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Thirty-day outcomes of sleeve gastrectomy versus Roux-en-Y gastric bypass: first report based on Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database
Thirty-day results of sleeve gastrectomy versus Roux-en-Y gastric bypass surgery from a national bariatric surgery database
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Abstract
A total of 141,646 patients were analyzed, with 98,292 undergoing sleeve gastrectomy (SG) and 43,354 undergoing Roux-en-Y gastric bypass (RYGB).
- The 30-day mortality rate was 0.1% for SG and 0.2% for RYGB, indicating a statistically significant difference.
- Unplanned intensive care unit admissions were twice as common after RYGB compared to SG (1.3% versus 0.6%).
- The rate of at least one intervention or reoperation was higher for RYGB (2.8%) compared to SG (1.2%).
- The incidence of drain placement at 30 days postoperatively was slightly higher after RYGB (0.4%) than after SG (0.3%).
- Readmission rates were also higher for RYGB at 2.8% compared to 1.2% for SG.
- SG appears to have a better safety profile in the first 30 days postoperatively compared with RYGB.
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