Comparative Analysis of Laparoscopic Sleeve Gastrectomy and One-Anastomosis Gastric Bypass Over a 5-Year Period

The battle against obesity has led to increased reliance on surgical interventions, with Laparoscopic Sleeve Gastrectomy (LSG) and One-Anastomosis Gastric Bypass (OAGB) being prominent choices. A recent study spanning five years offers critical insights into these surgeries, providing valuable information for those contemplating bariatric procedures.

Study Highlights

The research involved a comparison between LSG and OAGB in 300 patients, focusing on parameters like weight loss efficacy, complication rates, and life quality post-surgery.

1. Effectiveness in Weight Reduction: OAGB outperformed LSG in both overall and excess weight loss across the five-year period, demonstrating its superior long-term effectiveness in weight management.
2. Tendency for Weight Regain: Notably, participants undergoing LSG were more prone to regaining weight, highlighting the importance of ongoing lifestyle management after surgery.
3. Incidence of GERD: A significant reduction in new cases of GERD was observed in the OAGB group compared to LSG, making it a crucial factor in surgical decision-making for individuals predisposed to GERD.
4. Improvement in Life Quality: Both surgical methods led to notable improvements in the quality of life for patients, with no significant differences between the two.
5. Safety and Complications: The complication rates for both surgeries were on par, underscoring their relative safety as medical procedures.

Cost Consideration

Significantly, the cost of bariatric surgeries like LSG and OAGB has reduced considerably over the years, making them more accessible to a wider range of patients. This reduction in cost does not compromise the quality of care but rather reflects advancements in surgical techniques and efficiency in healthcare delivery.

Implications for Decision Making

This study is essential for those weighing their options for bariatric surgery. When choosing between LSG and OAGB, considerations should include personal health conditions, the likelihood of weight regain, the risk of GERD, and the cost factor. Medical professionals can leverage this data to guide patients towards a surgery choice that aligns with their health needs and lifestyle preferences.

Final Thoughts

This comparative study illuminates the path for individuals and healthcare providers in making informed decisions regarding bariatric surgery. While OAGB shows higher efficacy in sustained weight loss and a lower risk of GERD, the choice of surgery should be customized based on individual health factors, risks, and financial considerations. This research marks a significant step in understanding the long-term impacts of these prevalent bariatric surgeries.

Reference

This blog article is based on the research article "Laparoscopic Sleeve Gastrectomy vs One-Anastomosis Gastric Bypass 5 Years Follow-up: A Single-Blinded Randomized Controlled Trial" by Mohamed Hany, Ahmed Zidan, Moustafa R Aboelsoud, Bart Torensma, published on February 08, 2024. DOI: https://doi.org/10.1016/j.gassur.2024.01.038.