An Analysis of Mid-Term Complications, Weight Loss, and Type 2 Diabetes Resolution of Stomach Intestinal Pylorus-Sparing Surgery (SIPS) Versus Roux-En-Y Gastric Bypass (RYGB) with Three-Year Follow-Up.

Abstract:

BACKGROUND:For many years, the Roux-en-Y Gastric Bypass (RYGB) was considered a good balance of complications and weight loss. According to several short-term studies, single anastomosis duodenal switch or stomach intestinal pylorus sparing surgery (SIPS) offers similar weight loss to RYGB with fewer complications and better diabetes resolution. No one has substantiated mid-term complication and nutritional differences between these two procedures. This paper seeks to compare complication and nutritional outcomes between RYGB and SIPS. METHODS:A retrospective analysis of 798 patients who either had SIPS or RYGB from 2010 to 2016. Complications were gathered for each patient. Nutritional outcomes were measured for each group at 1, 2, and 3 years. Regression analysis was applied to interpolate each patient's weight at 3, 6, 9, 12, 18, 24, and 36 months. These were then compared with t tests, Fisher's exact tests, and chi-squared tests. RESULTS:RYGB and SIPS have statistically similar weight loss at 3, 6, 9, 12, and 36 months. They statistically differ at 18 and 24 months. At 36 months, there is a trend for weight loss difference. There were only statistical differences in nutritional outcomes between the two procedures with calcium at 1 and 3 years and vitamin D at 1 year. There were statistically significantly more long-term class IIIb-V complications, class I-IIIa complications, reoperations, ulcers, small bowel obstructions, nausea, and vomiting with the RYGB than the SIPS. CONCLUSION:With comparable weight loss and nutritional outcomes, SIPS has fewer short- and long-term complications than RYGB and better type 2 diabetes resolution rates.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Cottam A,Cottam D,Zaveri H,Cottam S,Surve A,Medlin W,Richards C

doi

10.1007/s11695-018-3309-6

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

2894-2902

issue

9

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-018-3309-6

journal_volume

28

pub_type

杂志文章
  • Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch.

    abstract:BACKGROUND:The revisional surgery for patients with inadequate weight loss after biliopancreatic diversion with duodenal switch (BPD/DS) is controversial. It has not yet been determined whether a common channel should be shortened or gastric pouch volume reduced. Since the revision of the distal anastomosis remains tec...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322190907

    authors: Gagner M,Rogula T

    更新日期:2003-08-01 00:00:00

  • Pre-operative Bariatric Clinic Attendance Is a Predictor of Post-operative Clinic Attendance and Weight Loss Outcomes.

    abstract:AIM:Our primary aim was to determine whether non-attendance at pre-operative clinics were associated with non-attendance at post-operative clinics and its influence on weight loss. We also sought to examine the relationship between gender, ethnicity and post-operative clinic attendance with respect to weight loss post-...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03843-2

    authors: Shilton H,Gao Y,Nerlekar N,Evennett N,Ram R,Beban G

    更新日期:2019-07-01 00:00:00

  • The effect of Roux-en-Y gastric bypass on prescription drug costs.

    abstract:BACKGROUND:This study examines the effect of weight loss following laparoscopic Roux-en-Y gastric bypass (RYGBP) for morbid obesity on prescription drug costs in patients over the age of 54. METHODS:78 patients aged 55 to 75 who met the inclusion criteria were identified in a database of 1,060 morbidly obese patients ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892041975677

    authors: Snow LL,Weinstein LS,Hannon JK,Lane DR,Ringold FG,Hansen PA,Pointer MD

    更新日期:2004-09-01 00:00:00

  • Does Metabolic Surgery Lead to Diabetes Remission in Patients with BMI

    abstract:BACKGROUND:Bariatric surgery has demonstrated to be effective in remission of type 2 diabetes in obese patients, but it is unclear in non-obese patients. The aim of this study is to investigate if metabolic surgery is effective in diabetes resolution in patients with BMI < 30 kg/m2. MATERIALS AND METHODS:A systematic ...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11695-018-03654-x

    authors: Rubio-Almanza M,Hervás-Marín D,Cámara-Gómez R,Caudet-Esteban J,Merino-Torres JF

    更新日期:2019-04-01 00:00:00

  • Preoperative Interventions for Patients Being Considered for Bariatric Surgery: Separating the Fact from Fiction.

    abstract::Preoperative interventions aimed at patients referred for bariatric surgery continue to divide funders, commissioners, and practitioners alike. A number of preoperative interventions and variables have been used to influence patient selection. Many of these are believed to lead to better postoperative outcomes by help...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-015-1738-z

    authors: Mahawar KK,Parmar C,Carr WR,Jennings N,Schroeder N,Balupuri S,Small PK

    更新日期:2015-08-01 00:00:00

  • Evaluation of all Types of Metabolic Bariatric Surgery and its Consequences: a Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Considering conflicting results on the consequences of all types of obesity surgery, we were to summarize them via a systematic review. METHODS:Electronic literature search was done via scientific search engines. After the removal of duplicates and selection of articles of interest, 771 studies were include...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11695-018-3550-z

    authors: Khosravi-Largani M,Nojomi M,Aghili R,Otaghvar HA,Tanha K,Seyedi SHS,Mottaghi A

    更新日期:2019-02-01 00:00:00

  • Effects and Mechanisms of Vagal Nerve Stimulation on Body Weight in Diet-Induced Obese Rats.

    abstract:BACKGROUND:Vagal nerve stimulation (VNS) has recently been indicated as a novel method for treating obesity. However, the optimal stimulation parameters were unknown and mechanisms were poorly understood. The aim of this study was to investigate the effects of VNS on food intake and body weight in diet-induced obesity ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04365-7

    authors: Dai F,Yin J,Chen JDZ

    更新日期:2020-03-01 00:00:00

  • Laparoscopic sleeve gastrectomy is safe and effective in elderly patients: a comparative analysis.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (SG) is gaining widespread popularity as a definitive bariatric operation that provides satisfactory and durable weight loss as well as comorbidity resolution. Although SG is being increasingly offered to patients of all ages, there is a paucity of reported outcomes in patient...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1421-9

    authors: Burchett MA,McKenna DT,Selzer DJ,Choi JH,Mattar SG

    更新日期:2015-02-01 00:00:00

  • Successful thrombolysis of submassive pulmonary embolism after bariatric surgery: expanding the indications and addressing the controversies.

    abstract:BACKGROUND:Venous thromboembolic (VTE) disease is a much-feared complication of bariatric surgery. The most common unexpected cause of death in the morbidly obese patient is pulmonary embolism (PE). Recent data supports the expanded use of systemic thrombolytics in hemodynamically stable patients with PE and echocardio...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322509426

    authors: Pulipati RC,Lazzaro RS,Macura J,Savel RH

    更新日期:2003-10-01 00:00:00

  • Bariatric support line: a prospective study of support line activity.

    abstract::In this prospective study, we examine the workload of the North London Obesity Surgery Service Bariatric telephone support line (BTSL) and its effects on service provision. Over a 3-month period (June to August 2008), a prospective record was kept of all calls, who they were from, whether the patient was presurgery or...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-9930-7

    authors: McDougall K,Segaran E,Sufi P,Heath DI

    更新日期:2010-03-01 00:00:00

  • Changes in body image disturbance in morbidly obese patients 1 year after laparoscopic adjustable gastric banding.

    abstract:BACKGROUND:The effectiveness of post-surgical weight loss in improving body image disturbance (BID) in morbidly obese patients is still unclear. Providing multidimensional measures of BID and controlling for the effect of co-morbid eating psychopathology may help to clarify this issue. This preliminary study explores w...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9145-8

    authors: De Panfilis C,Cero S,Torre M,Salvatore P,Dall'Aglio E,Adorni A,Maggini C

    更新日期:2007-06-01 00:00:00

  • The role of cognitive function in postoperative weight loss outcomes: 36-month follow-up.

    abstract:BACKGROUND:Cognitive dysfunction is associated with reduced postoperative weight loss up to 2 years following surgery, though the role of cognition at more extended follow-up is not yet understood. Thirty-six months following bariatric surgery, we retrospectively compared obese and non-obese patients on 12-week postope...

    journal_title:Obesity surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11695-014-1205-2

    authors: Spitznagel MB,Alosco M,Galioto R,Strain G,Devlin M,Sysko R,Crosby RD,Mitchell JE,Gunstad J

    更新日期:2014-07-01 00:00:00

  • Different criteria for assessment of Roux-en-Y gastric bypass success: does only weight matter?

    abstract:BACKGROUND:Medium and long-term efficacy of Roux-en-Y gastric bypass (RYGBP) has previously been demonstrated. However, weight-loss success criteria could be influenced by super-obesity prevalence at baseline. Here, we describe a 5-year follow-up concerning weight loss results, comorbidities, and mortality of a RYGBP B...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9669-6

    authors: Diniz Mde F,Passos VM,Barreto SM,Linares DB,de Almeida SR,Rocha AL,Diniz MT

    更新日期:2009-10-01 00:00:00

  • Options in Bariatric Surgery: Modeled Decision Analysis Supports One-Anastomosis Gastric Bypass as the Treatment of Choice when Type 2 Diabetes Is Present.

    abstract:BACKGROUND:Obesity and type 2 diabetes mellitus (T2DM) represent significant healthcare burdens. Surgical management is superior to traditional medical therapy. Laparoscopic sleeve gastrectomy (LSG) and gastric bypass (both Roux-en-Y (RYGB) and one anastomosis gastric bypass (OAGB) are the most commonly performed metab...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04921-6

    authors: Brosnan C,Bolger JC,Bolger EM,Kelly ME,Tully R,AlAzzawi M,Robb WB

    更新日期:2020-12-01 00:00:00

  • A Cross-sectional Study of Reported Exercise and Medium-Term Weight Loss Following Laparoscopic Bariatric Surgery.

    abstract:BACKGROUND:Exercise is a strong determinant of prolonged weight loss in non-surgical patients. Studies evaluating the impact of exercise beyond the first year after bariatric surgery are lacking. We analyzed the relationship between reported intentional exercise and medium-term weight loss following bariatric surgery. ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3434-2

    authors: Kerrigan DJ,Carlin AM,Munie S,Keteyian SJ

    更新日期:2018-12-01 00:00:00

  • Hepatic expression of adiponectin receptors increases with non-alcoholic fatty liver disease progression in morbid obesity in correlation with glutathione peroxidase 1.

    abstract:BACKGROUND:The prevalence of non-alcoholic fatty liver disease (NAFLD) in obesity is very high. The role of adiponectin receptors in NAFLD progression remains still unclear. We speculate that changes in the hepatic expression levels of the two adiponectin receptors may be associated with the expression of oxidative str...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0353-2

    authors: Carazo A,León J,Casado J,Gila A,Delgado S,Martín A,Sanjuan L,Caballero T,Muñoz JA,Quiles R,Ruiz-Extremera A,Alcázar LM,Salmerón J

    更新日期:2011-04-01 00:00:00

  • Laparoscopic Roux En Y Esophago-Jejunostomy for Chronic Leak/Fistula After Laparoscopic Sleeve Gastrectomy.

    abstract:BACKGROUND:Leak following laparoscopic sleeve gastrectomy (LSG) is one of the most serious and devastating complications. Endoscopic stents can treat most early LSG leaks, but is not as effective for chronic LSG leaks/fistulae. The surgical options to treat a chronic leak/fistula after LSG are laparoscopic Roux en Y es...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-2018-7

    authors: Mahmoud M,Maasher A,Al Hadad M,Salim E,Nimeri AA

    更新日期:2016-03-01 00:00:00

  • Monogenic Obesity Mutations Lead to Less Weight Loss After Bariatric Surgery: a 6-Year Follow-Up Study.

    abstract:OBJECTIVES:Bariatric surgery is emerging as the most effective treatment option for patients with obesity. Hypothalamic arcuate nucleus plays an important role in metabolic homeostasis. However, the influence of mutations related to the feeding center on weight loss after bariatric surgery is still unclear. We aimed to...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-03623-4

    authors: Li Y,Zhang H,Tu Y,Wang C,Di J,Yu H,Zhang P,Bao Y,Jia W,Yang J,Hu C

    更新日期:2019-04-01 00:00:00

  • Adjustable silicone gastric banding: a series with three cases of band erosion.

    abstract:BACKGROUND:Among the various operations used for surgical treatment of morbid obesity, adjustable silicone gastric banding (ASGB) is the least invasive. Many good results have been described. During extended follow-up, however, serious complications may occur. We briefly describe our results with ASGB and will focus on...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/09608920060674067

    authors: de Jonge IC,Tan KG,Oostenbroek RJ

    更新日期:2000-02-01 00:00:00

  • Timing of pregnancy after gastric bypass-a national register-based cohort study.

    abstract:BACKGROUND:Current recommendations suggest postponing pregnancy by at least 1 year after gastric bypass. During the first postoperative year, women are in a catabolic phase with a rapid weight loss which may increase the risk of adverse pregnancy and neonatal outcomes. This study tested the hypothesis that the risk of ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-0903-5

    authors: Kjær MM,Nilas L

    更新日期:2013-08-01 00:00:00

  • Elevated Levels of Circulating miR-92a Are Associated with Impaired Glucose Homeostasis in Patients with Obesity and Correlate with Metabolic Status After Bariatric Surgery.

    abstract:INTRODUCTION:miRNAs are small non-coding RNAs, some of which are expressed in adipose tissues, are present in the circulation, and are regulated in obesity. Bariatric surgery (BS) has been proposed to lead to activation of brown adipose tissue, an effect that may be related to beneficial effects of BS on systemic metab...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04104-y

    authors: Cereijo R,Taxerås SD,Piquer-Garcia I,Pellitero S,Martínez E,Tarascó J,Moreno P,Balibrea J,Puig-Domingo M,Jiménez-Pavón D,Lerin C,Villarroya F,Sánchez-Infantes D

    更新日期:2020-01-01 00:00:00

  • Intimate saboteurs.

    abstract:BACKGROUND:The bariatric patient exists in dynamic relationship with family members and friends who have considerable influence upon the patient and his or her surgical outcome. When family members and friends behave as intimate saboteurs, they attempt to hamper, hurt, or subvert the bariatric patient's goal of achievi...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765555449

    authors: Andrews G

    更新日期:1997-10-01 00:00:00

  • Rare Entities of Histopathological Findings in 755 Sleeve Gastrectomy Cases: a Synopsis of Preoperative Endoscopy Findings and Histological Evaluation of the Specimen.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is the most preferred technique in morbidly obese patients for weight loss. There is a controversy about the routine preoperative evaluation of the stomach and the routine microscopic examination of all LSG specimens. Our aim is to analyze the results of both preoperativ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-3014-x

    authors: Yardimci E,Bozkurt S,Baskoy L,Bektasoglu HK,Gecer MO,Yigman S,Akbulut H,Coskun H

    更新日期:2018-05-01 00:00:00

  • Laparoscopic Roux-en-Y gastric bypass: differences in outcome between attendings and assistants of different training backgrounds.

    abstract:BACKGROUND:Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is associated with a significant learning curve. We hypothesize that differences in surgeon and assistant training backgrounds may significantly impact outcomes during the learning curve. METHODS:Retrospective analysis was performed on patients undergoing LRYGB...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892055002374

    authors: Hsu GP,Morton JM,Jin L,Safadi BY,Satterwhite TS,Curet MJ

    更新日期:2005-09-01 00:00:00

  • Conversion to modified duodenal switch for relieving intractable dumping syndrome and constipation after laparoscopic Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Dumping syndrome is not infrequent after laparoscopic Roux-en-Y gastric bypass and could result in dreaded complications, such as hypoglycemia or syncope. Those patients who failed medical therapy and diet modification, regarded as intractable dumping syndrome, may be considered as candidates for revisional ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1607-9

    authors: Huang CK,Wang MY,Hsin MC,Chang PC

    更新日期:2015-05-01 00:00:00

  • Five Years, Two Surgeons, and over 500 Bariatric Procedures: What Have We Learned?

    abstract:BACKGROUND:Bariatric surgery has become an increasingly popular method for weight loss and mitigation of co-morbidities in the obese population. Like any field, there is a desire to standardize and accelerate the postoperative period while maintaining safe outcomes. METHODS:All laparoscopic sleeve gastrectomies (LSG) ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2873-5

    authors: Shea B,Boyan W Jr,Botta J,Ali S,Fenig Y,Paulin E,Binenbaum S,Borao F

    更新日期:2017-10-01 00:00:00

  • The intragastric balloon - smoothing the path to bariatric surgery.

    abstract:BACKGROUND:Intragastric balloon placement in association with diet for weight reduction is steadily gaining popularity. However, long-term follow-up studies on the effect of this method in maintaining weight loss are lacking. This study evaluated the long-term outcome following balloon removal in morbidly obese patient...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206777822188

    authors: Melissas J,Mouzas J,Filis D,Daskalakis M,Matrella E,Papadakis JA,Sevrisarianos N,Charalambides D

    更新日期:2006-07-01 00:00:00

  • Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases.

    abstract::Obesity is associated with the development of gastroesophageal reflux disease (GERD) and hiatal hernia (HH). This study aimed to assess practice patterns regarding concomitant HH repair (HHR) during laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB). The incidence of concomitant HHR with LSG or L...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3594-0

    authors: Docimo S Jr,Rahmana U,Bates A,Talamini M,Pryor A,Spaniolas K

    更新日期:2019-02-01 00:00:00

  • Is laparoscopic duodenojejunal bypass with sleeve an effective alternative to Roux en Y gastric bypass in morbidly obese patients: preliminary results of a randomized trial.

    abstract:BACKGROUND:The incidence of obesity and related metabolic disorders in India and that of stomach carcinoma is one of the highest in the world. Hence, one requires a procedure that allows postoperative surveillance of the stomach with the best outcomes in terms of weight control and resolution of co-morbidities. Here, w...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-011-0507-x

    authors: Praveen Raj P,Kumaravel R,Chandramaliteeswaran C,Rajpandian S,Palanivelu C

    更新日期:2012-03-01 00:00:00

  • Changes in depression following gastric banding: a 5- to 7-year prospective study.

    abstract:BACKGROUND:Long-term outcomes of gastric banding regarding depression and predictors of change in depression are still unclear. This prospective, controlled study investigated depression and self-acceptance in morbidly obese patients before and after gastric banding. METHODS:A total of 248 morbidly obese patients (mea...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9316-7

    authors: Schowalter M,Benecke A,Lager C,Heimbucher J,Bueter M,Thalheimer A,Fein M,Richard M,Faller H

    更新日期:2008-03-01 00:00:00