A Prospective Randomized Controlled Trial of the Metabolic Effects of Sleeve Gastrectomy with Transit Bipartition

Azevedo, Fernanda Reis de; Santoro, Sérgio; Côrrea-Giannella, Maria Lúcia; Toyoshima, Marcos Tadashi Kakitani; Giannella-Neto, Daniel; Calderaro, Daniela; Gualandro, Danielle Menosi; Yu, Pai Ching; Caramelli, Bruno

doi:10.1007/s11695-018-3239-3

Cited by 45 publications

(18 citation statements)

References 28 publications

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“…In a 2018, 24-month, parallel-group, randomized controlled trial (RCT) of the metabolic effects of SG-TB, 20 low-BMI patients with T2DM were randomized to SG-TB or standard medical therapy. At 24 months, HbA 1C was statistically significantly reduced from baseline in the SG-TB group (9.3 ± 2.1 vs 5.5 ± 1.1%, p < 0.05) relative to the medical therapy group (8.0 ± 1.5 vs 8.3 ± 1.1%, p = NS) [70].…”

Section: Indications/contraindications Weight Loss Diabetesmentioning

confidence: 82%

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Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement

Bhandari

Fobi

Buchwald³

2019

OBES SURG

114

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Background Standardization of the key measurements of a procedure's finished anatomic configuration strengthens surgical practice, research, and patient outcomes. A consensus meeting was organized to define standard versions of 25 bariatric metabolic procedures. Methods A panel of experts in bariatric metabolic surgery from multiple continents was invited to present technique descriptions and outcomes for 4 classic, or conventional, and 21 variant and emerging procedures. Expert panel and audience discussion was followed by electronic voting on proposed standard dimensions and volumes for each procedure's key anatomic alterations. Consensus was defined as ≥ 70% agreement. Results The Bariatric Metabolic Surgery Standardization World Consensus Meeting (BMSS-WOCOM) was convened March 22-24, 2018, in New Delhi, India. Discussion confirmed heterogeneity in procedure measurements in the literature. A set of anatomic measurements to serve as the standard version of each procedure was proposed. After two voting rounds, 22/25 (88.0%) configurations posed for consideration as procedure standards achieved voting consensus by the expert panel, 1 did not attain consensus, and 2 were not voted on. All configurations were voted on by ≥ 50% of 50 expert panelists. The Consensus Statement was developed from scientific evidence collated from presenters' slides and a separate literature review, meeting video, and transcripts. Review and input was provided by consensus panel members. Conclusions Standard versions of the finished anatomic configurations of 22 surgical procedures were established by expert consensus. The BMSS process was undertaken as a first step in developing evidence-based standard bariatric metabolic surgical procedures with the aim of improving consistency in surgery, data collection, comparison of procedures, and outcome reporting.

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Section: Indications/contraindications Weight Loss Diabetesmentioning

confidence: 82%

“…The procedure has no narrow anastomoses, excluded segments, or prostheses [68,69]. SG-TB employs the principle of functional restriction, defined by Santoro et al as a metabolically (rather than mechanically/ physically) driven rate of reduction in gastric emptying and intestinal transit [70].…”

Section: Sleeve Gastrectomy With Duodenojejunal Bypass (Fig 6)mentioning

confidence: 99%

Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement

Bhandari

Fobi

Buchwald³

2019

OBES SURG

114

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“…The metabolic impact of BS on the reduction of cardiovascular risk factors and the prevention of these factors has been documented in several studies [38,74,75,76]. A meta-analysis of the long-term effect of BS, DM, and hypertension showed that the risk decreased after BS, with relative risks of 0.33 (95% CI = 0.26–0.41; I 2 = 42%), 0.54 (95% CI = 0.46–0.64, I 2 = 68%), and 0.33 (95% CI = 0.22–0.46, I 2 = 74%).…”

Section: Discussionmentioning

confidence: 99%

Assessment of Cardiometabolic Risk Factors, Physical Activity Levels, and Quality of Life in Stratified Groups up to 10 Years after Bariatric Surgery

Pereira

Aidar

Matos

et al. 2019

IJERPH

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Obesity is a highly prevalent chronic metabolic disease, with an increasing incidence, and is currently approaching epidemic proportions in developing countries. Ouraim was to evaluate the activity levels, quality of life (QoL), clinical parameters, laboratory parameters, and cardiometabolic risk factors afterbariatric surgery (BS). We classified78 patients who underwentBS into four groups, as follows: Those evaluated 1–2 years after BS (BS2), 2–4 years after BS (BS4), 4–6 years after BS (BS6), and 6–10 years after BS (BS+6). Body weight (BW), body mass index (BMI), comorbidities associated with obesity (ACRO), physical activity level, and QoL were evaluated. Patients exhibited improvements in BW, BMI, cardiometabolic risk, hypertension, dyslipidemia, and diabetes and significant changes in lipid profiles in the first postoperative yearafter BS.The physical activity level inthe BS2, BS4, and BS6 groups was increased, compared with that in the first postoperative year, with a decrease in International Physical Activity Questionnaire scores at 1 year in the BS2 (207.50 ± 30.79), BS4 (210.67 ± 33.69), and BS6 (220.00 ± 42.78) groups. The QoL of patients in theBS2 and BS4 groups was excellent and that of patients in the BS4 and BS+6 groupswas very good. These findings suggest that BS promoted improved physical activity levels and QoL and reduced comorbidities in patients with morbid obesity.

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“…The authors searched MEDLINE (via EBSCO), Scopus, and Web of Science databases between 1990 and 2009 and found 15 eligible studies that have investigated the effect of different types of bariatric surgery (BS) on fasting levels of FGF-19, while our initial search represents that at least eight eligible studies have been missed in the evidence synthesis. [2][3][4][5][6][7][8][9] Ignoring such a large number of eligible studies may lead to ambiguous findings since the inclusion of eligible studies might substantially change the overall effects. After a careful review, we noticed that the authors used a narrowed search strategy with a limited number of related keywords.…”

mentioning

confidence: 99%

Comment on “Effect of bariatric surgery on circulating FGF‐19: A systematic review and meta‐analysis”

et al. 2021

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A Prospective Randomized Controlled Trial of the Metabolic Effects of Sleeve Gastrectomy with Transit Bipartition

Abstract: SG + TB is superior to SMT and was associated with a better metabolic and cardiovascular profile.

Cited by 45 publications

References 28 publications

Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement

Standardization of Bariatric Metabolic Procedures: World Consensus Meeting Statement

Assessment of Cardiometabolic Risk Factors, Physical Activity Levels, and Quality of Life in Stratified Groups up to 10 Years after Bariatric Surgery

Comment on “Effect of bariatric surgery on circulating FGF‐19: A systematic review and meta‐analysis”

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