Of two common weight loss surgeries, one is safer but less effective


Date:
October 6, 2021
Source:
Michigan Medicine - University of Michigan
Summary:
When comparing two of the most common weight loss surgeries, a
research team found that long-term, sleeve gastrectomy is safer
than gastric bypass for Medicare patients.



FULL STORY ==========================================================================
When comparing two of the most common weight loss surgeries, a research
team led by University of Michigan Health found that long-term, sleeve gastrectomy is safer than gastric bypass for Medicare patients.


==========================================================================
Five years after each procedure, patients who'd undergone a sleeve
gastrectomy, which involves removing part of the stomach, had a lower
risk of death and complications than those who had chosen to have their stomachs divided into pouches through a gastric bypass surgery.

However, gastric bypass was superior in one area: Sleeve gastrectomy
patients were more likely to need follow-up surgery, which could indicate
that gastric bypass is more effective long-term, even though it carries
more risks.

"It's really important for patients to understand the risk of significant issues like death, complications, and hospitalization after these two procedures because that helps inform the decision about which type of
bariatric surgery to choose," said Ryan Howard, M.D., a general surgery resident at Michigan Medicine and the first author of the study.

"You could envision a scenario where a patient is averse to that risk,
and so even if a sleeve gastrectomy doesn't confer as much weight loss,
they may want it because it's the safer surgery," Howard added. "On the
other hand, if a patient has a lot of comorbidities, and a bypass is
going to afford a better clinical benefit, maybe that risk is worth it." Short-term studies have shown that sleeve gastrectomy is the safer choice,
but this study is one of the largest to analyze the outcomes of the two operations over a longer period of time.

========================================================================== Story Source: Materials provided by
Michigan_Medicine_-_University_of_Michigan. Original written by Mary
Clare Fischer. Note: Content may be edited for style and length.


========================================================================== Journal Reference:
1. Ryan Howard et al. Comparative Safety of Sleeve Gastrectomy
and Gastric
Bypass Up to 5 Years After Surgery in Patients With Severe
Obesity. JAMA Surg, 2021 DOI: 10.1001/jamasurg.2021.4981 ==========================================================================

Link to news story: https://www.sciencedaily.com/releases/2021/10/211006132328.htm

--- up 4 weeks, 6 days, 8 hours, 25 minutes
* Origin: -=> Castle Rock BBS <=- Now Husky HPT Powered! (1:317/3)