BACKGROUND: A need exists to select the most appropriate bariatric operation for a particular patient. One-year data comparing sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (BPD/DS) are sparse. METHODS: The Bariatric Outcomes Longitudinal Database was queried from June 2007 to September 2011 for 30-day and 1-year adverse events, and 1-year weight loss and comorbidity resolution. Propensity scores with inverse probability weighting were used to match for age, gender, body mass index (BMI), ethnicity, and select comorbidities. Multivariate linear and logistic regressions estimated differences and odds ratios (ORs), respectively, for each pairwise bariatric operation comparison. RESULTS: Among 73,702 subjects, 5942 patients underwent SG, 66,324 patients underwent RYGB, and 1436 patients underwent BPD/DS. Compared with SG, decrease in BMI units was greater by 5.3 for BPD/DS and by 2.2 U for RYGB at 1 year. Resolution of gastroesophageal reflux disease (GERD) was best for RYGB (OR = 1.88, 95% confidence interval [CI]: 1.73-2.03) and still good for BPD/DS (OR = 1.57, 95% CI: 1.29-1.90). Hypertension and diabetes mellitus (DM) resolution were better after BPD/DS (OR = 2.12, 95% CI: 1.83-1.64, and OR = 2.53, 95% CI: 2.13-3.00, respectively) and for RYGB were (OR = 1.54, 95% CI: 44-1.64 and OR = 1.63, 95% CI: 1.51-1.75, respectively). Odds of serious adverse events at 1 year were: RYGB, OR = 1.70, 95% CI: 1.45-2.00; BPD/DS, OR = 4.31, 95% CI: 3.06-6.07. CONCLUSIONS: Using SG as reference, RYGB was associated with highest resolution of GERD, whereas BPD/DS was associated with highest resolution of DM and hypertension. These findings can guide decision making regarding choice of bariatric operation.
BACKGROUND: A need exists to select the most appropriate bariatric operation for a particular patient. One-year data comparing sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (BPD/DS) are sparse. METHODS: The Bariatric Outcomes Longitudinal Database was queried from June 2007 to September 2011 for 30-day and 1-year adverse events, and 1-year weight loss and comorbidity resolution. Propensity scores with inverse probability weighting were used to match for age, gender, body mass index (BMI), ethnicity, and select comorbidities. Multivariate linear and logistic regressions estimated differences and odds ratios (ORs), respectively, for each pairwise bariatric operation comparison. RESULTS: Among 73,702 subjects, 5942 patients underwent SG, 66,324 patients underwent RYGB, and 1436 patients underwent BPD/DS. Compared with SG, decrease in BMI units was greater by 5.3 for BPD/DS and by 2.2 U for RYGB at 1 year. Resolution of gastroesophageal reflux disease (GERD) was best for RYGB (OR = 1.88, 95% confidence interval [CI]: 1.73-2.03) and still good for BPD/DS (OR = 1.57, 95% CI: 1.29-1.90). Hypertension and diabetes mellitus (DM) resolution were better after BPD/DS (OR = 2.12, 95% CI: 1.83-1.64, and OR = 2.53, 95% CI: 2.13-3.00, respectively) and for RYGB were (OR = 1.54, 95% CI: 44-1.64 and OR = 1.63, 95% CI: 1.51-1.75, respectively). Odds of serious adverse events at 1 year were: RYGB, OR = 1.70, 95% CI: 1.45-2.00; BPD/DS, OR = 4.31, 95% CI: 3.06-6.07. CONCLUSIONS: Using SG as reference, RYGB was associated with highest resolution of GERD, whereas BPD/DS was associated with highest resolution of DM and hypertension. These findings can guide decision making regarding choice of bariatric operation.
Authors: Guilherme S Mazzini; Jad Khoraki; Matthew G Browning; Bernardo M Pessoa; Luke G Wolfe; Guilherme M Campos Journal: Obes Surg Date: 2020-03 Impact factor: 4.129
Authors: Nicola Di Lorenzo; Stavros A Antoniou; Rachel L Batterham; Luca Busetto; Daniela Godoroja; Angelo Iossa; Francesco M Carrano; Ferdinando Agresta; Isaias Alarçon; Carmil Azran; Nicole Bouvy; Carmen Balaguè Ponz; Maura Buza; Catalin Copaescu; Maurizio De Luca; Dror Dicker; Angelo Di Vincenzo; Daniel M Felsenreich; Nader K Francis; Martin Fried; Berta Gonzalo Prats; David Goitein; Jason C G Halford; Jitka Herlesova; Marina Kalogridaki; Hans Ket; Salvador Morales-Conde; Giacomo Piatto; Gerhard Prager; Suzanne Pruijssers; Andrea Pucci; Shlomi Rayman; Eugenia Romano; Sergi Sanchez-Cordero; Ramon Vilallonga; Gianfranco Silecchia Journal: Surg Endosc Date: 2020-04-23 Impact factor: 4.584
Authors: Michelle Campbell; Eliza A Conaty; Mikhail Attaar; Hoover Wu; Harry J Wong; Kristine Kuchta; Stephen P Haggerty; Woody Denham; John G Linn; Zeeshan Butt; Michael B Ujiki Journal: Surg Endosc Date: 2022-02-07 Impact factor: 3.453
Authors: Yijin Zheng; Jianping Liang; Ding Zeng; Weiqing Tan; Lun Yang; Shuang Lu; Wanwen Yao; Yi Yang; Li Liu Journal: Front Public Health Date: 2022-08-17