Safety and effectiveness of sleeve gastrectomy versus gastric bypass: One-year results of Tehran Obesity Treatment Study (TOTS)

Barzin, M. and Khalaj, A. and Motamedi, M.A. and Shapoori, P. and Azizi, F. and Hosseinpanah, F. (2016) Safety and effectiveness of sleeve gastrectomy versus gastric bypass: One-year results of Tehran Obesity Treatment Study (TOTS). Gastroenterology and Hepatology from Bed to Bench, 9. S62-S69.

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Abstract

Aim: We aimed to compare the effectiveness and safety of sleeve gastrectomy versus gastric bypass at one-year. Background: Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are the two most commonly performed bariatric procedures worldwide. Methods: Patients from a prospectively collected database who presented to a specialized bariatric center and underwent a primary bariatric procedure between March 2013 and April 2015 were included and compared regarding major and minor complication rates and weight loss parameters at 6 and 12 months. Results: A total of 513 patients with a mean age of 37.5�12.5, 82.6 female and mean body mass index (BMI) of 44.1�6.3 kg/m2 were included in our analysis: 73.3 underwent SG and 26.7 underwent RYGB. Major and minor complication rates were 7.1 and 2.6 for SG vs. 9.5 and 2.2 for the RYGB, respectively (P = NS). The operative and anesthesia time in SG patients were significantly shorter than in RYGB patients (P < 0.001). SG and RYBG patients achieved similar excess weight loss at one year (75.4�20.5 vs. 71.8�26.3, respectively, P = NS). Baseline BMI was the only predictive factor for weight loss at one year (OR: 0.901, CI: 0.827-0.982, P < 0.017). Conclusion: RYGB and SG both showed similar one-year safety and effectiveness. Long-term studies are needed to complement these findings. � 2016 RIGLD, Research Institute for Gastroenterology and Liver Diseases.

Item Type: Article
Additional Information: cited By 0
Depositing User: eprints admin
Date Deposited: 02 Jul 2018 10:00
Last Modified: 02 Jul 2018 10:00
URI: http://eprints.iums.ac.ir/id/eprint/4280

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