Journal ArticleDOI
LSG vs OAGB—1 Year Follow-up Data—a Randomized Control Trial
Shivakumar Seetharamaiah,Om Tantia,Ghanshyam Goyal,Tamonas Chaudhuri,Shashi Khanna,Jagat Pal Singh,Anmol Ahuja +6 more
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TLDR
In this study, there was no significant difference between LSG and OAGB in outcome at 1 year follow-up in % excess weight loss, remission of HTN, and quality of life.Abstract:
The objective of this study is to compare 3-year follow-up results of one anastomosis gastric bypass (MGB-OAGB) and laparoscopic sleeve gastrectomy (LSG) in terms of weight loss, complications, resolution of comorbidities and quality of life. A prospective randomised study of results between 100 LSG patients and 101 MGB-OAGB patients was done from 2012 to 2015. The results were compared regarding operative outcomes, percentage of excess weight loss (%EWL), complications, resolution of comorbidities and quality of life (BAROS score) at 3 years follow-up. Follow-up was achieved in 93 MGB-OAGB vs 92 LSG patients for 3-year period. The average %EWL for MGB-OAGB vs LSG was 66.48 vs 61.15% at the end of 3 years respectively, which was statistically insignificant. Diabetes remission was seen in 89.13% of MGB-OAGB patients and 81.82% of LSG patients. Remission of hypertension was seen in 74% of MGB-OAGB patients and 72.22% of LSG patients. Bariatric analysis reporting and outcome system (BAROS) with comorbidity in LSG patients and MGB-OAGB patients was 6.03 and 6.96 respectively, whereas in patients without comorbidity, BAROS score was 3.86 in LSG group and 4.34 in MGB-OAGB group. In our study, at 36 months follow up, there was no significant difference between LSG and MGB-OAGB in %EWL and remission of HTN. Type 2 diabetes mellitus (T2DM) remission rates were higher after MGB-OAGB as compared to LSG but the difference was statistically insignificant. MGB-OAGB patients with comorbidities have a better quality of life and BAROS score compared to LSG patients.read more
Citations
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Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP
Nicola Di Lorenzo,Stavros A. Antoniou,Rachel L. Batterham,Rachel L. Batterham,Luca Busetto,Daniela Godoroja,Angelo Iossa,Francesco Maria Carrano,Ferdinando Agresta,Isaias Alarcón,Carmil Azran,Nicole D. Bouvy,Carmen Balague Ponz,Maura Buza,Catalin Copaescu,Maurizio De Luca,Dror Dicker,Angelo Di Vincenzo,Daniel M Felsenreich,Nader K. Francis,Martin Fried,Berta Gonzalo Prats,David Goitein,David Goitein,Jason C.G. Halford,Jitka Herlesova,Marina Kalogridaki,Hans Ket,Salvador Morales-Conde,Giacomo Piatto,Gerhard Prager,Suzanne Pruijssers,Andrea Pucci,Andrea Pucci,Shlomi Rayman,Shlomi Rayman,Eugenia Romano,Sergi Sanchez-Cordero,Ramon Vilallonga,Gianfranco Silecchia +39 more
TL;DR: This document summarizes the latest evidence on bariatric surgery through state-of-the art guideline development, aiming to facilitate evidence-based clinical decisions.
Journal ArticleDOI
Mini Gastric Bypass-One Anastomosis Gastric Bypass (MGB-OAGB)-IFSO Position Statement
Maurizio De Luca,Tiffany Tie,Geraldine J. Ooi,Kelvin Higa,Jacques Himpens,Miguel A. Carbajo,Kamal Mahawar,Scott A. Shikora,Wendy A. Brown +8 more
TL;DR: The IFSO commissioned a task force to determine if MGB-OAGB is an effective and safe procedure and if it should be considered a surgical option for the treatment of obesity and metabolic diseases.
Journal ArticleDOI
One Anastomosis (Mini) Gastric Bypass Is Now an Established Bariatric Procedure: a Systematic Review of 12,807 Patients.
Chetan Parmar,Kamal Mahawar +1 more
TL;DR: There is now sufficient evidence to include MGB-OAGB as a mainstream bariatric procedure, according to a review of cumulative results of 12,807 procedures in obese patients with a mean age of 41.18 years and BMI of 46.6 kg/m2.
Journal ArticleDOI
MGB-OAGB: Effect of Biliopancreatic Limb Length on Nutritional Deficiency, Weight Loss, and Comorbidity Resolution.
Anmol Ahuja,Om Tantia,Ghanshyam Goyal,Tamonas Chaudhuri,Shashi Khanna,Anshuman Poddar,Sonam Gupta,Kajari Majumdar +7 more
TL;DR: A 150-cm biliopancreatic limb length is adequate with very minimal nutritional complications and good results, while a 250-cm BPL should be used with utmost care as it results in significant nutritional deficiencies.
Journal ArticleDOI
IFSO (International Federation for Surgery of Obesity and Metabolic Disorders) Consensus Conference Statement on One-Anastomosis Gastric Bypass (OAGB-MGB): Results of a Modified Delphi Study.
Almino Ramos,Jean Marc Chevallier,Kamal Mahawar,Wendy A. Brown,Lilian Kow,Kevin P. White,Scott A. Shikora +6 more
TL;DR: Although there is general agreement that the OAGB-MGB is an effective and usually safe option for the management of patients with obesity or severe obesity, numerous areas of non-consensus remain in its use.
References
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Journal ArticleDOI
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Henry Buchwald,Yoav Avidor,Eugene Braunwald,Michael D. Jensen,Walter J. Pories,Kyle Fahrbach,Karen Schoelles +6 more
TL;DR: Effective weight loss was achieved in morbidly obese patients after undergoing bariatric surgery, and a substantial majority of patients with diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete resolution or improvement.
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Lifestyle, Diabetes, and Cardiovascular Risk Factors 10 Years after Bariatric Surgery
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Journal ArticleDOI
How Do We Define Cure of Diabetes
John B. Buse,Sonia Caprio,William T. Cefalu,Antonio Ceriello,Stefano Del Prato,Silvio E. Inzucchi,Sue McLaughlin,Gordon L. Phillips,R. Paul Robertson,Francesco Rubino,Richard Kahn,M. Sue Kirkman +11 more
TL;DR: A consensus group of experts comprised of experts in pediatric and adult endocrinology, diabetes education, transplantation, metabolism, bariatric/metabolic surgery, and (for another perspective) hematology-oncology met in June 2009 to discuss issues.
Journal ArticleDOI
Long-term Results of Laparoscopic Sleeve Gastrectomy for Obesity
TL;DR: It appears that after 6+ years the mean excess weight loss exceeds 50%.
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