Sleeve gastrectomy versus mini-gastric bypass and their effects on type II diabetes mellitus and weight loss outcome

Abstract

Bariatric surgeries such as sleeve gastrectomy; mini-gastric bypass surgery are successful weight reduction surgeries which significantly impact metabolic syndrome. The purpose of this research was to assess the impact of laparoscopy gastrectomy and mini-gastric bypasses on weight decrease and diabetes remission of diabetic mellitus type 2 through two years of monitoring. Furthermore, this study looked at the difference between the two procedures regarding their efficacy and identify which one is proper for patients according to their comorbidities. A prospective study was held in Al Sadder Medical City and Al-Gadeer private hospitals in Al-Najaf city, Iraq, from January 2016 to February 2018. The study included 35 obese and morbidly obese patients with a known history of diabetes mellitus type 2, diagnosed from at least two years before surgery. 15 patients undergo uneventful laparoscopic sleeve gastrectomy (6 females and 9 males). 20 patients underwent uneventful laparoscopic gastric mini bypass surgery (6 females and 14 males). In addition, the patients were followed in the short-term postoperatively (3, 6, 12, 24 months) by monitoring their BMI, weight loss, and HbA1c. There was a decrease in BMI of about 45% from the baseline BMI in sleeve gastrectomy surgery and a decrease in HbA1c of about 45%, less than 6%. In gastric mini-bypass surgery, there was a decrease in BMI of about 47% from the baseline BMI and a decrease in HbA1c of about 45% from the baseline less than 6%, during a 24-month monitoring. Both surgeries were fruitful and had efficient results on patients, but the gastric mini bypass was more efficient than sleeve gastrectomy in controlling and remission of DM type 2 without the need for medications. A long-term study should be performed to reveal their effect and benefits to the patients.

Comparative Impact of Sleeve Gastrectomy and One Anastomosis Gastric Bypass on Glycemic Control and Abdominal Adiposity:ARandomized Controlled Study

“…Other previous studies, such as those of Wang et al [33], Magouliotis [34], Akool et al [35], and Quan et al [36], also emphasized the better OAGB effect on DM. In a recent meta-analysis study by Ding et al [37], where four RCTs including more than 200 patients were analyzed, OAGB showed a distinctively higher DM remission rate than SG, with a signi cant reduction in HbA1c levels despite comparable EBMIL% at the short-term follow-up.…”

Safety and efficacy of Mini- Gastric Bypass surgery: A systematic review study

“…The resolution of hypertension with MGB is 87.5%(Musella et al, 2014).Laparoscopic mini gastric bypass is effective, safe, and reversible procedure and is associated with minor complications, mortality rates, and high excess weight loss. MGB is an excellent alternative to RYGB for treating diabetic obese patients(Akool et al, 2021). The OAGB/MGB technique simplifies bariatric surgery with lower complications and mortality.…”