Additional Outcome Data for Three Bariatric Surgery Procedures

Roux-en-Y gastric bypass leads to greatest weight loss, but sleeve gastrectomy has the lowest 30-day adverse event rate.

Sleeve gastrectomy (SG) recently has surpassed Roux-en-Y gastric bypass (RYGB) in annual number of U.S. bariatric procedures; adjustable gastric banding (AGB) lags far behind the other two. To examine efficacy and safety of these procedures, researchers conducted a retrospective cohort study, with propensity-score analysis, using electronic health record data from >40 healthcare systems. Outcomes were compared in >46,000 patients who underwent one of three types of bariatric surgical procedures: ≈25,000 RYGB, ≈19,000 SG, and ≈2500 AGB. Adverse events were defined as death, reoperation, percutaneous or endoscopic intervention, venous thromboembolism, or failure to be discharged from the hospital within 30 days.

RYGB conferred a significantly …

Reviewing Author

Daniel D. Dressler, MD, MSc, SFHM, FACP

Disclosures

RoyaltiesMcGraw-Hill; Elsevier

Editorial BoardsMedical Clinics of North America; Caribbean Medical Journal International Advisory Panel (2021–2026)

Daniel D. Dressler, MD, MSc, SFHM, FACP

Disclosures

RoyaltiesMcGraw-Hill; Elsevier

Editorial BoardsMedical Clinics of North America; Caribbean Medical Journal International Advisory Panel (2021–2026)

Additional Outcome Data for Three Bariatric Surgery Procedures

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Reviewing Author