Banded One-Anastomosis Gastric Bypass (BOAGB) for Patients Living with Obesity and Extreme Obesity: A Single Institution's Experience.
Banded one-anastomosis gastric bypass
Excess weight loss
One-anastomosis gastric bypass
Sleeve gastrectomy
Surgical outcomes
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
01 Apr 2024
01 Apr 2024
Historique:
received:
04
01
2024
accepted:
20
03
2024
revised:
18
03
2024
medline:
1
4
2024
pubmed:
1
4
2024
entrez:
1
4
2024
Statut:
aheadofprint
Résumé
The prevalence of patients suffering from extreme obesity (body mass index (BMI) ≥ 50) has significantly increased over the past three decades, surpassing the rise in the general population of overweight patients. Weight loss outcomes after bariatric surgery in patients suffering from extreme obesity are less favorable, with a higher incidence of weight regain. Variations of existing bariatric procedures have been proposed to address this issue. One such variation is adding a gastric band to limit the expansion of the newly created pouch. Limited data exist regarding the effectiveness of this procedure, called the banded one-anastomosis gastric bypass (BOAGB) procedure, compared to other bariatric procedures. In this retrospective study, we compared all patients who underwent the BOAGB procedure at the Bariatric Surgery Unit in our Medical Center with a postoperative follow-up of at least 1 year with patients who underwent a one-anastomosis gastric bypass (OAGB) or sleeve gastrectomy (SG) procedures. Data collected included demographics, comorbidities, surgical outcomes, complications, and postoperative quality-of-life assessments. One hundred eleven patients were enlisted to our study during the relevant study period-24 patients underwent the BOAGB procedure, 43 underwent OAGB, and 44 underwent a SG. Lost to follow-up beyond 30 days was 9% (at 1-year post-surgery, we were able to establish contact with 101 patients). The pre-op BMI was significantly higher in the BOAGB group compared to the other procedures. Additionally, a higher prevalence of diabetes was observed in the BOAGB group. The duration of surgery was significantly longer for the BOAGB procedure. No significant differences were found in surgical complications. Overall, all procedures resulted in significant excess weight loss (EWL) or change in BMI, improvement in comorbidities, and improved quality of life postoperatively. The BOAGB procedure, like OAGB and SG, demonstrated favorable weight loss outcomes and weight maintenance 1 year postoperatively without significant differences between the procedures. The BOAGB procedure is relatively new, with good bariatric outcomes and a favorable safety profile. Long-term study is needed to evaluate these various bariatric procedures' efficacy further.
Sections du résumé
BACKGROUND
BACKGROUND
The prevalence of patients suffering from extreme obesity (body mass index (BMI) ≥ 50) has significantly increased over the past three decades, surpassing the rise in the general population of overweight patients. Weight loss outcomes after bariatric surgery in patients suffering from extreme obesity are less favorable, with a higher incidence of weight regain. Variations of existing bariatric procedures have been proposed to address this issue. One such variation is adding a gastric band to limit the expansion of the newly created pouch. Limited data exist regarding the effectiveness of this procedure, called the banded one-anastomosis gastric bypass (BOAGB) procedure, compared to other bariatric procedures.
METHOD
METHODS
In this retrospective study, we compared all patients who underwent the BOAGB procedure at the Bariatric Surgery Unit in our Medical Center with a postoperative follow-up of at least 1 year with patients who underwent a one-anastomosis gastric bypass (OAGB) or sleeve gastrectomy (SG) procedures. Data collected included demographics, comorbidities, surgical outcomes, complications, and postoperative quality-of-life assessments.
RESULTS
RESULTS
One hundred eleven patients were enlisted to our study during the relevant study period-24 patients underwent the BOAGB procedure, 43 underwent OAGB, and 44 underwent a SG. Lost to follow-up beyond 30 days was 9% (at 1-year post-surgery, we were able to establish contact with 101 patients). The pre-op BMI was significantly higher in the BOAGB group compared to the other procedures. Additionally, a higher prevalence of diabetes was observed in the BOAGB group. The duration of surgery was significantly longer for the BOAGB procedure. No significant differences were found in surgical complications. Overall, all procedures resulted in significant excess weight loss (EWL) or change in BMI, improvement in comorbidities, and improved quality of life postoperatively.
CONCLUSIONS
CONCLUSIONS
The BOAGB procedure, like OAGB and SG, demonstrated favorable weight loss outcomes and weight maintenance 1 year postoperatively without significant differences between the procedures. The BOAGB procedure is relatively new, with good bariatric outcomes and a favorable safety profile. Long-term study is needed to evaluate these various bariatric procedures' efficacy further.
Identifiants
pubmed: 38557949
doi: 10.1007/s11695-024-07194-5
pii: 10.1007/s11695-024-07194-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Bleich S, Cutler D, Murray C, et al. Why is the developed world obese? Annu Rev Public Health. 2008;29:273–95.
pubmed: 18173389
Colquitt J, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8:CD003641.
Arterburn DE, Olsen MK, Smith VA, et al. Association between bariatric surgery and long-term survival. JAMA. 2015;313(1):62–70.
pubmed: 25562267
Campanelli M, Bianciardi E, Benavoli D, et al. Laparoscopic banded one-anastomosis gastric bypass: a single-center series. J Obes. 2022;29:4942052.
Angrisani L, Santonicola A, Iovino P, et al. IFSO worldwide survey 2016: primary, endoluminal, and revisional procedures. Obes Surg. 2018;28:3783–94.
pubmed: 30121858
Parikh M, Eisenberg D, Johnson J, et al. American Society for Metabolic and Bariatric Surgery review of the literature on one-anastomosis gastric bypass. Surg Obes Relat Dis. 2018;14(8):1088–92.
pubmed: 29907540
Lee WJ, Lee YC, Ser KH, et al. Revisional surgery for laparoscopic minigastric bypass. Surgery for Obesity and Related Diseases. 2011;7(4):486–91.
pubmed: 21159561
Sturm R, Hattori A. Morbid obesity rates continue to rise rapidly in the United States. Int J Obes. 2013;37(6):889–91.
Romeijn MM, Leclercq WKG, Luijten AAPM, et al. Banded Roux-en-Y gastric bypass in patients with super-morbid obesity (BRandY-study): Protocol of a cohort study with 10-year follow-up. BMC Surg. 2020;20(1):122.
pubmed: 32503510
pmcid: 7275500
Switzer NJ, Karmail S. Sleeve gastrectomy and how and why it can fail. Surg Curr Res. 2014;4:3.
Dayan D, Kuriansky J, Abu-Abeid S. Weight regain following Roux-en-Y gastric bypass: etiology and surgical treatment. Isreali Medical Association Journal. 2019;21(12):823–8.
Karcz WK, Karcz-Socha I, Marjanovic G, et al. To band or not to band: early results of banded sleeve gastrectomy. Obes Surg. 2014;24(4):660–5.
pubmed: 24464518
Magro DO, Ueno M, Coelho-Neto JS, et al. Long-term weight loss outcomes after banded Roux-en-Y gastric bypass: a prospective 10-year follow-up study. Surg Obes Relat Dis. 2018;14(7):910–7.
pubmed: 29706496
Heneghan HM, Annaberdyev S, Eldar S, et al. Banded Roux-en-Y gastric bypass for the treatment of morbid obesity. Surg Obes Relat Dis. 2014;10(2):210–6.
pubmed: 24462315
Lemmens L. Banded gastric bypass: better long-term results? A cohort study with minimum 5-year follow-up. Obes Surg. 2017;27(4):864–72.
pubmed: 27714527
Shoar S, Khorgami Z, Brethauer SA, et al. Banded versus nonbanded Roux-en-Y gastric bypass: a systematic review and meta-analysis of randomized controlled trials. Surg Obes Relat Dis. 2019;15(5):688–95.
pubmed: 31255232
Bessler M, Daud A, Kim T, et al. Prospective randomized trial of banded vs nonbanded gastric bypass for the super obese: early results. Surg Obes Relat Dis. 2007;3:480–5.
pubmed: 17544335
Lemmens L, Van Den Bossche J, Zaveri H, et al. Banded sleeve gastrectomy: better long-term results? A long-term cohort study until 5 years’ follow-up in obese and superobese patients. Obes Surg. 2018;28(9):2687–95.
pubmed: 29671124
pmcid: 6132784
Miller KA, Radauer M, Buchwald JN, et al. 5-year results of banded one-anastomosis gastric bypass: a pilot study on super-obese patients. Obes Surg. 2020;30(11):4307–14.
pubmed: 32696144
Sheikh L, Pearless LA, Booth MW. Laparoscopic silastic ring mini-gastric bypass (SR-MGBP): up to 11-year results from a single centre. Obes Surg. 2017;27(9):2229–34.
pubmed: 28378207
Clarke MG, Wong K, Pearless L, et al. Laparoscopic silastic ring mini-gastric bypass: a single-centre experience. Obes Surg. 2013;23(11):1852–7.
pubmed: 23836041
Cazzo E, Jimenez LS, Valerini FG, et al. Weight loss and vomiting 1 year after banded versus non-banded one-anastomosis gastric bypass: a prospective randomized trial. Obes Surg. 2020;30(5):1719–25.
pubmed: 31942688
Topart P. Obesity surgery: which procedure should we choose and why? J Visc Surg. 2023;160(2S):S30–7.
pubmed: 36725449
Tasdighi E, Mousapour P, Khalaj A, et al. Comparison of mid-term effectiveness and safety of one-anastomosis gastric bypass and sleeve gastrectomy in patients with super obesity (BMI ≥ 50 kg/m2). Surg Today. 2022;52(5):854–62.
pubmed: 34689285
Singla V, Aggarwal S, Singh B, et al. Outcomes in super-obese patients undergoing one-anastomosis gastric bypass or laparoscopic sleeve gastrectomy. Obes Surg. 2019;29(4):1242–7.
pubmed: 30656569
Israeli Health Ministry - National Registry for Bariatric Surgery - National Center for Disease Control and the Israel Society for Metabolic and Bariatric Surgery Summary of 2020. https://www.gov.il/he/departments/publications/reports/bariatric-2020 .
Bays HE, Chapman RH, Grandy S, SHIELD Group. The relationship of body mass index to diabetes mellitus, hypertension, and dyslipidaemia: a comparison of data from two national surveys. Int J Clin Pract. 2007;61(5):737–47.
pubmed: 17493087
Gray N, Picone G, Sloan F, et al. Relation between BMI and diabetes mellitus and its complications among US older adults. South Med Jour. 2015;108(1):29–36.
Plamper A, Lingohr P, Nadal J, et al. A long-term comparative study between one-anastomosis gastric bypass and sleeve gastrectomy. J Gastrointest Surg. 2023;27(1):47–55.
pubmed: 36376721
Sanford JA, Kadry B, Brodsky JB, et al. Bariatric surgery operating room time: size matters. Obes Surg. 2015;25(6):1078–85.
pubmed: 25802066
Carbajo MA, Jiménez JM, Luque-de-León E, et al. Evaluation of weight loss indicators and laparoscopic one-anastomosis gastric bypass outcomes. Sci Rep. 2018;8(1):1961.
pubmed: 29386655
pmcid: 5792492
Jamal W, Zagzoog MM, Sait SH, et al. Initial outcomes of one-anastomosis gastric bypass at a single institution. Diabetes Metab Syndr Obes. 2018;12:35–41.
pubmed: 30613157
pmcid: 6307494
Wood MH, Carlin AM, Ghaferi AA, et al. Association of race with bariatric surgery outcomes. JAMA Surg. 2019;154(5):e190029.
pubmed: 30840063
pmcid: 6537777
Suter M. Laparoscopic band repositioning for pouch dilatation/slippage after gastric banding: disappointing results. Obes Surg. 2001;11(4):507–12.
pubmed: 11501365
Buchwald H, Buchwald JN, McGlennon TW. Systematic review and meta-analysis of medium-term outcomes after banded Roux- en-Y gastric bypass. Obes Surg. 2014;24(9):1536–51.
pubmed: 25001288