Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?
<h2>Background</h2> <p>Revisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared with R-RYGB (...
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2019
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| _version_ | 1864513567447842816 |
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| author | Sama Abdulrazzaq (14151831) |
| author2 | Wahiba Elhag (5245547) Walid El Ansari (93732) Amjad Salah Mohammad (14151834) Davit Sargsyan (7392740) Moataz Bashah (14148867) |
| author2_role | author author author author author |
| author_facet | Sama Abdulrazzaq (14151831) Wahiba Elhag (5245547) Walid El Ansari (93732) Amjad Salah Mohammad (14151834) Davit Sargsyan (7392740) Moataz Bashah (14148867) |
| author_role | author |
| dc.creator.none.fl_str_mv | Sama Abdulrazzaq (14151831) Wahiba Elhag (5245547) Walid El Ansari (93732) Amjad Salah Mohammad (14151834) Davit Sargsyan (7392740) Moataz Bashah (14148867) |
| dc.date.none.fl_str_mv | 2019-12-21T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s11695-019-04280-x |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Is_Revisional_Gastric_Bypass_as_Effective_as_Primary_Gastric_Bypass_for_Weight_Loss_and_Improvement_of_Comorbidities_/21597600 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Medical biochemistry and metabolomics Nutrition and dietetics Revisional gastric bypass Primary gastric bypass Weight loss outcome Hypertension Type 2 diabetes Dyslipidemia |
| dc.title.none.fl_str_mv | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities? |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h2>Background</h2> <p>Revisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared with R-RYGB (e.g., post sleeve gastrectomy/gastric banding) are controversial.</p> <h2>Methods</h2> <p>Retrospective chart review of all patients who received P-RYGB and R-RYGB (January 2011–June 2015) at our center. One hundred twenty patients who underwent P-RYGB and 34 R-RYGB who completed 18 months follow-up were included. We compared the effectiveness of P-RYGB with R-RYGB by assessing four anthropometric, two glycemic, and four lipid parameters, as well as the control of type 2 diabetes (T2DM), hypertension, dyslipidemia (remission, improvement, persistence, relapse, de novo), mortality and complications rates.</p> <h2>Results</h2> <p>A comparison of the effectiveness of P-RYGB with R-RYGB at 18 months revealed no significant differences in patients’ age, gender, and preoperative BMI between groups. However, patients who received P-RYGB had lower mean weight (P= 0.001) and BMI (P< 0.001), reflected by a higher mean delta BMI (P= 0.02), total weight loss percentage (TWL%) (P< 0.0001) and excess weight loss percentage (EWL%) (P< 0.0001). No differences in glycemic parameters, lipid profiles, control of T2DM, hypertension, and dyslipidemia were observed. No death is reported and complication rates were comparable.</p> <h2>Conclusions</h2> <p>Although R-RYGB effectively addressed inadequate weight loss, weight regain, and recurrence of comorbidities after restrictive bariatric surgery, R-RYGB resulted in inferior weight loss compared with P-RYGB. Neither procedure differed in their clinical control of T2DM, hypertension, and dyslipidemia. Both procedures exhibited comparable complication rates.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-019-04280-x" target="_blank">http://dx.doi.org/10.1007/s11695-019-04280-x</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_2109eade52010713be7f98e85c5d2b8e |
| identifier_str_mv | 10.1007/s11695-019-04280-x |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/21597600 |
| publishDate | 2019 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?Sama Abdulrazzaq (14151831)Wahiba Elhag (5245547)Walid El Ansari (93732)Amjad Salah Mohammad (14151834)Davit Sargsyan (7392740)Moataz Bashah (14148867)Biomedical and clinical sciencesMedical biochemistry and metabolomicsNutrition and dieteticsRevisional gastric bypassPrimary gastric bypassWeight loss outcomeHypertensionType 2 diabetesDyslipidemia<h2>Background</h2> <p>Revisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared with R-RYGB (e.g., post sleeve gastrectomy/gastric banding) are controversial.</p> <h2>Methods</h2> <p>Retrospective chart review of all patients who received P-RYGB and R-RYGB (January 2011–June 2015) at our center. One hundred twenty patients who underwent P-RYGB and 34 R-RYGB who completed 18 months follow-up were included. We compared the effectiveness of P-RYGB with R-RYGB by assessing four anthropometric, two glycemic, and four lipid parameters, as well as the control of type 2 diabetes (T2DM), hypertension, dyslipidemia (remission, improvement, persistence, relapse, de novo), mortality and complications rates.</p> <h2>Results</h2> <p>A comparison of the effectiveness of P-RYGB with R-RYGB at 18 months revealed no significant differences in patients’ age, gender, and preoperative BMI between groups. However, patients who received P-RYGB had lower mean weight (P= 0.001) and BMI (P< 0.001), reflected by a higher mean delta BMI (P= 0.02), total weight loss percentage (TWL%) (P< 0.0001) and excess weight loss percentage (EWL%) (P< 0.0001). No differences in glycemic parameters, lipid profiles, control of T2DM, hypertension, and dyslipidemia were observed. No death is reported and complication rates were comparable.</p> <h2>Conclusions</h2> <p>Although R-RYGB effectively addressed inadequate weight loss, weight regain, and recurrence of comorbidities after restrictive bariatric surgery, R-RYGB resulted in inferior weight loss compared with P-RYGB. Neither procedure differed in their clinical control of T2DM, hypertension, and dyslipidemia. Both procedures exhibited comparable complication rates.</p><h2>Other Information</h2> <p> Published in: Obesity Surgery<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11695-019-04280-x" target="_blank">http://dx.doi.org/10.1007/s11695-019-04280-x</a></p>2019-12-21T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11695-019-04280-xhttps://figshare.com/articles/journal_contribution/Is_Revisional_Gastric_Bypass_as_Effective_as_Primary_Gastric_Bypass_for_Weight_Loss_and_Improvement_of_Comorbidities_/21597600CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215976002019-12-21T00:00:00Z |
| spellingShingle | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities? Sama Abdulrazzaq (14151831) Biomedical and clinical sciences Medical biochemistry and metabolomics Nutrition and dietetics Revisional gastric bypass Primary gastric bypass Weight loss outcome Hypertension Type 2 diabetes Dyslipidemia |
| status_str | publishedVersion |
| title | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities? |
| title_full | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities? |
| title_fullStr | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities? |
| title_full_unstemmed | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities? |
| title_short | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities? |
| title_sort | Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities? |
| topic | Biomedical and clinical sciences Medical biochemistry and metabolomics Nutrition and dietetics Revisional gastric bypass Primary gastric bypass Weight loss outcome Hypertension Type 2 diabetes Dyslipidemia |