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October 1, 2022Journal of International Medical ResearchOpen Access

The impact of bariatric surgery procedures on the modulation of cardiometabolic risk factors in patients with severe obesity: a 12-month follow-up

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Why the study?

To evaluate the effects of OAGB, RYGB, and SG on cardiometabolic risk factors in patients with severe obesity.

Do different bariatric surgery procedures (OAGB, RYGB, SG) differentially improve cardiometabolic risk factors in patients with severe obesity?

Population

485 patients with severe obesity

Comparison

OAGB vs RYGB vs SG

Design

Retrospective cohort study

Follow-up

12-months

Key result

Roux-en-Y gastric bypass resulted in a significantly greater percentage of total weight loss compared to sleeve gastrectomy (MD -2.33%, p=0.001) at 12 months in patients with severe obesity.

Authors

MTMastaneh Rajabian TabeshMAMaryam AbolhasaniMZMohammad Reza Zali

Discussion

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Member takes

Overview

RYGB/OAGB may yield greater weight/fat loss than SG; hypothesis-generating and should not yet change practice without RCTs.

Study Design

Type

Cohort (n=485)

Blinding

None

Randomization

Non-randomized

Multicenter

No

Structured PICO

Do different bariatric surgery procedures (OAGB, RYGB, SG) differentially improve cardiometabolic risk factors in patients with severe obesity?

P
Population
485 adults aged 18-60 with severe obesity undergoing bariatric surgery for the first time, followed for 12 months.
E
Exposure
Bariatric surgery (one anastomosis gastric bypass [OAGB], Roux-en-Y gastric bypass [RYGB], or sleeve gastrectomy [SG])
C
Comparator
Comparison between the three procedures (OAGB vs RYGB vs SG)
O
Outcome
Changes in cardiometabolic risk factors (anthropometric measurements, body composition, fasting blood glucose, lipid profile, and comorbidities) at 12 monthssurrogate

Main Result

Mean Difference: -2.33

p-value: p=0.001

Bariatric surgery significantly improves cardiometabolic risk factors in severe obesity at 12 months, with RYGB and OAGB providing greater weight and fat mass loss than SG.

Limitations

  • Retrospective study design prevented access to relevant data, such as hemoglobin A1C, dietary intake, and blood pressure
  • Patients were non-randomly divided into groups, which may have introduced selection bias
  • Consecutive sampling led to inconsistency of the proportions between the groups
  • Short follow-up duration (12 months)
  • Need for larger sample sizes

Cite This Study

Tabesh et al. (2022) conducted a cohort in Severe obesity (n=485). Roux-en-Y gastric bypass (RYGB) and One anastomosis gastric bypass (OAGB) vs. Sleeve gastrectomy (SG) was evaluated on Percentage total weight loss (%TWL) at 12 months (SG vs RYGB) (MD -2.33%, p=0.001). Roux-en-Y gastric bypass resulted in a significantly greater percentage of total weight loss compared to sleeve gastrectomy (MD -2.33%, p=0.001) at 12 months in patients with severe obesity.

synapsesocial.com/papers/6a7be30811f9f91080ed39cdhttps://doi.org/10.1177/03000605221119657
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