Long-Term Weight Loss Results, Remission of Comorbidities and Nutritional Deficiencies of Sleeve Gastrectomy (SG), Roux-En-Y Gastric Bypass (RYGB) and One-Anastomosis Gastric Bypass (OAGB) on Type 2 Diabetic (T2D) Patients

Maria-Jose Castro, Jose-Maria Jimenez, Miguel-Angel Carbajo, Maria Lopez, Maria-Jose Cao, Sara Garcia and Jaime Ruiz-Tovar
Additional contact information
Maria-Jose Castro: Nursing Faculty, University of Valladolid, 47002 Valladolid, Spain
Jose-Maria Jimenez: Nursing Faculty, University of Valladolid, 47002 Valladolid, Spain
Miguel-Angel Carbajo: Centre of Excellence for the Study and Treatment of Obesity and Diabetes, 47004 Valladolid, Spain
Maria Lopez: Nursing Faculty, University of Valladolid, 47002 Valladolid, Spain
Maria-Jose Cao: Nursing Faculty, University of Valladolid, 47002 Valladolid, Spain
Sara Garcia: Nursing Faculty, University of Valladolid, 47002 Valladolid, Spain
Jaime Ruiz-Tovar: Centre of Excellence for the Study and Treatment of Obesity and Diabetes, 47004 Valladolid, Spain

IJERPH, 2020, vol. 17, issue 20, 1-11

Abstract: This study aimed to compare the long-term weight loss results, remission of comorbidities and nutritional deficiencies of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB) and One-Anastomosis gastric bypass (OAGB) on type 2 diabetic (T2D) patients. Patients and Methods: A retrospective analysis of all the morbidly obese and diabetic patients undergoing SG, RYGB, and OAGB as primary bariatric procedures between February 2010 and June 2015 was performed. Anthropometric parameters, remission of comorbidities, nutritional deficiencies and supplementation requirements at 1, 2 and 5 years’ follow-up were monitored. Patients lost to follow-up 5 years after surgery were excluded from the analysis. Results: 358 patients were included. The follow-up rate was 84.8%. Finally, 83 SG, 152 RYGB, and 123 OAGB patients were included in the analysis. OAGB obtained significantly greater weight loss and remission of dyslipidemia than the other techniques. There was a trend towards greater T2D and hypertension remission rate after OAGB, while fasting glucose and glycated hemoglobin levels were significantly lower after OAGB. There were no significant differences in hemoglobin or protein levels between groups. SG obtained lower iron deficiencies than the other techniques, while there were no significant differences in other nutritional deficiencies between groups. Conclusion: OAGB obtained greater weight loss and remission of dyslipidemia than RYGB or SG. Excluding lower iron deficiency rates after SG, there were no significant differences in the development of nutritional deficiencies between groups.

Keywords: obesity; type 2 diabetes; one-anastomosis gastric bypass; Roux-en-Y gastric bypass; sleeve gastrectomy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/20/7644/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/20/7644/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:20:p:7644-:d:431705

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().