Banded Sleeve Gastrectomy and One Anastomosis Gastric Bypass/Mini-gastric Bypass for Treatment of Obesity: a Retrospective Cohort Comparative Study with 6 years follow-up

Salvi, Prashant; Kosta, Susmit; Fobi, Mathias; Bhandari, Mahak; Reddy, Manoj; Gusani, Rajat; Khurana, Manoj; Benamro, Faraj; Mathur, Winni; Bhandari, Mohit

doi:10.1007/s11695-019-04369-3

Cited by 10 publications

(9 citation statements)

References 26 publications

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“…Our results follow the findings in the literature [15]. According to Salvi et al [10], faster weight loss was reported in the first year after OAGB than after SG. Six years after surgery, weight loss was higher in the OAGB group than in the SG group (84% vs. 75.5%).…”

Section: Bmi-reduction and %Ewlsupporting

confidence: 92%

“…OAGB has shown positive results in many studies compared to other bariatric procedures in treating obesity-related diseases, such as T2D, hypertension, reflux, and sleep apnea [10]. Despite the advantages of this procedure and according to the recommendations of various clinical studies, there are many limitations in the use of this surgical method, so other surgical processes should be considered as alternatives.…”

Section: Discussionmentioning

confidence: 99%

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Effects of sleeve gastrectomy versus omega-loop gastric bypass. What is best for weight loss, perioperative adverse events, and comorbidities?

Thaher¹,

Driouch²,

Hukauf³

2021

World J. Adv. Res. Rev.

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Aim of the study: This study investigated whether Sleeve Gastrectomy (SG) or Omega-Loop-Gastric-Bypass (OAGB) has the best benefit in weight loss, perioperative risk, and remission of comorbidities. Methods: 29,407 patients after SG and OAGB were included in the German Bariatric Surgery Registry (GBSR). Outcome criteria were perioperative morbidity, perioperative complications, and remission of comorbidities after one year of follow-up. Results: 15,169 patients had completed 1-year follow-up (770 patients after OAGB and 14,399 after SG). The %EWL was higher for OAGB than for SG (70.4 ± 18.5 for OAGB and 62.4 ± 22.6 for SG; p<0.001). BMI reduction was also a significant difference in favor of OAGB (17.5 ± 5.6 kg/m2 for OAGB vs. 15.5 ± 5.9 for SG; p<0.001). There was no significant difference between the two groups in perioperative complications (p<5%). Significant differences in favor of OAGB were found in remission of hypertension (p<0.001), IDDM (p<0.001), NIDDM (p<0.001), reflux (p<0.001), and sleep apnea (p<0.001). Conclusion: Our analysis showed that OAGB surgery was associated with more significant BMI reduction and weight loss one year after surgery. In addition, OAGB surgery was significantly more effective in improving obesity-related comorbidities. Our results support the performance of OAGB over SG in patients with obesity and comorbidities. However, the contraindications and general condition of the patient should be considered in the context of this.

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Section: Bmi-reduction and %Ewlsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Effects of sleeve gastrectomy versus omega-loop gastric bypass. What is best for weight loss, perioperative adverse events, and comorbidities?

Thaher¹,

Driouch²,

Hukauf³

2021

World J. Adv. Res. Rev.

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“…However, the weight loss in the 6th year was slightly higher in the LSG group, and no significant differences were found between the groups. [ 10 ] In a study comparing the 1st year outcomes in France, the EWL% was 71.4 ± 19.0 in the LSG group and 79.3 ± 17.8% in the MGB group at the end of the 1-year period. The TWL% was 34.3 ± 8.4 in the LSG group and 38.2 ± 8.4 in the MGB group.…”

Section: Discussionmentioning

confidence: 99%

“…In a study comparing LSG and LOAGB techniques, the serum levels of triglyceride, LDL, and HDL were similar in all follow-ups and the lipid levels were found to have improved significantly. [ 10 ] In another study comparing LSG and LOAGB, there was no difference in the preoperative lipid levels, whereas the variance of the 3rd month in the MGB group was greater than that in the LSG group. No significant differences were found in terms of the TG, LDL, and HDL levels measured in the 6th and 12th months.…”

Section: Discussionmentioning

confidence: 99%

“…[ 21 ] There is also a study indicating a significantly higher rate of Dumping syndrome in LOAGB (10.0%) than in LSG. [ 10 ] While a study has shown a higher rate of leak in LSG than in LOAGB, [ 12 ] another study has shown that there is no significant difference between the 2 techniques in terms of the leak incidence rate. [ 11 ] In a study of 1107 patients that compared the occurrence of complications, the incidence rate of bile reflux was the highest in MGB at 0.4%, whereas the incidence rate of Dumping syndrome was the highest in the LRYGB at 2.7%, followed by 5.9% in LOAGB and 0.0% in LSG.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of short- and long-term outcomes of bariatric surgery methods: A retrospective study

et al. 2022

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The present study is intended to retrospectively compare the short-and long-term outcomes of 3 different treatment methods in patients undergoing bariatric surgery and the variances in weight and nutritional parameters during the preoperative and postoperative periods. In this study, 534 patients who underwent laparoscopic sleeve gastrectomy (LSG), laparoscopic Roux-En-Y gastric bypass (LRYGB), and laparoscopic one anastomosis gastric bypass (LOAGB) between 2014 and 2021 were included. The sociodemographic and biodemographic characteristics of these patients, their weight losses and nutritional changes in the preoperative and postoperative periods, operative times, hospital stays, complications, and morbidity and mortality rates were retrospectively compared. There was a statistically significant difference between the surgical methods in the percentages of excess weight loss and total weight loss in the 1st and 3rd months. There were significant differences in the homeostasis model assessment of insulin resistance, folic acid, vitamin D, iron, ferritin, and parathyroid hormone levels (P < .05). All 3 techniques were found to be successful in facilitating weight loss at the end of the first year. LRYGB and LOAGB were found to be superior to LSG in terms of remission from diabetes during the first 6 months, whereas LSG was superior to the other methods in terms of nutritional deficiencies. Despite being more advantageous in terms of operative time, LSG and LOAGB were disadvantageous compared with the LRYGB technique because of the higher rates of leakage and mortality in the LSG technique and the higher rate of bile reflux in the LOAGB technique.

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Laparoscopic One Anastomosis Gastric Bypass (OAGB)/Mini Gastric Bypass (MGB): Co-morbidity Outcomes

Parmar

McCluney

2021

Obesity, Bariatric and Metabolic Surgery

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Banded Sleeve Gastrectomy and One Anastomosis Gastric Bypass/Mini-gastric Bypass for Treatment of Obesity: a Retrospective Cohort Comparative Study with 6 years follow-up

Cited by 10 publications

References 26 publications

Effects of sleeve gastrectomy versus omega-loop gastric bypass. What is best for weight loss, perioperative adverse events, and comorbidities?

Effects of sleeve gastrectomy versus omega-loop gastric bypass. What is best for weight loss, perioperative adverse events, and comorbidities?

Comparison of short- and long-term outcomes of bariatric surgery methods: A retrospective study

Laparoscopic One Anastomosis Gastric Bypass (OAGB)/Mini Gastric Bypass (MGB): Co-morbidity Outcomes

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