Long-term Safety and Efficacy of Closure of Mesenteric Defects in Laparoscopic Gastric Bypass Surgery: A Randomized Clinical Trial.

ABSTRACT:

Importance

Short-term and midterm data suggest that mesenteric defects closure during laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery reduces the risk of internal herniation with small bowel obstruction (SBO) but may increase risk of kinking of the jejunojejunostomy in the early postoperative period. However, to our knowledge, there are no clinical trials reporting long-term results from this intervention in terms of risk for SBO or opioid use.

Objective

To evaluate long-term safety and efficacy outcomes of closure of mesenteric defects during LRYGB.

Design, setting, and participants

This randomized clinical trial with a 2-arm, parallel, open-label design included patients with severe obesity scheduled for LRYGB bariatric surgery at 12 centers in Sweden from May

SUBMITTER: Stenberg E 

PROVIDER: S-EPMC10173104 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature