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Marginal Ulcers After One Anastomosis (Mini) Gastric Bypass: a Survey of Surgeons by K. K. Mahawar; A. N. Reed; Y. N. H. Graham is a Medicine article available to read on EtoBox.

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## Summary Many surgeons believe that one anastomosis (mini) gastric bypass (OAGB/MGB) is associated with a high marginal ulcer (MU) rate and that this is associated with complications in a significant number of patients. The purpose of this survey was to find out the participant‐reported incidence of MU after OAGB/MGB and its complications. We also aimed to understand practices in this cohort concerning prophylaxis, diagnosis, treatment and management of complications. Bariatric surgeons who perform OAGB/MGB procedures were invited to participate in a confidential, online survey using SurveyMonkey®. A total of 86 surgeons performing OAGB/MGB procedures participated in the survey. The total number of OAGB/MGB procedures reported was 27 672, revealing 622 MU, giving an MU rate of 2.24 %. Most participants (69/84, 82.4%) routinely use proton pump inhibitor (PPI) prophylaxis, but there was variation in drugs, dosages and duration. The majority (49/85, 57.6%) of participants ‘always’ use endoscopy for diagnosis, and 48.1% (39/81) ‘always’ perform an endoscopy to ensure healing. Most (49/55) perforated ulcers were treated with laparoscopic repair +/− omentoplasty +/− drainage. Most (55/

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Author

K. K. Mahawar; A. N. Reed; Y. N. H. Graham

Publisher

Wiley

Published

2017

Language

EN

Field

Medicine (Health Sciences)