Comparison of the Effectiveness of Single Anastomosis Sleeve Ileal Bypass and Roux-en-Y Gastric Bypass in Obese Patients with Type 2 Diabetes
Introduction The rapid increase in obesity and related problems has heightened the importance of obesity and metabolic surgery, resulting in a continuing search for the ideal surgical method. This study aimed to compare the effectiveness of Roux-en-Y gastric bypass (RYGB), which is the gold standard...
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| creator | Erol, Mehmet Fatih Kayaoglu, Huseyin Ayhan |
| description | Introduction
The rapid increase in obesity and related problems has heightened the importance of obesity and metabolic surgery, resulting in a continuing search for the ideal surgical method. This study aimed to compare the effectiveness of
Roux-en-Y gastric bypass
(RYGB), which is the gold standard method, and the relatively newer method of single anastomosis sleeve ileal (SASI) bypass.
Methods
The medical records of patients who underwent RYGB and SASI bypass were reviewed and compared regarding excess weight loss (EWL) and HgA1c, fasting glucose, serum iron, ferritin, hemoglobin (Hgb), and vitamin B12 levels.
Results
The body mass index was significantly lower (
p
= 0.003), and the %EWL was significantly higher (
p
= 0.023) at 6 months postoperative in patients who underwent SASI bypass. Both groups had similar results at the other follow-up visits. The mean HgA1c levels at the 6- and 12-month follow-up visits were significantly lower in SASI patients (
p
= 0.037 and
p
= 0.012, respectively). At the 24-month follow-up, no difference was detected in HgA1c levels between the groups (
p
= 0.476). In patients who underwent RYGB, ferritin (
p
|
| doi_str_mv | 10.1007/s11695-024-07472-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3094826806</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3094826806</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-f2e622fb1db4393ca5ac644a9cf1d592f180493a329ec1f3b8c1fdba082f74243</originalsourceid><addsrcrecordid>eNp9kU1PFTEUhhujkQv6B1yYJm7cVPs1H13iBYGEBCO4cNV0Zk6hZKYd58yg90fwnylekMQFm7bpec572jyEvBP8k-C8-oxClKZgXGrGK11JJl-Qlah4zbiW9Uuy4qbkrDZS7ZBdxGvOpSilfE12lMkHU8oVuV2nYXRTwBRp8nS-AnroPbRzuIEIiPeX5yFe9kD3o8M5DQkD0vMe4AboSQ-up182o8ukix39npY_DCL7SY8yPIX2sRgiPWsAgX5zc4A4I_0d5it6sRmBSnoQXAMz4Bvyyrse4e3Dvkd-fD28WB-z07Ojk_X-KWtlUc7MS8j_8I3oGq2Mal3h2lJrZ1ovusJIL2qujXJKGmiFV02d165xvJa-0lKrPfJxmztO6dcCONshYAt97yKkBa3iRteyrHmZ0Q__oddpmWJ-nVVC6JJnpsiU3FLtlBAn8HacwuCmjRXc3suyW1k2y7J_ZVmZm94_RC_NAN2_lkc7GVBbAHMpXsL0NPuZ2DtEwJ-w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3114600635</pqid></control><display><type>article</type><title>Comparison of the Effectiveness of Single Anastomosis Sleeve Ileal Bypass and Roux-en-Y Gastric Bypass in Obese Patients with Type 2 Diabetes</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Erol, Mehmet Fatih ; Kayaoglu, Huseyin Ayhan</creator><creatorcontrib>Erol, Mehmet Fatih ; Kayaoglu, Huseyin Ayhan</creatorcontrib><description>Introduction
The rapid increase in obesity and related problems has heightened the importance of obesity and metabolic surgery, resulting in a continuing search for the ideal surgical method. This study aimed to compare the effectiveness of
Roux-en-Y gastric bypass
(RYGB), which is the gold standard method, and the relatively newer method of single anastomosis sleeve ileal (SASI) bypass.
Methods
The medical records of patients who underwent RYGB and SASI bypass were reviewed and compared regarding excess weight loss (EWL) and HgA1c, fasting glucose, serum iron, ferritin, hemoglobin (Hgb), and vitamin B12 levels.
Results
The body mass index was significantly lower (
p
= 0.003), and the %EWL was significantly higher (
p
= 0.023) at 6 months postoperative in patients who underwent SASI bypass. Both groups had similar results at the other follow-up visits. The mean HgA1c levels at the 6- and 12-month follow-up visits were significantly lower in SASI patients (
p
= 0.037 and
p
= 0.012, respectively). At the 24-month follow-up, no difference was detected in HgA1c levels between the groups (
p
= 0.476). In patients who underwent RYGB, ferritin (
p
< 0.001), plasma iron (
p
= 0.001), and Hgb levels (
p
= 0.001) were significantly lower at 12, 24, and 12 months postoperatively, respectively.
Conclusion
SASI bypass is effective and comparable to RYGB in terms of EWL and metabolic control and has the advantage of not producing excluded segments and reducing nutritional deficiencies.
Graphical Abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>ISSN: 1708-0428</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-024-07472-2</identifier><identifier>PMID: 39162962</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Blood Glucose - metabolism ; Body Mass Index ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - surgery ; Female ; Ferritins - blood ; Gastric Bypass - methods ; Gastrointestinal surgery ; Glycated Hemoglobin - analysis ; Glycated Hemoglobin - metabolism ; Humans ; Ileum - surgery ; Male ; Medicine ; Medicine & Public Health ; Metabolism ; Middle Aged ; Obesity, Morbid - blood ; Obesity, Morbid - complications ; Obesity, Morbid - surgery ; Original Contributions ; Retrospective Studies ; Surgery ; Treatment Outcome ; Weight control ; Weight Loss</subject><ispartof>Obesity surgery, 2024-10, Vol.34 (10), p.3748-3754</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-f2e622fb1db4393ca5ac644a9cf1d592f180493a329ec1f3b8c1fdba082f74243</cites><orcidid>0000-0003-0501-6223</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-024-07472-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-024-07472-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39162962$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Erol, Mehmet Fatih</creatorcontrib><creatorcontrib>Kayaoglu, Huseyin Ayhan</creatorcontrib><title>Comparison of the Effectiveness of Single Anastomosis Sleeve Ileal Bypass and Roux-en-Y Gastric Bypass in Obese Patients with Type 2 Diabetes</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Introduction
The rapid increase in obesity and related problems has heightened the importance of obesity and metabolic surgery, resulting in a continuing search for the ideal surgical method. This study aimed to compare the effectiveness of
Roux-en-Y gastric bypass
(RYGB), which is the gold standard method, and the relatively newer method of single anastomosis sleeve ileal (SASI) bypass.
Methods
The medical records of patients who underwent RYGB and SASI bypass were reviewed and compared regarding excess weight loss (EWL) and HgA1c, fasting glucose, serum iron, ferritin, hemoglobin (Hgb), and vitamin B12 levels.
Results
The body mass index was significantly lower (
p
= 0.003), and the %EWL was significantly higher (
p
= 0.023) at 6 months postoperative in patients who underwent SASI bypass. Both groups had similar results at the other follow-up visits. The mean HgA1c levels at the 6- and 12-month follow-up visits were significantly lower in SASI patients (
p
= 0.037 and
p
= 0.012, respectively). At the 24-month follow-up, no difference was detected in HgA1c levels between the groups (
p
= 0.476). In patients who underwent RYGB, ferritin (
p
< 0.001), plasma iron (
p
= 0.001), and Hgb levels (
p
= 0.001) were significantly lower at 12, 24, and 12 months postoperatively, respectively.
Conclusion
SASI bypass is effective and comparable to RYGB in terms of EWL and metabolic control and has the advantage of not producing excluded segments and reducing nutritional deficiencies.
Graphical Abstract</description><subject>Adult</subject><subject>Blood Glucose - metabolism</subject><subject>Body Mass Index</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - surgery</subject><subject>Female</subject><subject>Ferritins - blood</subject><subject>Gastric Bypass - methods</subject><subject>Gastrointestinal surgery</subject><subject>Glycated Hemoglobin - analysis</subject><subject>Glycated Hemoglobin - metabolism</subject><subject>Humans</subject><subject>Ileum - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - blood</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0960-8923</issn><issn>1708-0428</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1PFTEUhhujkQv6B1yYJm7cVPs1H13iBYGEBCO4cNV0Zk6hZKYd58yg90fwnylekMQFm7bpec572jyEvBP8k-C8-oxClKZgXGrGK11JJl-Qlah4zbiW9Uuy4qbkrDZS7ZBdxGvOpSilfE12lMkHU8oVuV2nYXRTwBRp8nS-AnroPbRzuIEIiPeX5yFe9kD3o8M5DQkD0vMe4AboSQ-up182o8ukix39npY_DCL7SY8yPIX2sRgiPWsAgX5zc4A4I_0d5it6sRmBSnoQXAMz4Bvyyrse4e3Dvkd-fD28WB-z07Ojk_X-KWtlUc7MS8j_8I3oGq2Mal3h2lJrZ1ovusJIL2qujXJKGmiFV02d165xvJa-0lKrPfJxmztO6dcCONshYAt97yKkBa3iRteyrHmZ0Q__oddpmWJ-nVVC6JJnpsiU3FLtlBAn8HacwuCmjRXc3suyW1k2y7J_ZVmZm94_RC_NAN2_lkc7GVBbAHMpXsL0NPuZ2DtEwJ-w</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Erol, Mehmet Fatih</creator><creator>Kayaoglu, Huseyin Ayhan</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0501-6223</orcidid></search><sort><creationdate>20241001</creationdate><title>Comparison of the Effectiveness of Single Anastomosis Sleeve Ileal Bypass and Roux-en-Y Gastric Bypass in Obese Patients with Type 2 Diabetes</title><author>Erol, Mehmet Fatih ; Kayaoglu, Huseyin Ayhan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-f2e622fb1db4393ca5ac644a9cf1d592f180493a329ec1f3b8c1fdba082f74243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Blood Glucose - metabolism</topic><topic>Body Mass Index</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - surgery</topic><topic>Female</topic><topic>Ferritins - blood</topic><topic>Gastric Bypass - methods</topic><topic>Gastrointestinal surgery</topic><topic>Glycated Hemoglobin - analysis</topic><topic>Glycated Hemoglobin - metabolism</topic><topic>Humans</topic><topic>Ileum - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolism</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - blood</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Erol, Mehmet Fatih</creatorcontrib><creatorcontrib>Kayaoglu, Huseyin Ayhan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Erol, Mehmet Fatih</au><au>Kayaoglu, Huseyin Ayhan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the Effectiveness of Single Anastomosis Sleeve Ileal Bypass and Roux-en-Y Gastric Bypass in Obese Patients with Type 2 Diabetes</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2024-10-01</date><risdate>2024</risdate><volume>34</volume><issue>10</issue><spage>3748</spage><epage>3754</epage><pages>3748-3754</pages><issn>0960-8923</issn><issn>1708-0428</issn><eissn>1708-0428</eissn><abstract>Introduction
The rapid increase in obesity and related problems has heightened the importance of obesity and metabolic surgery, resulting in a continuing search for the ideal surgical method. This study aimed to compare the effectiveness of
Roux-en-Y gastric bypass
(RYGB), which is the gold standard method, and the relatively newer method of single anastomosis sleeve ileal (SASI) bypass.
Methods
The medical records of patients who underwent RYGB and SASI bypass were reviewed and compared regarding excess weight loss (EWL) and HgA1c, fasting glucose, serum iron, ferritin, hemoglobin (Hgb), and vitamin B12 levels.
Results
The body mass index was significantly lower (
p
= 0.003), and the %EWL was significantly higher (
p
= 0.023) at 6 months postoperative in patients who underwent SASI bypass. Both groups had similar results at the other follow-up visits. The mean HgA1c levels at the 6- and 12-month follow-up visits were significantly lower in SASI patients (
p
= 0.037 and
p
= 0.012, respectively). At the 24-month follow-up, no difference was detected in HgA1c levels between the groups (
p
= 0.476). In patients who underwent RYGB, ferritin (
p
< 0.001), plasma iron (
p
= 0.001), and Hgb levels (
p
= 0.001) were significantly lower at 12, 24, and 12 months postoperatively, respectively.
Conclusion
SASI bypass is effective and comparable to RYGB in terms of EWL and metabolic control and has the advantage of not producing excluded segments and reducing nutritional deficiencies.
Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>39162962</pmid><doi>10.1007/s11695-024-07472-2</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0501-6223</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Obesity surgery, 2024-10, Vol.34 (10), p.3748-3754 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Blood Glucose - metabolism Body Mass Index Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - surgery Female Ferritins - blood Gastric Bypass - methods Gastrointestinal surgery Glycated Hemoglobin - analysis Glycated Hemoglobin - metabolism Humans Ileum - surgery Male Medicine Medicine & Public Health Metabolism Middle Aged Obesity, Morbid - blood Obesity, Morbid - complications Obesity, Morbid - surgery Original Contributions Retrospective Studies Surgery Treatment Outcome Weight control Weight Loss |
| title | Comparison of the Effectiveness of Single Anastomosis Sleeve Ileal Bypass and Roux-en-Y Gastric Bypass in Obese Patients with Type 2 Diabetes |
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