Efficacy of Bariatric Surgery in Type 2 Diabetes Mellitus Remission: the Role of Mini Gastric Bypass/One Anastomosis Gastric Bypass and Sleeve Gastrectomy at 1 Year of Follow-up. A European survey

Musella, Mario; Apers, Jan A.; Rheinwalt, Karl Peter; Ribeiro, Rui; Manno, Emilio; Greco, Francesco; Cierny, M; Milone, Marco; Stefano, Carla Di; Guler, Sahin; Lessen, Isa Mareike Van; Guerra, Anabela; Maglio, Mauro; Bonfanti, Riccardo; Novotna, Radoslava; Coretti, Guido; Piazza, Luigi

doi:10.1007/s11695-015-1865-6

Cited by 94 publications

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References 46 publications

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“…Primary OAGB is effective in weight loss and remission of T2DM and superior to RYGB in this respect, while being associated with a shorter operating time and slightly less post-operative complications [35]. As a primary procedure when compared to RYGB, percentage excess weight loss (EWL) five years post-surgery of OAGB has been reported as 72.9% vs. 60.1% with a complication rate of 3.2% vs. 1.8% [36][37][38][39][40][41]. The prevalence of gastric ulcers between OAGB and RYGB is similar [42][43][44].…”

Section: Introductionmentioning

confidence: 99%

One anastomosis gastric bypass vs. Roux-en-Y gastric bypass, remedy for insufficient weight loss and weight regain after failed restrictive bariatric surgery

et al. 2020

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Background Failure occurs in up to 60% of the patients that were treated with primary restrictive bariatric operations such as Laparoscopic Adjustable Gastric Banding (LAGB), or restrictive/metabolic operations like Laparoscopic Sleeve Gastrectomy (LSG). Insufficient weight loss and weight regain are the most commonly reported reasons of failure. The aim of this retrospective multicenter study was to compare One Anastomosis Gastric Bypass (OAGB) to Roux-en-Y Gastric Bypass (RYGB) as a revisional procedure in terms of weight loss, procedure time, complication rate and morbidity. Methods 491 patients operated on between 2012 and 2017 for failed restrictive surgery were included in this study (OAGB (n=185) or RYGB (n=306)). Failure was defined as total weight loss (TWL) less than 25%, excess weight loss (EWL) less than 50% and/or a remaining body mass index (BMI) larger than 40 kg/m2 at two years of follow up. Primary outcome measures were %TWL and % excess BMI loss (EBMIL) at 12, 24 and 36 months of follow-up. Secondary outcomes were procedure time, reduction of comorbidity, early and late complication rate, and mortality. Results %TWL was significantly larger in the OAGB group at 12 months (mean 24.1±9.8 vs. 21.9±9.7, p = 0.023) and 24 months (mean 23.9±11.7 vs. 20.5±11.2, p = 0.023) of follow-up. %EBMIL was significantly larger in the OAGB group at 12 months (mean 69.0±44.6 vs. 60.0±30.1, p = 0.014) and 24 months (mean 68.6±51.6 vs. 56.4±35.4, p = 0.025) of follow-up. Intraabdominal complications (leakage, bleeding, intra-abdominal abscess and perforation) occurred less frequently after revisional OAGB (1.1% vs. 4.9%, p = 0.025). Surgical intervention for biliary reflux (5.4% vs. 0.3%, p < 0.001) was more prevalent in the OAGB group. Surgical intervention for internal herniation (0.0% vs. 4.9%, p = 0.002) was more prevalent in the RYGB group. Conclusions This study suggests that OAGB is superior to RYGB as a remedy for insufficient weight loss and weight regain after failed restrictive surgery with more weight loss and a lower early complication rate. To substantiate these findings, further research from prospective randomized controlled trials is needed.

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Section: Introductionmentioning

confidence: 99%

One anastomosis gastric bypass vs. Roux-en-Y gastric bypass, remedy for insufficient weight loss and weight regain after failed restrictive bariatric surgery

et al. 2020

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“…The patients who qualified for SG had a mean preopera- [24][25][26][27][28] Earlier studies have shown a marked improvement and normalization of parameters assessing diabetes control following bariatric treatment. 29,30 The present study assessed only SG and RYGB in this respect, because LAGB was used in only 1 patient with type 2 diabetes. A statistically significant reduction (p < 0.001) in insulin and HbA1c levels was noted at the 6-month follow-up.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of bariatric procedures based on selected laboratory parameters of patients from rural areas in Polish population

et al. 2017

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Background. Rural areas in Poland are inhabited by over 15 million people, i.e. 39.5% of Polish population, including about 5 million rural residents in the Podlaskie province. The incidence of obesity is associated with increased prevalence of obesity-related conditions. Studies that have been conducted do not confirm the efficacy of conservative treatment of obesity, but show that bariatric procedures produce the best longterm results.

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“…Diabetes has resolved in 70-94% [22,60,61]. Kular found in diabetic patients with BMI <35 that HbA1c at 7 years after MGB was 5.7±1.8% [62]; earlier intervention resulted in higher remission rates.…”

Section: Comparison With Other Bariatric Operationsmentioning

confidence: 99%

Mini-Gastric Bypass for Bariatric Surgery Increasing Worldwide

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2016

Austin J Surg

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Efficacy of Bariatric Surgery in Type 2 Diabetes Mellitus Remission: the Role of Mini Gastric Bypass/One Anastomosis Gastric Bypass and Sleeve Gastrectomy at 1 Year of Follow-up. A European survey

Cited by 94 publications

References 46 publications

One anastomosis gastric bypass vs. Roux-en-Y gastric bypass, remedy for insufficient weight loss and weight regain after failed restrictive bariatric surgery

One anastomosis gastric bypass vs. Roux-en-Y gastric bypass, remedy for insufficient weight loss and weight regain after failed restrictive bariatric surgery

Effectiveness of bariatric procedures based on selected laboratory parameters of patients from rural areas in Polish population

Mini-Gastric Bypass for Bariatric Surgery Increasing Worldwide

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