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Comparison of Efficacy and Safety Between Roux-en-Y Gastric Bypass (RYGB) vs One Anastomosis Gastric Bypass (OAGB) vs Single Anastomosis Duodeno-ileal Bypass with Sleeve Gastrectomy (SADI-S): a Systematic Review of Bariatric and Metabolic Surgery
Comparing the Effectiveness and Safety of Three Weight-Loss Surgeries: Roux-en-Y, One-Anastomosis, and Single-Anastomosis with Sleeve Gastrectomy
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Abstract
Eighteen studies were reviewed to compare the safety and efficacy of Roux-en-Y gastric bypass, one anastomosis gastric bypass, and single anastomosis duodeno-ileal bypass with sleeve gastrectomy.
- SADI-S showed greater weight loss at 5 years compared to other procedures.
- OAGB demonstrated better weight loss outcomes at 10 years.
- SADI-S was associated with a better resolution of diabetes.
- OAGB resulted in improved resolution of hypertension and dyslipidemia.
- Early complications and mortality rates were higher for SADI-S.
- RYGB had more frequent late complications compared to SADI-S.
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