Weight loss is more sustained after biliopancreatic diversion with duodenal switch than Roux-en-Y gastric bypass in superobese patients

Topart, Philippe; Bécouarn, Guillaume; Ritz, Patrick

doi:10.1016/j.soard.2012.02.006

Cited by 50 publications

(23 citation statements)

References 24 publications

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“…[94][95][96][97][98][99][100][101][102] Head-tohead comparisons of metabolic impact confirm the superiority of malabsorptive over gastric volume reduction surgeries, albeit at the expense of a greater perioperative risk and higher likelihood of malnutrition. However, meta-analyses of the LAGB versus RYGB data highlight the excess of late (≥30 days) complications and the need for reoperation for LAGB patients.…”

Section: Comparison Among Bariatric Proceduresmentioning

confidence: 86%

Surgical Management of Obesity and the Relationship to Cardiovascular Disease

et al. 2013

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Section: Comparison Among Bariatric Proceduresmentioning

confidence: 86%

Surgical Management of Obesity and the Relationship to Cardiovascular Disease

et al. 2013

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“…It is also much more prevalent in the superobese population, where failure to achieve a BMI below 35 kg/m 2 occurs in up to 60% (16,18,20,24) . The prevalence observed in this study (11.2%) was slightly below those previously reported, but it is possible that it might get higher in a later evaluation; furthermore, as our population did not include any superobese subject, it might be responsible for underestimating the impact of failure following RYGB.…”

Section: Discussionmentioning

confidence: 99%

Predictors for Weight Loss Failure Following Roux-en-Y Gastric Bypass

Cazzo

Silva

Pareja

et al. 2014

Arq. Gastroenterol.

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-Context -Weight loss failure is a widely recognized occurrence following Roux-en-Y gastric bypass. Objective -This study aims to identify predictors associated with weight loss failure. Method: It is a retrospective cohort which enrolled 187 subjects who underwent RYGB. Comparisons were made between patients' features at baseline and 24 months after surgery. Results -A weight loss failure rate of 11.2% was found. Advanced age and diabetes were statistically associated with failure. Conclusions -The results found were close to previous reports. As weight loss failure represents an important concern, there is the possibility to perform revisional surgeries, which may emphasize the restrictive or malabsorptive characteristics of RYGB, leading to varied results. It is reinforced that weight loss cannot be used as the unique outcome to evaluate the success of surgery.

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“…27 For the comparison of different bariatric surgery types, data were available from one systematic review, 28 two RCTs, 29,30 and 18 retrospective cohorts. [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] The majority of studies involved mostly women aged 35 to 45 years. We rated the systematic review as fair quality, 28 one RCT (in four studies) as low risk of bias, 29,[49][50][51] and one RCT as unclear risk of bias.…”

Section: Literature Flowmentioning

confidence: 99%