Economic Costs Associated with Laparoscopic Single Anastomosis Gastric Bypass vs Laparoscopic Roux-en-Y Gastric Bypass: Prospective Randomized Clinical Trial

Oria, Miguel J. Garcia; Rivera, José A.; Alvarez, Jesus; Artes, Mariano; Sánchez, Á. Tejido; Campos, R; Sánchez, Pau Plá; Gámez, Carmen Lucero León; Sanchez, Victor

doi:10.1016/j.jamcollsurg.2018.08.006

Cited by 1 publication

(4 citation statements)

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“…After bariatric surgery procedure, EWL (percentage) was similar between RYGB and SG at 1 month (4 studies, 254 patients, MD: 3.30, 95% CI: −0.80 to 7.40, I 2 : 33%, p = 0.12; Table 1, Figure 2A) (27,29,31,42) 2E) (27,31,42,43). 3B) (13,47,48,50). Two studies reported longer follow-up periods (47,48).…”

Section: Ewl Ewl (Percentage) Between Rygb and Sgmentioning

confidence: 92%

“…The risk of bias of included RCTs was determined using the Cochrane Collaboration's tool for assessing risk of bias and is reported in Supporting Information Table S6 (51). Two studies were classified as low risk (28,34), fifteen as unclear risk (18,26,29,(31)(32)(33)(36)(37)(38)(39)(40)(41)(42)46,47), and eight as high risk (13,27,30,(43)(44)(45)48,50).…”

Section: Quality Ranking Of Included Studiesmentioning

confidence: 99%

“…There were four monocentric studies (16,(47)(48)(49) and one multicentric study (18). All five studies assessed weight loss as their primary outcome (13,18,47,48,50) (Supporting Information Table S4).…”

Section: Characteristics Of Included Studies and Patientsmentioning

confidence: 99%

“…Abbreviations: EBMIL, excess BMI loss; EWL, excess weight loss; MD, mean difference; OAGB, one-anastomosis gastric bypass; RYGB, Roux-en-Y gastric bypass; SG, sleeve gastrectomy; TWL, total weight loss.However, EWL (percentage) was greater in patients who underwent RYGB than SG at 3 years (3 studies, 170 patients, MD: 11.93, 95% CI: 6.90 to 16.95, I 2 : 0%, p < 0.00001; Table1, Figure2F)(31,41,42) EWL (percentage) between RYGB and OAGB Four RCTs compared EWL (percentage) between RYGB and OAGB(13,47,48,50) at different time points, as reported on Supporting Information TableS9. Results at 1 month (48), 3 months (49), 9 months (50), 24 months (47), and 60 months (48) were reported cantly more important after OAGB than after RYGB (4 studies, 208 patients, MD: −10.82, 95% CI: −18.02 to −3.62, I 2 : 68%, p = 0.003;Table 1, Figure…”

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confidence: 99%

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Roux‐en‐Y gastric bypass, sleeve gastrectomy, or one‐anastomosis gastric bypass? A systematic review and meta‐analysis of randomized‐controlled trials

Uhe¹,

Douissard²,

Podetta³

et al. 2022

Obesity

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Objective This study aimed to determine which bariatric procedure allows patients to obtain the best weight‐loss outcomes and a remission of type 2 diabetes. Methods Databases were searched for randomized‐controlled trials comparing Roux‐en‐Y gastric bypass (RYGB) with sleeve gastrectomy (SG) or one‐anastomosis gastric bypass (OAGB). The mean difference (MD) or the relative risk was determined. Results Twenty‐five randomized‐controlled trials were analyzed. Excess weight loss (EWL, percentage) was greater for RYGB patients at 3 years (MD: 11.93, p < 0.00001) and 5 years (MD: 13.11, p = 0.0004). Higher excess BMI loss (percentage) was found in RYGB at 1 year (MD: 11.66, p = 0.01). Total weight loss (percentage) was greater for RYGB patients after 3 months (MD: 2.41, p = 0.02), 6 months (MD: 3.83, p < 0.00001), 1 year (MD: 6.35, p < 0.00001), and 5 years (MD: 3.90, p = 0.005). No difference in terms of remission of type 2 diabetes was seen between RYGB and SG. EWL was significantly more important after OAGB than after RYGB after 1 year (MD: −10.82, p = 0.003). Conclusions RYGB is more efficient than SG in the midterm. OAGB offers greater EWL than RYGB after 1 year, but further evidence is needed to confirm this result.

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