Roux‐en‐Y gastric bypass, sleeve gastrectomy, or one‐anastomosis gastric bypass? A systematic review and meta‐analysis of randomized‐controlled trials

Feb 9, 2022Obesity (Silver Spring, Md.)

Comparing three types of weight-loss surgery: Roux-en-Y gastric bypass, sleeve gastrectomy, and one-anastomosis gastric bypass

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Abstract

Roux-en-Y gastric bypass (RYGB) results in greater at 3 years compared to other bariatric procedures.

  • RYGB patients experienced greater excess weight loss (EWL) at 3 years (mean difference: 11.93) and 5 years (mean difference: 13.11).
  • Higher excess BMI loss was observed with RYGB at 1 year (mean difference: 11.66).
  • was significantly higher for RYGB patients at multiple time points: 3 months (mean difference: 2.41), 6 months (mean difference: 3.83), 1 year (mean difference: 6.35), and 5 years (mean difference: 3.90).
  • No significant difference in rates was found between RYGB and sleeve gastrectomy (SG).
  • After 1 year, excess weight loss was significantly greater with one-anastomosis gastric bypass (OAGB) than RYGB (mean difference: -10.82).

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Key numbers

11.93%
Increase in at 3 years
Percentage of excess weight lost after RYGB vs. SG
10.82%
Increase in at 1 year
Mean difference in between OAGB and RYGB
0%
No difference in diabetes remission
Remission of type 2 diabetes rates between RYGB and SG

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