surgery-anesthesia-euro-gastro-congress-2018-keynote

2 / 9

N o v e m b e r 1 2 - 1 3 , 2 0 1 8 | R o m e , I t a l y
Note:
Page 15
Surgery and Anesthesia 2018 & Euro Gastro Congress 2018 Case Reports in Surgery and Invasive Procedures| Volume 2
&
GASTROENTEROLOGY
3rd International Conference on
SURGERY AND ANESTHESIA
International Conference on
Joint Event on
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Enas Al Alawi, Case Rep Surg Invasive Proced 2018, Volume 2
FEASIBILITY, SAFETY AND OPERATIVE
OUTCOMES OF LAPAROSCOPIC REVERSAL
OF OMEGA LOOP BYPASS SURGERY – A
SINGLE CENTRE RETROSPECTIVE STUDY
FROM DUBAI, UAE
Laparoscopic omega-loop bypass (OLB) is a well-accepted bariatric pro-
cedure to combat severe obesity and its related co morbidities. Reversal
of OLB (ROLB) to normal anatomy is a potential treatment of rare but severe
post OLB complications. This first laparoscopic ROLB experience from UAE
strengthens the available literature on indications, technique and outcomes.
Methods: Retrospective chart review of all patients who underwent laparo-
scopic ROLB from January 2014 to June 2017 at the Algarhoud private hos-
pital Dubai, UAE was done. Age, gender, weight, body mass index (BMI), bio-
chemical parameters, indications for reversal, and post ROLB complications
were reviewed.
Results: A total of 16 patients underwent laparoscopic ROLB to normal anato-
my. 62.5% of patients were females, age was 34.38±7.55 years (range, 23–56),
and pre-reversal BMI was 24.63±3.74 kg/m2 (range 18–34). The indications
for reversal were debilitating nausea & early satiety (n=11), severe and fre-
quent steatorrhoea (n=3), anastomotic ulcer (n=2) and Bile reflux & cosmetic
reason for excessive weight loss (n=1). The mean period of follow-up post
ROLB was 21.75±5.31 months (range 4 to 27). The mean BMI recorded at last
follow up was 29.89±2.83 kg/m2 (range, 23.34–34.04) which represented an
average cumulative weight gain of 13.81±4.79 kg’s from their reversal base-
line (63.43±11.09 kg’s; p=0.000), while weight loss of 30.69±13.03 kg’s from
their index OLB baseline (107.94±15.28 kg’s; p=0.000). Mean length of hospi-
tal stay following reversal was 2.0 days (range, 1–3). Of 16 patients, only one
patient had persistent nausea post reversal which recovered completely after
psychological counseling.
Conclusion: Laparoscopic ROLB to normal anatomy is feasible and safe thera-
peutic option for patients with intractable complications post OLB.
Biography
Enas Al Alawi is a laparoscopic & bariatric surgeon
currently working in Dubai, United Arab Emirates.
Graduated from the National University of Ireland
and fellowship from the royal college of surgeons
in Ireland. Completed surgical training in Ireland,
UK and USA. Alawi has a special interest in mini-
mal invasive laparoscopic and bariatric surgery as
well as clinical research and academic surgery.
Enas Al Alawi
Algarhoud Private Hospital, Unites Arab Emirates