Less Common Bariatric Procedure = More Weight Loss

This article originally appeared here.
Share this content:
Less Common Bariatric Procedure = More Weight Loss
Less Common Bariatric Procedure = More Weight Loss

FRIDAY, Feb. 6, 2015 (HealthDay News) -- A less-popular type of weight loss surgery might actually lead to more weight loss than gastric bypass -- the currently favored form of obesity surgery. But, the trade-off seems to be more complications, new research suggests. The study findings were published online Feb. 4 in JAMA Surgery.

Torsten Olbers, M.D., of Sahlgrenska University Hospital in Gothenburg, Sweden, and colleagues focused on 60 patients aged 20 to 50. Their average body mass index (BMI) was between 50 and 60 kg/m². About half the patients underwent standard gastric bypass surgery, while the other half underwent biliopancreatic diversion with duodenal switch (or simply "duodenal switch"). In the end, 55 patients were followed for five years.

The researchers found that by the five-year mark, the gastric bypass group's BMI dropped 13.6 kg/m², while the duodenal group dropped 22.1 kg/m². The researchers also found that blood pressure, lung function, and the incidence of type 2 diabetes were similar among the two groups, as was overall quality of life. But, the duodenal group showed greater reductions in cholesterol, triglycerides, and fasting blood glucose levels.

However, those in the duodenal group were also prone to a much higher risk for nutritional complications, gastrointestinal problems, and rehospitalization. Almost 80 percent of duodenal patients (79.3 percent) experienced one or more complications during the post-surgery timeframe. That compares to 67.7 percent in the gastric bypass group. While 9.7 percent of the gastric bypass group had to undergo more surgical procedures as a result of their initial operation, that figure rose to 44.8 percent among the duodenal group. Olbers and his colleagues concluded that, despite its apparent superiority as a means to help obese patients lose weight, the duodenal switch should be "used with caution."

Abstract
Full Text
Editorial (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions



Sign up for myCME e-newsletters




More in Home

Non-Nutritive Sweeteners Don't Up Blood Glucose Levels

Non-Nutritive Sweeteners Don't Up Blood Glucose Levels

Concentration of NNSs decreases gradually over the course of observation after consumption

Laws Allowing Service Denial to Sexual Minorities Tied to Distress

Laws Allowing Service Denial to Sexual Minorities Tied ...

Laws permitting denial of services linked to increase in mental distress among sexual minorities

Antidepressant Prescribing Linked to Lasting Weight Gain

Antidepressant Prescribing Linked to Lasting Weight Gain

Risk of weight gain remained increased during at least six years of follow-up