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Banded Sleeve Gastrectomy and One Anastomosis Gastric Bypass/Mini-gastric Bypass for Treatment of Obesity: a Retrospective Cohort Comparative Study with 6 years follow-up

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Abstract

Background

Banded sleeve gastrectomy (BSG), a modification of the laparoscopic sleeve gastrectomy (SG), and one anastomotic gastric bypass/mini-gastric bypass (OAGB/MGB), a modification to the Roux-en-Y gastric bypass (RYGB), have been reported to enhance weight loss and minimize significant weight regain when compared with the SG and RYGB respectively. However, there has not been any report or study comparing these two operations.

Objective

We did a retrospective cohort study comparing these two operations and present a review and analysis with follow-up for 6 years.

Method

A review of all the operations performed at MBRSC in 2011 from a prospectively maintained database was done. Patients who had either a BSG or OAGB/MGB were identified. Data on the patients’ profile, co-morbid conditions, perioperative complications, late complications, weight loss, resolution of comorbidities, and changes in quality of life (QLF) were collected reviewed and analyzed.

Result

Sixty-eight patients were identified who had a primary BSG and 55 who had an OAGB/MGB in 2011. The follow-up rate, the age, BMI, and gender composition were similar in both groups. There were more patients with type 2 diabetes (T2D) in the BSG group than in the OAGB/MGB group (44.1% vs. 27.2%). The incidences of hypertension (HTN) and obstructive sleep apnea (OSA) were higher in the OAGB/MGB group (62% vs. 36% and 96.3% vs. 2.9% respectively). The weight loss was faster in the OAGB/MGB group in the first year, but by the sixth year, the weight loss was slightly higher in the BSG group (84% vs. 79%). Resolution rate of T2D and HTN was higher after the OAGB/MGB group, 86.6% vs. 75.7% and 85.3% vs. 64.0% respectively. There was a 20% incidence of nutrient deficiencies in OAGB/MGB group and none in the BSG group.

Conclusion

Both operations produced excellent weight loss and maintenance in the short to intermediate term. There was better resolution of T2D and HTN after OAGB/MGB at the expense of a higher incidence of nutrient deficiency and some protein caloric malnutrition. There is need for prospective and larger series studies to confirm these findings.

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References

  1. Abelson P, Kennedy D. The obesity epidemic. Science. 2004;304(5676):1413.

    Article  CAS  Google Scholar 

  2. Must A, Spadano J, Coakley EH, et al. The disease burden associated with overweight and obesity. JAMA. 1999;282(16):1523–9.

    Article  CAS  Google Scholar 

  3. Krauss RM, Willett WC, Fletcher RN, et al. Obesity impact of cardiovascular disease. Circulation. 1998;98(14):1472–6.

    Article  Google Scholar 

  4. Joshi SR, Parikh RM. India-diabetes capital of the world: now heading towards hypertension. J Assoc Physicians India. 2007;55:323–4.

    PubMed  Google Scholar 

  5. Kissler HJ, Settmacher U. Bariatric surgery to treat obesity. Semin Nephrol. 2013;33(1):75–89.

    Article  Google Scholar 

  6. Chan JC, Malik V, Jia W, et al. Diabetes in Asia: epidemiology, risk factors, and pathophysiology. JAMA. 2009;301(20):2129–40.

    Article  CAS  Google Scholar 

  7. Chan CP, Wang BY, Cheng CY, et al. Randomized controlled trials in bariatric surgery. Obes Surg. 2013;23(1):118–30.

    Article  Google Scholar 

  8. Cefalu W, Rubino F, Cummings DE. Metabolic surgery for type 2 diabetes: changing the landscape of diabetes care. Diabetes Care. 2016;39(6):857–60.

    Article  Google Scholar 

  9. Bhandari M, Mathur W, Kosta S, et al. Banded versus nonbanded laparoscopic sleeve gastrectomy: 5-year outcomes. Surg Obes Relat Dis. 2019;15(9):1431–8.

    Article  Google Scholar 

  10. Bhandari M, Nautiyal HK, Mathur W, et al. OAGB vs BGBP: a retrospective comparative study of a cohort of patients who had bariatric surgery in 2012 at one centre by a single surgeon. Clin Obes. 2019;9(4):e12308.

    Article  Google Scholar 

  11. NIH CDCP. Gastrointestinal surgery for severe obesity. Ann Intern Med. 1991;115(12):956–61.

    Article  Google Scholar 

  12. Tognoni V, Benavoli D, Bianciardi E, et al. Laparoscopic sleeve gastrectomy versus laparoscopic banded sleeve gastrectomy: first prospective pilot randomized study. Gastroenterol Res Pract. 2016;2016:1–5.

    Article  Google Scholar 

  13. Kumar A, Goel MK, Jain RB, et al. India towards diabetes control: key issues. Australas Med J. 2013;6(10):524–31.

    Article  Google Scholar 

  14. Zimmet P, Alberti KG. Surgery or medical therapy for obese patients with type 2 diabetes? New England journal of medicine. N Engl J Med. 2012;366(17):1635–6.

    Article  CAS  Google Scholar 

  15. Pham S, Gancel A, Scotte M, et al. Comparison of the effectiveness of four bariatric surgery procedures in obese patients with type 2 diabetes: a retrospective study. J Obes. 2014;2014:638203.

    Article  Google Scholar 

  16. Lee WJ, Chong K, Ser KH, et al. Gastric bypass vs sleeve gastrectomy for type 2 diabetes mellitus: a randomized controlled trial. Arch Surg. 2011;146(2):143–8.

    Article  Google Scholar 

  17. Lemmens L, Van Den Bossche J, Zaveri H. Surve a. banded sleeve gastrectomy: better long-term results? A long-term cohort study until 5 years follow-up in obese and superobese patients. Obes Surg. 2018;28(9):2687–95.

    Article  Google Scholar 

  18. Fink JM, von Pigenot A, Seifert G, et al. Banded versus nonbanded sleeve gastrectomy: 5-year results of a matched-pair analysis. Surg Obes Relat Dis. 2019;15(8):1233–8.

    Article  Google Scholar 

  19. Jammu GS, Sharma R. A 7-year clinical audit of 1107 cases comparing sleeve gastrectomy, Roux-en-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obes Surg. 2016;26(5):926–32.

    Article  Google Scholar 

  20. Kular KS, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses—first study from Indian subcontinent. Obes Surg. 2014;24(9):1430–5.

    Article  CAS  Google Scholar 

  21. Carbajo MA, Luque-de-León E, Jiménez JM, et al. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obes Surg. 2017;27(5):1153–67.

    Article  Google Scholar 

  22. Magouliotis DE, Tasiopoulou VS, Svokos KA, et al. Banded vs. non-banded Roux-en-Y gastric bypass for morbid obesity: a systematic review and meta-analysis. Clin Obes. 2018;8(6):424–33.

    Article  CAS  Google Scholar 

  23. Rutledge R. The mini-gastric bypass: experience with the first 1,274 cases. Obes Surg. 2001;11(3):276–80.

    Article  CAS  Google Scholar 

  24. Rutledge R, Walsh TR. Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obes Surg. 2005;15:1304–8.

    Article  Google Scholar 

  25. Lee WJ, Wang W, Lee YC, et al. Laparoscopic mini-gastric bypass: experience with tailored bypass limb according to body weight. Obes Surg. 2008;18(3):294–9.

    Article  Google Scholar 

  26. Mahawar KK, Parmar C, Carr WR, et al. Impact of biliopancreatic limb length on severe protein–calorie malnutrition requiring revisional surgery after one anastomosis (mini) gastric bypass. J Min Access Surg. 2018;14:37–43.

    Article  Google Scholar 

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Authors and Affiliations

  1. Mohak Bariatrics and Robotics Center, SAIMS Campus, Indore-Ujjain Highway, Indore, Madhya Pradesh, India

    Prashant Salvi, Susmit Kosta, Mathias Fobi, Mahak Bhandari, Manoj Reddy, Rajat Gusani, Manoj Khurana, Faraj Benamro, Winni Mathur & Mohit Bhandari

Authors
  1. Prashant Salvi
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  2. Susmit Kosta
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  3. Mathias Fobi
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  4. Mahak Bhandari
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  5. Manoj Reddy
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  6. Rajat Gusani
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  7. Manoj Khurana
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  8. Faraj Benamro
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  9. Winni Mathur
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  10. Mohit Bhandari
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Correspondence to Mohit Bhandari.

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Salvi, P., Kosta, S., Fobi, M. et al. Banded Sleeve Gastrectomy and One Anastomosis Gastric Bypass/Mini-gastric Bypass for Treatment of Obesity: a Retrospective Cohort Comparative Study with 6 years follow-up. OBES SURG 30, 1303–1309 (2020). https://doi.org/10.1007/s11695-019-04369-3

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  • DOI: https://doi.org/10.1007/s11695-019-04369-3

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