Propensity Score–Matching Sleeve Gastrectomy (SG) vs. Gastric Bypass (RYGB) in Patients ≥ 60 Years

Thaher, Omar; Wolf, Stefanie; Hukauf, Martin

doi:10.1007/s11695-021-05320-1

Cited by 11 publications

(7 citation statements)

References 35 publications

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“…RYGB is a representative and highly efficient procedure in bariatric surgery [ 38 ]. SG is currently the most commonly used surgical procedure in the world, and its adverse event rate is lower than that of RYGB [ 39 ]. Regarding whether the different surgical methods will cause changes in the incidence of cholelithiasis, the current controversy is whether the incidence of cholelithiasis after RYGB is higher than that of other procedures [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Dai

Luo

2023

Lipids Health Dis

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Background Obesity has been identified as an independent risk factor for cholelithiasis. As a treatment for obesity, bariatric surgery may increase the incidence of cholelithiasis. The risk factors for cholelithiasis after bariatric surgery remain uncertain. The purpose of this study was to explore the risk factors for postoperative cholelithiasis after weight-loss surgery and propose suggestions for clinical decision making. Methods Four databases, PubMed, EMBASE, Web of Science and Cochrane, were systematically searched for all reports about cholelithiasis after bariatric surgery, and literature screening was performed following prespecified inclusion criteria. The included studies were all evaluated for quality according to the NOS scale. Data extraction was followed by analysis using Reviewer Manager 5.4 and StataSE 15. Results A total of 19 articles were included in this meta-analysis, and all studies were of high quality. A total of 20,553 patients were included in this study. Sex [OR = 0.62, 95% CI (0.55, 0.71), P < 0.00001] and race [OR = 1.62, 95% CI (1.19, 2.19), P = 0.002] were risk factors for cholelithiasis after bariatric surgery. Surgical procedure, preoperative BMI, weight-loss ratio, smoking, hypertension, diabetes mellitus, and dyslipidemia were neither protective nor risk factors for cholelithiasis after bariatric surgery. Conclusion Caucasian race and female sex are risk factors for developing cholelithiasis after bariatric surgery; surgical procedure, BMI, weight loss ratio, hypertension, diabetes mellitus, dyslipidemia, and smoking are not risk factors for cholelithiasis after bariatric surgery.

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Section: Discussionmentioning

confidence: 99%

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Dai

Luo

2023

Lipids Health Dis

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“…11 Moreover, some researchers believe that leaks are linked to significant morbidity and mortality rates. 19,25 The overall incidence of an anastomotic leak following bariatric surgery is reported as approximately 2.4% among SG patients. 26 As surgeon experience with the laparoscopic approach increases, the rate of anastomotic leakage is often declined.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

Goudarzi¹,

Obney

Hemmatizadeh³

et al. 2022

Journal of Digestive Endoscopy

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Introduction Endoscopic treatments have become popular by providing the best solution for healing complications while allowing oral nutrition. In this study, we aim to evaluate outcomes of the endoscopic-covered stents for staple line complications following bariatric surgery. Methods A prospective evaluation was performed for all patients treated for staple line complications after bariatric surgery. Bariatric patients with acute leaks, chronic gastrocutaneous fistulas, and anastomotic strictures refractory to endoscopic dilation after sleeve gastrectomy were included in this survey. Results From January 2019 to June 2020, 41 patients (12 with acute leaks, 16 with chronic fistulas, and 13 with strictures) were treated with endoscopic silicone-covered stents (polyester or nitinol). The mean follow-up was 3.5 months. Immediate symptomatic improvement occurred in 95.2% (91.7% of acute leaks, 81.2% of fistulas, and 92.3% of strictures). In addition, 87.8% of patients initiated oral feeding immediately after stenting. There was no mortality case in this population. Conclusion Although stent migration rarely occurs in subjects, the endoscopic silicone-covered stents strategy is one of the best treatments for anastomotic complications after bariatric surgery, providing rapid healing while simultaneously allowing for oral nutrition.

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“…Bei älteren Patientengruppen erzielte die SG ähnliche Ergebnisse. In eigenen Veröffentlichungen und auf der Grundlage einer Literaturrecherche hat die SG bei älteren Patienten eine ausreichende langfristige BMI-Reduktion erzielt, wobei die durchschnittliche BMI-Reduktion von den demografischen Merkmalen der Patienten und der Nachbeobachtungszeit nach der Operation beeinflusst wird [17][18][19][20].…”

Section: üBereinstimmende Fälle [ %]unclassified

“…In Bezug auf die Komplikationsrate nach SG konnten auf Basis der Ergebnisse der vorliegenden Arbeit und der verfügbaren Literatur [10,17,23,24] keine signifikanten unterschiedlichen Komplikationsraten zwischen Jugendlichen und älteren Patienten festgestellt werden. Darüber hinaus unterscheidet sich ebenso die Revisionsrate und ReOperation nach operativen Eingriffen bei Kindern und Jugendlichen nicht von denen bei älteren Patienten [22].…”

Section: üBereinstimmende Fälle [ %]unclassified

Effizienz und Anwendbarkeit der Sleeve Gastrektomie bei jüngeren Patienten im Vergleich zu älteren. Multizentrische Propensity-Score-Matching-Analyse.

Thaher,

Puhl,

Stroh

2023

Adipositas - Ursachen, Folgeerkrankungen, Therapie

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Zusammenfassung Ziel In dieser Arbeit werden die Resultate der Sleeve Gastrektomie (SG) von Jugendlichen und älteren Patienten verglichen. Methodik Vom 01.01.2005 bis 31.12.2020 wurden 317 Jugendliche (≤21 Jahre) im prospektiven, multizentrischen German Bariatric Surgery Registry erfasst. Ihre Daten werden mit 3721 Patienten (30–40 Jahre) gegenübergestellt. Fokus liegt auf der Veränderung von BMI, T2DM, aHTN, OSAS, GERD und perioperativen Ereignissen. Die Parameter wurden mittels Propensity-Score-Matching verglichen. Ergebnisse Ein Matching erfolgte für 273 (86,1%) Patienten. Es wurden keine signifikanten Unterschiede in der Remission von T2DM, OSAS oder GERD beobachtet. Die Remission der aHTN zeigte signifikante Vorteile zugunsten jugendlicher Patienten (p<5%). Für die perioperativen Ereignissen und BMI-Reduktion fand sich kein signifikanter Unterschied. Schlussfolgerung Die SG ist ein sicheres, wirksames Verfahren. Es führt altersunabhängig zu einer guten Gewichtsabnahme und Verbesserung der Komorbiditäten. Da die SG mit diversen Komplikationen verbunden sein kann, sollte die Indikation bei Jugendlichen von einem interdisziplinären Team gestellt werden. Die Nachsorge sollte langfristig interdisziplinär erfolgen.

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Propensity Score–Matching Sleeve Gastrectomy (SG) vs. Gastric Bypass (RYGB) in Patients ≥ 60 Years

Cited by 11 publications

References 35 publications

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Incidence and risk factors for cholelithiasis after bariatric surgery: a systematic review and meta-analysis

Endoscopic Self-Expanding Metallic Stent Placement in the Management of Post Laparoscopic Sleeve Gastrectomy Complications

Effizienz und Anwendbarkeit der Sleeve Gastrektomie bei jüngeren Patienten im Vergleich zu älteren. Multizentrische Propensity-Score-Matching-Analyse.

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