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Roux-En-Y Gastric Bypass Vs. Sleeve Gastrectomy: Balancing the Risks of Surgery with the Benefits of Weight Loss.
Lager, Corey J; Esfandiari, Nazanene H; Subauste, Angela R; Kraftson, Andrew T; Brown, Morton B; Cassidy, Ruth B; Nay, Catherine K; Lockwood, Amy L; Varban, Oliver A; Oral, Elif A.
Afiliação
  • Lager CJ; Department of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes (MEND), University of Michigan, 1000 Wall Street, Ann Arbor, MI, USA.
  • Esfandiari NH; Department of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes (MEND), University of Michigan, 1000 Wall Street, Ann Arbor, MI, USA.
  • Subauste AR; Division of Endocrinology, University of Mississipi, Jackson, MS, USA.
  • Kraftson AT; Department of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes (MEND), University of Michigan, 1000 Wall Street, Ann Arbor, MI, USA.
  • Brown MB; Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, 48109, MI, USA.
  • Cassidy RB; Division of Minimally Invasive Surgery, Department of Surgery, University of Michigan, Ann Arbor, 48109, MI, USA.
  • Nay CK; Department of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes (MEND), University of Michigan, 1000 Wall Street, Ann Arbor, MI, USA.
  • Lockwood AL; Division of Minimally Invasive Surgery, Department of Surgery, University of Michigan, Ann Arbor, 48109, MI, USA.
  • Varban OA; Department of Internal Medicine, Division of Metabolism, Endocrinology and Diabetes (MEND), University of Michigan, 1000 Wall Street, Ann Arbor, MI, USA.
  • Oral EA; Division of Minimally Invasive Surgery, Department of Surgery, University of Michigan, Ann Arbor, 48109, MI, USA.
Obes Surg ; 27(1): 154-161, 2017 01.
Article em En | MEDLINE | ID: mdl-27342739
BACKGROUND: The purpose of the study was to compare weight loss, metabolic parameters, and postoperative complications in patients undergoing Roux-en-Y gastric bypass (GB) and sleeve gastrectomy (SG). METHODS: We retrospectively studied 30-day postoperative complications as well as change in weight, blood pressure, cholesterol, hemoglobin, hemoglobin A1C, and creatinine from baseline to 2, 6, 12, and 24 months postoperatively in 383 patients undergoing GB and 336 patients undergoing SG at the University of Michigan from January 2008 to November 2013. For a study population which typically has high attrition rates, there were excellent follow-up rates (706/719 at 2 months, 566/719 at 6 months, 519/719 at 12 months, and 382/719 at 24 months). RESULTS: Baseline characteristics were similar in both groups except for higher weight and BMI in the SG group. The GB group experienced greater total body weight loss at 6, 12, and 24 months (41.9 vs. 34.6 kg at 24 months, p < 0.0001). Excess weight loss was 69.7 and 51.7 % following GB and SG respectively at 24 months (p < 0.0001). BP improved significantly in both groups. Surgical complication rates were greater after GB (10.1 vs. 3.5 %, p = 0.0007) with no significant difference in life-threatening or potentially life-threatening complications. CONCLUSIONS: Weight loss was greater following GB compared to SG at 2 years. The risk for surgical complications was greater following GB. Surgical intervention should be tailored to surgical risk, comorbidities, and desired weight loss.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Redução de Peso / Gastrectomia Idioma: En Ano de publicação: 2017 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Obesidade Mórbida / Derivação Gástrica / Redução de Peso / Gastrectomia Idioma: En Ano de publicação: 2017 Tipo de documento: Article