CT scan without any pathology | Discharge on POD 3 |
3 (Figure 2B) | Slow passage | Nausea | Repeat UGI and endoscopy on same day showed normal passage | Discharge on POD 4 |
4 (Figure 2C) | Slow passage | None | None | Discharge on POD 3 |
Table 3 Clinical data of patients presenting with anastomotic leaks
POD at presentation | Symptoms | WBC count (5 × 103) | UGI swallow | CT | Treatment | Outcome | |
Leak 1 | 2 | Epigastric pain radiating to back; Foul discharge in drain | 17.0 | Negative | Not performed | Diagnostic laparoscopy, lavage, drain, intravenous antibiotics, TPN | Mortality |
Leak 2 | 4 | Epigastric and periumbilical pain; Foul discharge in drain | 14.2 | Negative | Not performed | Diagnostic laparoscopy, lavage, drain, intravenous antibiotics, TPN | Leak resolved; Discharge on POD 11 |
- Citation: Maden A, Kupietzky A, Zimand Y, Bar-Moshe Y, Dover R, Juster EY, Drayer Lichtman M, Grinbaum R, Mazeh H, Mizrahi I. Utility of routine postoperative upper gastrointestinal swallow studies following laparoscopic one anastomosis gastric bypass. World J Gastrointest Surg 2025; 17(7): 107092
- URL: https://www.wjgnet.com/1948-9366/full/v17/i7/107092.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v17.i7.107092