Eight Year Follow-Up After Gastric Bypass and Sleeve Gastrectomy in a Brazilian Cohort: Weight Trajectory and Health Outcomes
Introduction Despite Sleeve Gastrectomy (SG) being the most commonly performed bariatric surgery today, studies with over 5 years of follow-up show that patients undergoing SG have inferior weight loss compared to those undergoing Roux-en-Y gastric bypass (RYGB). The aim of this study was to examine...
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| Veröffentlicht in: | Obesity surgery 2024-12, Vol.34 (12), p.4452-4458 |
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| creator | Lins de Souza Salerno, Marianna Garcia Soares Leães Rech, Carolina Bortoluzzi Escobar da Silva, Pedro Weston, Antonio Carlos de Carli, Luis Alberto Pereira-Lima, Julia Fernanda |
| description | Introduction
Despite Sleeve Gastrectomy (SG) being the most commonly performed bariatric surgery today, studies with over 5 years of follow-up show that patients undergoing SG have inferior weight loss compared to those undergoing Roux-en-Y gastric bypass (RYGB). The aim of this study was to examine differences in weight loss and the prevalence of weight regain between SG and RYGB up to 8 years after surgery.
Methods
Retrospective study including adult patients undergoing SG or RYGB between 2015 and 2018 at a tertiary center in Brazil. We evaluate the weight trajectory and pre- and postoperative behavior of type 2 diabetes (T2D), hypertension, and dyslipidemia. Differences betwen variables were tested using Student t-test, Mann–Whitney U, Pearson’s chi-square or Fisher's exact test as appropriate. The level of significance adopted was
p
|
| doi_str_mv | 10.1007/s11695-024-07557-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3121064864</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3121064864</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-453ab3554a4ff7690f303af2d5929d0057a284e67acc60ad069540bbe3fe5f9c3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EokvhD3BAlrhwMYw_E3NrV_1AqtQDrRAny5tMulkl8WI7RUHiv5NuCkgcOPkwz_uONQ8hrzm85wDFh8S5sZqBUAwKrQs2PSErXkDJQInyKVmBNcBKK-QReZHSDkBwI8RzciStMtxKsyI_z9q7baZf0Ud6HroufGe3e3rSZIz0wqcc24qeTnufEvVDTT93iPe4TLDKoZ9oO1BPT6P_0XatH-g6bEPMH-kXPBTfRL97AON0yF-i7_KWXo-5Cj2ml-RZ47uErx7fY3J7fnazvmRX1xef1idXrBLaZKa09BuptfKqaQpjoZEgfSNqbYWtAXThRanQFL6qDPga5rMo2GxQNqgbW8lj8m7p3cfwbcSUXd-mCrvODxjG5CQXHIwqjZrRt_-guzDGYf7dTCkrubbczJRYqCqGlCI2bh_b3sfJcXAPctwix81y3EGOm-bQm8fqcdNj_Sfy28YMyAVI82i4w_h3939qfwEcfJqU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3149315916</pqid></control><display><type>article</type><title>Eight Year Follow-Up After Gastric Bypass and Sleeve Gastrectomy in a Brazilian Cohort: Weight Trajectory and Health Outcomes</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Lins de Souza Salerno, Marianna ; Garcia Soares Leães Rech, Carolina ; Bortoluzzi Escobar da Silva, Pedro ; Weston, Antonio Carlos ; de Carli, Luis Alberto ; Pereira-Lima, Julia Fernanda</creator><creatorcontrib>Lins de Souza Salerno, Marianna ; Garcia Soares Leães Rech, Carolina ; Bortoluzzi Escobar da Silva, Pedro ; Weston, Antonio Carlos ; de Carli, Luis Alberto ; Pereira-Lima, Julia Fernanda</creatorcontrib><description>Introduction
Despite Sleeve Gastrectomy (SG) being the most commonly performed bariatric surgery today, studies with over 5 years of follow-up show that patients undergoing SG have inferior weight loss compared to those undergoing Roux-en-Y gastric bypass (RYGB). The aim of this study was to examine differences in weight loss and the prevalence of weight regain between SG and RYGB up to 8 years after surgery.
Methods
Retrospective study including adult patients undergoing SG or RYGB between 2015 and 2018 at a tertiary center in Brazil. We evaluate the weight trajectory and pre- and postoperative behavior of type 2 diabetes (T2D), hypertension, and dyslipidemia. Differences betwen variables were tested using Student t-test, Mann–Whitney U, Pearson’s chi-square or Fisher's exact test as appropriate. The level of significance adopted was
p
< 0,005.
Results
Among 591 patients (40 ± 10 years; baseline body mass index 41.7 [IQR 39.1–45]; 83% women), 327 underwent RYGB (55%) and 264 SG (45%). Preoperatively, 14% had T2D, 40% hypertension, and 53% dyslipidemia. The mean total percentage of weight loss was higher in the RYGB group after 8 years: 32% compared to 19% after SG (difference 13%,
p
< 0.004). At 8 years, weight regain was also lower in RYGB (23%) compared to SG (39%) (
p
< 0.001). At 5 years postoperatively, the remission rates for T2D, hypertension, and dyslipidemia were 63%, 42%, and 51%, respectively, among the patients who remained in follow-up.
Conclusions
Patients undergoing RYGB showed greater weight loss and less weight regain 8 years after bariatric surgery compared to those undergoing SG.</description><identifier>ISSN: 0960-8923</identifier><identifier>ISSN: 1708-0428</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-024-07557-y</identifier><identifier>PMID: 39461936</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Body-Weight Trajectory ; Brazil - epidemiology ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - surgery ; Dyslipidemias - epidemiology ; Female ; Follow-Up Studies ; Gastrectomy ; Gastric Bypass ; Gastrointestinal surgery ; Humans ; Hypertension ; Hypertension - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Metabolic disorders ; Middle Aged ; Obesity, Morbid - surgery ; Original Contributions ; Retrospective Studies ; Surgery ; Surgical outcomes ; Treatment Outcome ; Weight control ; Weight Gain ; Weight Loss</subject><ispartof>Obesity surgery, 2024-12, Vol.34 (12), p.4452-4458</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><rights>Copyright Springer Nature B.V. Dec 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-453ab3554a4ff7690f303af2d5929d0057a284e67acc60ad069540bbe3fe5f9c3</cites><orcidid>0009-0008-5203-7354</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/s11695-024-07557-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-024-07557-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39461936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lins de Souza Salerno, Marianna</creatorcontrib><creatorcontrib>Garcia Soares Leães Rech, Carolina</creatorcontrib><creatorcontrib>Bortoluzzi Escobar da Silva, Pedro</creatorcontrib><creatorcontrib>Weston, Antonio Carlos</creatorcontrib><creatorcontrib>de Carli, Luis Alberto</creatorcontrib><creatorcontrib>Pereira-Lima, Julia Fernanda</creatorcontrib><title>Eight Year Follow-Up After Gastric Bypass and Sleeve Gastrectomy in a Brazilian Cohort: Weight Trajectory and Health Outcomes</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Introduction
Despite Sleeve Gastrectomy (SG) being the most commonly performed bariatric surgery today, studies with over 5 years of follow-up show that patients undergoing SG have inferior weight loss compared to those undergoing Roux-en-Y gastric bypass (RYGB). The aim of this study was to examine differences in weight loss and the prevalence of weight regain between SG and RYGB up to 8 years after surgery.
Methods
Retrospective study including adult patients undergoing SG or RYGB between 2015 and 2018 at a tertiary center in Brazil. We evaluate the weight trajectory and pre- and postoperative behavior of type 2 diabetes (T2D), hypertension, and dyslipidemia. Differences betwen variables were tested using Student t-test, Mann–Whitney U, Pearson’s chi-square or Fisher's exact test as appropriate. The level of significance adopted was
p
< 0,005.
Results
Among 591 patients (40 ± 10 years; baseline body mass index 41.7 [IQR 39.1–45]; 83% women), 327 underwent RYGB (55%) and 264 SG (45%). Preoperatively, 14% had T2D, 40% hypertension, and 53% dyslipidemia. The mean total percentage of weight loss was higher in the RYGB group after 8 years: 32% compared to 19% after SG (difference 13%,
p
< 0.004). At 8 years, weight regain was also lower in RYGB (23%) compared to SG (39%) (
p
< 0.001). At 5 years postoperatively, the remission rates for T2D, hypertension, and dyslipidemia were 63%, 42%, and 51%, respectively, among the patients who remained in follow-up.
Conclusions
Patients undergoing RYGB showed greater weight loss and less weight regain 8 years after bariatric surgery compared to those undergoing SG.</description><subject>Adult</subject><subject>Body-Weight Trajectory</subject><subject>Brazil - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - surgery</subject><subject>Dyslipidemias - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrectomy</subject><subject>Gastric Bypass</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic disorders</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Weight control</subject><subject>Weight Gain</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>eNp9kU1v1DAQhi0EokvhD3BAlrhwMYw_E3NrV_1AqtQDrRAny5tMulkl8WI7RUHiv5NuCkgcOPkwz_uONQ8hrzm85wDFh8S5sZqBUAwKrQs2PSErXkDJQInyKVmBNcBKK-QReZHSDkBwI8RzciStMtxKsyI_z9q7baZf0Ud6HroufGe3e3rSZIz0wqcc24qeTnufEvVDTT93iPe4TLDKoZ9oO1BPT6P_0XatH-g6bEPMH-kXPBTfRL97AON0yF-i7_KWXo-5Cj2ml-RZ47uErx7fY3J7fnazvmRX1xef1idXrBLaZKa09BuptfKqaQpjoZEgfSNqbYWtAXThRanQFL6qDPga5rMo2GxQNqgbW8lj8m7p3cfwbcSUXd-mCrvODxjG5CQXHIwqjZrRt_-guzDGYf7dTCkrubbczJRYqCqGlCI2bh_b3sfJcXAPctwix81y3EGOm-bQm8fqcdNj_Sfy28YMyAVI82i4w_h3939qfwEcfJqU</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Lins de Souza Salerno, Marianna</creator><creator>Garcia Soares Leães Rech, Carolina</creator><creator>Bortoluzzi Escobar da Silva, Pedro</creator><creator>Weston, Antonio Carlos</creator><creator>de Carli, Luis Alberto</creator><creator>Pereira-Lima, Julia Fernanda</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/0009-0008-5203-7354</orcidid></search><sort><creationdate>20241201</creationdate><title>Eight Year Follow-Up After Gastric Bypass and Sleeve Gastrectomy in a Brazilian Cohort: Weight Trajectory and Health Outcomes</title><author>Lins de Souza Salerno, Marianna ; Garcia Soares Leães Rech, Carolina ; Bortoluzzi Escobar da Silva, Pedro ; Weston, Antonio Carlos ; de Carli, Luis Alberto ; Pereira-Lima, Julia Fernanda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-453ab3554a4ff7690f303af2d5929d0057a284e67acc60ad069540bbe3fe5f9c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Body-Weight Trajectory</topic><topic>Brazil - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - surgery</topic><topic>Dyslipidemias - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastrectomy</topic><topic>Gastric Bypass</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic disorders</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><topic>Weight control</topic><topic>Weight Gain</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lins de Souza Salerno, Marianna</creatorcontrib><creatorcontrib>Garcia Soares Leães Rech, Carolina</creatorcontrib><creatorcontrib>Bortoluzzi Escobar da Silva, Pedro</creatorcontrib><creatorcontrib>Weston, Antonio Carlos</creatorcontrib><creatorcontrib>de Carli, Luis Alberto</creatorcontrib><creatorcontrib>Pereira-Lima, Julia Fernanda</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>Lins de Souza Salerno, Marianna</au><au>Garcia Soares Leães Rech, Carolina</au><au>Bortoluzzi Escobar da Silva, Pedro</au><au>Weston, Antonio Carlos</au><au>de Carli, Luis Alberto</au><au>Pereira-Lima, Julia Fernanda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eight Year Follow-Up After Gastric Bypass and Sleeve Gastrectomy in a Brazilian Cohort: Weight Trajectory and Health Outcomes</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>34</volume><issue>12</issue><spage>4452</spage><epage>4458</epage><pages>4452-4458</pages><issn>0960-8923</issn><issn>1708-0428</issn><eissn>1708-0428</eissn><abstract>Introduction
Despite Sleeve Gastrectomy (SG) being the most commonly performed bariatric surgery today, studies with over 5 years of follow-up show that patients undergoing SG have inferior weight loss compared to those undergoing Roux-en-Y gastric bypass (RYGB). The aim of this study was to examine differences in weight loss and the prevalence of weight regain between SG and RYGB up to 8 years after surgery.
Methods
Retrospective study including adult patients undergoing SG or RYGB between 2015 and 2018 at a tertiary center in Brazil. We evaluate the weight trajectory and pre- and postoperative behavior of type 2 diabetes (T2D), hypertension, and dyslipidemia. Differences betwen variables were tested using Student t-test, Mann–Whitney U, Pearson’s chi-square or Fisher's exact test as appropriate. The level of significance adopted was
p
< 0,005.
Results
Among 591 patients (40 ± 10 years; baseline body mass index 41.7 [IQR 39.1–45]; 83% women), 327 underwent RYGB (55%) and 264 SG (45%). Preoperatively, 14% had T2D, 40% hypertension, and 53% dyslipidemia. The mean total percentage of weight loss was higher in the RYGB group after 8 years: 32% compared to 19% after SG (difference 13%,
p
< 0.004). At 8 years, weight regain was also lower in RYGB (23%) compared to SG (39%) (
p
< 0.001). At 5 years postoperatively, the remission rates for T2D, hypertension, and dyslipidemia were 63%, 42%, and 51%, respectively, among the patients who remained in follow-up.
Conclusions
Patients undergoing RYGB showed greater weight loss and less weight regain 8 years after bariatric surgery compared to those undergoing SG.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>39461936</pmid><doi>10.1007/s11695-024-07557-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0009-0008-5203-7354</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2024-12, Vol.34 (12), p.4452-4458 |
| issn | 0960-8923 1708-0428 1708-0428 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Body-Weight Trajectory Brazil - epidemiology Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - surgery Dyslipidemias - epidemiology Female Follow-Up Studies Gastrectomy Gastric Bypass Gastrointestinal surgery Humans Hypertension Hypertension - epidemiology Male Medicine Medicine & Public Health Metabolic disorders Middle Aged Obesity, Morbid - surgery Original Contributions Retrospective Studies Surgery Surgical outcomes Treatment Outcome Weight control Weight Gain Weight Loss |
| title | Eight Year Follow-Up After Gastric Bypass and Sleeve Gastrectomy in a Brazilian Cohort: Weight Trajectory and Health Outcomes |
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