To Örebro University

oru.seÖrebro University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
The effect of routine division of the greater omentum on small bowel obstruction after Roux-en-Y gastric bypass
Department of Surgery, Faculty of Health and Medicine, Örebro University, Örebro, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Surgery.
Department of Surgery, Faculty of Health and Medicine, Örebro University, Örebro, Sweden.
Division of Surgery, Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Show others and affiliations
2023 (English)In: Surgery for Obesity and Related Diseases, ISSN 1550-7289, E-ISSN 1878-7533, Vol. 19, no 3, p. 178-183Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: It remains unknown whether routine division of the greater omentum during laparoscopic Roux-en-Y gastric bypass (LRYGB) influences the risk for small bowel obstruction (SBO) after RYGB.

OBJECTIVE: To evaluate the effect of omental division on SBO after LRYGB stratified by handling of the mesenteric defects.

SETTING: Nationwide, registry-based.

METHODS: In this registry-based cohort study, 40,517 patients who underwent LRYGB in Sweden within the period from January 1, 2007, to December 31, 2019, with data from the Scandinavian Obesity Surgery Registry (SOReg) were included. The study was based on combined data from the SOReg, the National Patient Register, the Swedish Prescribed Drugs Register, and the Total Population Registry. The main outcome was reoperation for SBO.

RESULTS: During a follow-up period of 5.9 ± 2.6 years, the cumulative incidence of SBO was 11.2% in the nondivision group compared with 9.7% among patients with divided omentum (hazard ratio [HR] = .83, 95% confidence interval [CI]: .77-.89, P < .001). The association was seen in patients without mesenteric defects closure (HR = .69, 95% CI: .61-.78, P < .001) as well as patients with closed mesenteric defects (HR = .80, 95% CI: .74-.87, P < .001).

CONCLUSION: Division of the greater omentum is associated with reduced risk for SBO after antecolic, antegastric LRYGB and should be considered as a complement to mesenteric defects closure to further reduce the risk for SBO after LRYGB.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 19, no 3, p. 178-183
Keywords [en]
Bariatric surgery, Obesity, Omentum, Postoperative complication, Small bowel obstruction
National Category
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-101751DOI: 10.1016/j.soard.2022.09.006ISI: 000948542800001PubMedID: 36207233Scopus ID: 2-s2.0-85139302847OAI: oai:DiVA.org:oru-101751DiVA, id: diva2:1702981
Funder
Stockholm County Council
Note

Funding agencies:

Örebro County Council OLL-939106

Strategic Research Programme in Diabetes

Available from: 2022-10-12 Created: 2022-10-12 Last updated: 2023-03-30Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Ottosson, JohanStenberg, Erik

Search in DiVA

By author/editor
Ottosson, JohanStenberg, Erik
By organisation
School of Medical SciencesÖrebro University Hospital
In the same journal
Surgery for Obesity and Related Diseases
Surgery

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 39 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf