LSG Vs MGB-OAGB-3 Year Follow-up Data: a Randomised Control Trial

Overview

Journal Obes Surg

Date 2018 Apr 22

PMID 29679336

Citations 29

Authors

S Shivakumar

Om Tantia

Ghanshyam Goyal

Tamonas Chaudhuri

Shashi Khanna

Anmol Ahuja

Anshuman Poddar

Kajari Majumdar

Affiliations

Soon will be listed here.

Abstract

Aim: The objective of this study is to compare 3-year follow-up results of one anastomosis gastric bypass (MGB-OAGB) and laparoscopic sleeve gastrectomy (LSG) in terms of weight loss, complications, resolution of comorbidities and quality of life.

Materials And Methods: A prospective randomised study of results between 100 LSG patients and 101 MGB-OAGB patients was done from 2012 to 2015. The results were compared regarding operative outcomes, percentage of excess weight loss (%EWL), complications, resolution of comorbidities and quality of life (BAROS score) at 3 years follow-up.

Results: Follow-up was achieved in 93 MGB-OAGB vs 92 LSG patients for 3-year period. The average %EWL for MGB-OAGB vs LSG was 66.48 vs 61.15% at the end of 3 years respectively, which was statistically insignificant. Diabetes remission was seen in 89.13% of MGB-OAGB patients and 81.82% of LSG patients. Remission of hypertension was seen in 74% of MGB-OAGB patients and 72.22% of LSG patients. Bariatric analysis reporting and outcome system (BAROS) with comorbidity in LSG patients and MGB-OAGB patients was 6.03 and 6.96 respectively, whereas in patients without comorbidity, BAROS score was 3.86 in LSG group and 4.34 in MGB-OAGB group.

Conclusions: In our study, at 36 months follow up, there was no significant difference between LSG and MGB-OAGB in %EWL and remission of HTN. Type 2 diabetes mellitus (T2DM) remission rates were higher after MGB-OAGB as compared to LSG but the difference was statistically insignificant. MGB-OAGB patients with comorbidities have a better quality of life and BAROS score compared to LSG patients.

Citing Articles

Efficacy of One Anastomosis Gastric Bypass Versus Sleeve Gastrectomy and Roux-en-Y Gastric Bypass for the Treatment of Type 2 Diabetes Mellitus: a Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Kermansaravi M, Chiappetta S, Kassir R, Bosco A, Giudicelli X, Lainas P Obes Surg. 2024; 34(12):4555-4562.

PMID: 39496986 DOI: 10.1007/s11695-024-07564-z.

Comparative effectiveness of metabolic and bariatric surgeries: a network meta-analysis.

Malik A, Malik M, Javaid S, Qureshi S, Nadir A Int J Obes (Lond). 2024; 49(1):54-62.

PMID: 39397157 DOI: 10.1038/s41366-024-01648-7.

Anemia rates after one-anastomosis gastric bypass versus sleeve gastrectomy: a retrospective cohort study.

Romano-Zelekha O, Keren D, Herskovitz Y, Vinograd A, Globus I, Keinan-Boker L Surg Today. 2024; .

PMID: 39382701 DOI: 10.1007/s00595-024-02946-3.

EFFICACY AND SAFETY OF ONE ANASTOMOSIS GASTRIC BYPASS IN SURGICAL TREATMENT OF OBESITY: SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS.

Onzi T, Junior W, Bastos E, Dantas A, Silva L, Oliveira Neto A Arq Bras Cir Dig. 2024; 37:e1814.

PMID: 39230117 PMC: 11363908. DOI: 10.1590/0102-6720202400021e1814.

LSG vs OAGB: 7-Year Follow-up Data of a Randomised Control Trial and Comparative Outcome Based on BAROS Score.

Jain M, Tantia O, Goyal G, Chaudhuri T, Khanna S, Majumdar K Obes Surg. 2024; 34(4):1295-1305.

PMID: 38427149 DOI: 10.1007/s11695-024-07114-7.

References

Wang W, Wei P, Lee Y, Huang M, Chiu C, Lee W . Short-term results of laparoscopic mini-gastric bypass. Obes Surg. 2005; 15(5):648-54. DOI: 10.1381/0960892053923752. View

Rutledge R, Walsh T . Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obes Surg. 2005; 15(9):1304-8. DOI: 10.1381/096089205774512663. View

Sanchez-Santos R, Masdevall C, Baltasar A, Martinez-Blazquez C, de Gordejuela A, Ponsi E . Short- and mid-term outcomes of sleeve gastrectomy for morbid obesity: the experience of the Spanish National Registry. Obes Surg. 2009; 19(9):1203-10. DOI: 10.1007/s11695-009-9892-9. View

Quan Y, Huang A, Ye M, Xu M, Zhuang B, Zhang P . Efficacy of Laparoscopic Mini Gastric Bypass for Obesity and Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Gastroenterol Res Pract. 2015; 2015:152852. PMC: 4488176. DOI: 10.1155/2015/152852. View

Wang W, Liou T, Lee W, Hsu C, Lee M, Chen H . ESR1 gene and insulin resistance remission are associated with serum uric acid decline for severely obese patients undergoing bariatric surgery. Surg Obes Relat Dis. 2013; 10(1):14-22. DOI: 10.1016/j.soard.2012.10.011. View

Jammu G, Sharma R . A 7-Year Clinical Audit of 1107 Cases Comparing Sleeve Gastrectomy, Roux-En-Y Gastric Bypass, and Mini-Gastric Bypass, to Determine an Effective and Safe Bariatric and Metabolic Procedure. Obes Surg. 2015; 26(5):926-32. DOI: 10.1007/s11695-015-1869-2. View

Bruzzi M, Rau C, Voron T, Guenzi M, Berger A, Chevallier J . Single anastomosis or mini-gastric bypass: long-term results and quality of life after a 5-year follow-up. Surg Obes Relat Dis. 2015; 11(2):321-6. DOI: 10.1016/j.soard.2014.09.004. View

Magouliotis D, Tasiopoulou V, Sioka E, Zacharoulis D . Robotic versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity: a Systematic Review and Meta-analysis. Obes Surg. 2016; 27(1):245-253. DOI: 10.1007/s11695-016-2444-1. View

Rutledge R . The mini-gastric bypass: experience with the first 1,274 cases. Obes Surg. 2001; 11(3):276-80. DOI: 10.1381/096089201321336584. View

10.

Buse J, Caprio S, Cefalu W, Ceriello A, Del Prato S, Inzucchi S . How do we define cure of diabetes?. Diabetes Care. 2009; 32(11):2133-5. PMC: 2768219. DOI: 10.2337/dc09-9036. View

11.

Lee W, Ser K, Lee Y, Tsou J, Chen S, Chen J . Laparoscopic Roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg. 2012; 22(12):1827-34. DOI: 10.1007/s11695-012-0726-9. View

12.

Piazza L, Ferrara F, Leanza S, Coco D, Sarva S, Bellia A . Laparoscopic mini-gastric bypass: short-term single-institute experience. Updates Surg. 2011; 63(4):239-42. DOI: 10.1007/s13304-011-0119-y. View

13.

Pok E, Lee W, Ser K, Chen J, Chen S, Tsou J . Laparoscopic sleeve gastrectomy in Asia: Long term outcome and revisional surgery. Asian J Surg. 2015; 39(1):21-8. DOI: 10.1016/j.asjsur.2015.03.006. View

14.

Moszkowicz D, Arienzo R, Khettab I, Rahmi G, Zinzindohoue F, Berger A . Sleeve gastrectomy severe complications: is it always a reasonable surgical option?. Obes Surg. 2013; 23(5):676-86. DOI: 10.1007/s11695-012-0860-4. View

15.

Madhok B, Mahawar K, Boyle M, Carr W, Jennings N, Schroeder N . Management of Super-super Obese Patients: Comparison Between Mini (One Anastomosis) Gastric Bypass and Sleeve Gastrectomy. Obes Surg. 2016; 26(7):1646-9. DOI: 10.1007/s11695-016-2181-5. View

16.

Carbajo M, Garcia-Caballero M, Toledano M, Osorio D, Garcia-Lanza C, Carmona J . One-anastomosis gastric bypass by laparoscopy: results of the first 209 patients. Obes Surg. 2005; 15(3):398-404. DOI: 10.1381/0960892053576677. View

17.

Magouliotis D, Tasiopoulou V, Svokos A, Svokos K, Sioka E, Zacharoulis D . One-Anastomosis Gastric Bypass Versus Sleeve Gastrectomy for Morbid Obesity: a Systematic Review and Meta-analysis. Obes Surg. 2017; 27(9):2479-2487. DOI: 10.1007/s11695-017-2807-2. View

18.

Sjostrom L, Lindroos A, Peltonen M, Torgerson J, Bouchard C, Carlsson B . Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004; 351(26):2683-93. DOI: 10.1056/NEJMoa035622. View

19.

Lee W, Yu P, Wang W, Chen T, Wei P, Huang M . Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Ann Surg. 2005; 242(1):20-8. PMC: 1357700. DOI: 10.1097/01.sla.0000167762.46568.98. View

20.

Kular K, Manchanda N, Rutledge R . Analysis of the five-year outcomes of sleeve gastrectomy and mini gastric bypass: a report from the Indian sub-continent. Obes Surg. 2014; 24(10):1724-8. DOI: 10.1007/s11695-014-1264-4. View