We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress hp
Sign In
Advertise with Us
ARAB HEALTH - INFORMA

Download Mobile App




Gastric Bypass and Sleeve Gastrectomy Equally Effective

By HospiMedica International staff writers
Posted on 30 Jan 2018
Print article
Image: The four common types of bariatric surgery (Photo courtesy of the NIH).
Image: The four common types of bariatric surgery (Photo courtesy of the NIH).
A new study concludes that in the morbidly obese, there is no significant difference in excess body mass index (BMI) loss between sleeve gastrectomy and Roux-en-Y gastric bypass (RYGBP).

Researchers at University Hospital Basel (Switzerland), St. Claraspital (Basel, Switzerland), and other institutions conducted a randomized, two-group trial between January 2007 and November 2011 involving 217 patients (average age 45.5 years, 72% women) who randomly assigned to sleeve gastrectomy (107 patients) or RYGBP (110 patients) in order to compare the two procedures in terms of weight loss, changes in comorbidities, increase in quality of life, and adverse events.

The results revealed that in terms of weight loss, both laparoscopic procedures led to similar results at five-year follow-up. Patients lost 68% of their excess weight after a gastric bypass, and 61% after a sleeve gastrectomy, with BMI falling from 44 to 32 for both. Patients with existing gastric acid reflux benefited more from RYGBP, with symptoms eliminated in 60%, compared to just 25% following sleeve gastrectomy. Associated diseases such as hypertension, diabetes, back/joint pain and depression were also improved, as well as general quality of life. The study was published on January 16, 2018, in JAMA.

“We have always paid attention to gastroesophageal reflux (GERD) when advising patients as to which operation they should get, but 31.8% of the people who received the sleeve procedure saw their acid reflux symptoms increase, compared to just 6.3% of those getting the older bypass procedure,” said lead author Ralph Peterli, MD, of St Claraspital. “As a result of the study, we tell them that every third patient not suffering from GERD before surgery may end up experiencing some degree of it in the long run.”

Bariatric surgery is achieved by reducing the size of the stomach with an implanted medical device such as a gastric band (GB), through removal of a portion of the stomach via a vertical sleeve gastrectomy or through a biliopancreatic diversion with duodenal switch (BPD-DS), or by resecting and re-routing the small intestines to a small stomach pouch (RYGBP). In the United States there is a much greater increase in GB than RYGBP, probably due to the preconception that GB is a "simple and safer" procedure.

Related Links:
University Hospital Basel
St. Claraspital
Gold Member
POC Blood Gas Analyzer
Stat Profile Prime Plus
Gold Member
SARS‑CoV‑2/Flu A/Flu B/RSV Sample-To-Answer Test
SARS‑CoV‑2/Flu A/Flu B/RSV Cartridge (CE-IVD)
New
Ultrasonic Cleaner
Cole-Parmer Ultrasonic Cleaner with Digital Timer
New
Electric Cast Saw
CC4 System

Print article

Channels

Patient Care

view channel
Image: The portable biosensor platform uses printed electrochemical sensors for the rapid, selective detection of Staphylococcus aureus (Photo courtesy of AIMPLAS)

Portable Biosensor Platform to Reduce Hospital-Acquired Infections

Approximately 4 million patients in the European Union acquire healthcare-associated infections (HAIs) or nosocomial infections each year, with around 37,000 deaths directly resulting from these infections,... Read more

Health IT

view channel
Image: First ever institution-specific model provides significant performance advantage over current population-derived models (Photo courtesy of Mount Sinai)

Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients

Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more

Point of Care

view channel
Image: The acoustic pipette uses sound waves to test for biomarkers in blood (Photo courtesy of Patrick Campbell/CU Boulder)

Handheld, Sound-Based Diagnostic System Delivers Bedside Blood Test Results in An Hour

Patients who go to a doctor for a blood test often have to contend with a needle and syringe, followed by a long wait—sometimes hours or even days—for lab results. Scientists have been working hard to... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.