One anastomosis gastric bypass vs. Roux-en-Y gastric bypass: a 5-year follow-up prospective randomized trial

Aug 8, 2020Langenbeck's archives of surgery

Five-year comparison of one anastomosis and Roux-en-Y gastric bypass surgeries

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Abstract

At a 5-year follow-up, both OAGB and RYGB techniques resulted in similar outcomes in terms of percent of excess weight lost (%EWL) and resolution of comorbidities.

  • Thirty-three patients were randomly assigned to OAGB (9 patients) and RYGB (24 patients) groups.
  • Both groups showed a progressive decrease in weight, BMI, and %EWL at 1, 6, 12 months, and 5 years, with no significant differences observed.
  • Complete remission of type 2 diabetes mellitus, insulin resistance, and dyslipidemia was recorded in the OAGB group, while the RYGB group also reported remission of gastroesophageal reflux disease.
  • Mean operative time was shorter for OAGB (113.3 minutes) compared to RYGB (143.7 minutes).
  • Postoperative pain was significantly higher in the RYGB group, despite both groups having a hospital stay of 3 days.
  • No major postoperative complications or mortality were reported in either group.

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