Dumping Syndrome After One Anastomosis Gastric Bypass-A Systematic Review.

Christine Stier, Mohammad Kermansaravi, Chetan Parmar, Sonja Chiappetta, Masoumeh Shahsavan, Bassem Amr

Journal: Obesity surgery 2025;35(6):2310-2320

PMID: 40244364

Abstract

One anastomosis gastric bypass (OAGB) is now the third most common metabolic and bariatric surgery around the world, but the impact of different long-term complications such as dumping syndrome (DS) need still to be addressed. This study aims to the incidence of DS after OAGB through a systematic review of published papers on PubMed, and Scopus. Finally, 17 studies included 3420 patients were included. The mean postoperative follow-up was 11.91 ± 1.5 months. The incidence of DS was reported between 9 to 42.9% and 0.5% to 27.8% in studies using the Sigstad dumping score and patients' self-reported DS, respectively. Treatment of DS after OAGB included mainly dietary changes and medications. Up to date, DS seems to be a rare long-term complication after OAGB and revisional/conversional interventions might not be needed. Further time is necessary to reach out about the consequences of OAGB in the future.

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Address: Department of Surgery, Division of Minimally Invasive and Bariatric Surgery, Hazrat-e Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. [email protected].; Center of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat_e Rasool Hospital, Tehran, Iran. [email protected].; Department of Surgery, Division of Minimally Invasive and Bariatric Surgery, Hazrat-e Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.; University Hospital North Durham, County Durham and Darlington NHS Foundation Trust, Darlington, UK. [email protected].; Obesity Center NRW, Sana Hospitals Germany, Huerth, Germany.; Whittington Hospital, London, UK.; Ospedale Evangelico Betania, Naples, Italy.

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