Long-Term Dietary Intake and Nutritional Deficiencies following Sleeve Gastrectomy or Roux-En-Y Gastric Bypass in a Mediterranean Population

This study aimed to compare the long-term weight loss results, remission of comorbidities and nutritional deficiencies of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB) and One-Anastomosis gastric bypass (OAGB) on type 2 diabetic (T2D) patients. Patients and Methods: A retrospective analysis of all the morbidly obese and diabetic patients undergoing SG, RYGB, and OAGB as primary bariatric procedures between February 2010 and June 2015 was performed. Anthropometric parameters, remission of comorbidities, nutritional deficiencies and supplementation requirements at 1, 2 and 5 years’ follow-up were monitored. Patients lost to follow-up 5 years after surgery were excluded from the analysis. Results: 358 patients were included. The follow-up rate was 84.8%. Finally, 83 SG, 152 RYGB, and 123 OAGB patients were included in the analysis. OAGB obtained significantly greater weight loss and remission of dyslipidemia than the other techniques. There was a trend towards greater T2D and hypertension remission rate after OAGB, while fasting glucose and glycated hemoglobin levels were significantly lower after OAGB. There were no significant differences in hemoglobin or protein levels between groups. SG obtained lower iron deficiencies than the other techniques, while there were no significant differences in other nutritional deficiencies between groups. Conclusion: OAGB obtained greater weight loss and remission of dyslipidemia than RYGB or SG. Excluding lower iron deficiency rates after SG, there were no significant differences in the development of nutritional deficiencies between groups.

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Long‐term Outcomes of Roux‐en‐Y Gastric Bypass or Sleeve Gastrectomy in Patients with Cirrhosis; Before, During or After Liver Transplantation: A Single Center’s Experience

Clinical Transplantation ◽

10.1111/ctr.14374 ◽

2021 ◽

Author(s):

Renana Yemini ◽

Eviatar Nesher ◽

Marius Braun ◽

Michal Cohen ◽

Idan Carmeli ◽

...

Keyword(s):

Liver Transplantation ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Long Term Outcomes

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The Effect of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy Surgery on Dietary Intake, Food Preferences, and Gastrointestinal Symptoms in Post-Surgical Morbidly Obese Lebanese Subjects: A Cross-Sectional Pilot Study

Obesity Surgery ◽

10.1007/s11695-015-1713-8 ◽

2015 ◽

Vol 25 (12) ◽

pp. 2393-2399 ◽

Cited By ~ 19

Author(s):

Sibelle El Labban ◽

Bassem Safadi ◽

Ammar Olabi

Keyword(s):

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Pilot Study ◽

Dietary Intake ◽

Gastrointestinal Symptoms ◽

Food Preferences ◽

Morbidly Obese ◽

Cross Sectional

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Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass—a Comparative Study

Obesity Surgery ◽

10.1007/s11695-020-05049-3 ◽

2020 ◽

Author(s):

Cristina Fiorani ◽

Sophie R. Coles ◽

Myutan Kulendran ◽

Emma Rose McGlone ◽

Marcus Reddy ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Metabolic Effects ◽

Life Outcomes ◽

Post Bariatric Surgery ◽

Comorbidity Resolution

Abstract Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have been shown to improve metabolic comorbidities as well as quality of life (QoL) in the obese population. The vast majority of previous studies have investigated the metabolic effects of bariatric surgery and there is a dearth of studies examining long-term QoL outcomes post bariatric surgery. The outcomes of 43 patients who underwent bariatric surgery were prospectively assessed, using BAROS questionnaires to quantify QoL and metabolic status pre-operatively, at 1 year and at 8 years. Total weight loss and comorbidity resolution were similar between RYGB and SG. The RYGB cohort experienced greater QoL improvement from baseline and had higher BAROS scores at 8 years. RYGB may provide more substantial and durable long-term benefits as compared to SG.

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The bariatric surgery and weight losing: a meta-analysis in the long- and very long-term effects of laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy on weight loss in adults

Surgical Endoscopy ◽

10.1007/s00464-017-5505-1 ◽

2017 ◽

Vol 31 (11) ◽

pp. 4331-4345 ◽

Cited By ~ 66

Author(s):

Mahdieh Golzarand ◽

Karamollah Toolabi ◽

Roya Farid

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Gastric Bypass ◽

Sleeve Gastrectomy ◽

Gastric Banding ◽

Laparoscopic Adjustable Gastric Banding ◽

Adjustable Gastric Banding ◽

Meta Analysis ◽

Long Term Effects

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Changes in Body Composition, Dietary Intake, and Substrate Oxidation in Patients Underwent Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy: a Comparative Prospective Study

Obesity Surgery ◽

10.1007/s11695-018-3528-x ◽

2018 ◽

Vol 29 (2) ◽

pp. 406-413 ◽

Cited By ~ 12

Author(s):

Mahdieh Golzarand ◽

Karamollah Toolabi ◽

Kurosh Djafarian

Keyword(s):

Gastric Bypass ◽

Body Composition ◽

Sleeve Gastrectomy ◽

Dietary Intake ◽

Prospective Study ◽

Laparoscopic Sleeve Gastrectomy ◽

Substrate Oxidation ◽

Comparative Prospective Study

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Five-Year Outcome of Laparoscopic Sleeve Gastrectomy, Resolution of Comorbidities, and Risk for Cumulative Nutritional Deficiencies

Scandinavian Journal of Surgery ◽

10.1177/1457496918783723 ◽

2018 ◽

Vol 108 (1) ◽

pp. 10-16 ◽

Cited By ~ 10

Author(s):

E. M. Kikkas ◽

T. Sillakivi ◽

J. Suumann ◽

Ü. Kirsimägi ◽

T. Tikk ◽

...

Keyword(s):

Weight Loss ◽

Sleeve Gastrectomy ◽

Total Cholesterol ◽

Laparoscopic Sleeve Gastrectomy ◽

Excess Weight Loss ◽

Density Lipoprotein ◽

Nutritional Deficiencies ◽

Low Density

Background and Aims: The aim of this study was to evaluate the long-term (5-year follow-up) results of laparoscopic sleeve gastrectomy in terms of weight loss and obesity-related comorbidities, as well as the risk factors associated with postoperative nutritional deficiencies. Material and Methods: The first 99 consecutive patients who underwent laparoscopic sleeve gastrectomy for the treatment of morbid obesity between October 2008 and August 2011 at Tartu University Hospital were followed prospectively in cohort study. The outpatient hospital follow-up visits were conducted at 3 months, 1 year, and 5 years postoperatively. At 5 years, the follow-up rate was 90.9%; 86 laparoscopic sleeve gastrectomy patients were included in final analysis. Results: The mean excess weight loss (%EWL) was 44.3% ± 13.0%, 75.8% ± 23.1%, and 61.0% ± 24.3% at 3 months, 1 year, and 5 years, respectively. A linear association between preoperative weight and weight at 5 years was found. Remission rates at 5-year follow-up for type 2 diabetes, hypertension, dyslipidemia, and obstructive sleep apnea were 68.8%, 32.7%, 27.4%, and 61.5%, respectively (all p < 0.05). There was a statistical difference (p < 0.05) in the dynamics of triglyceride, low-density lipoprotein, and high-density lipoprotein level at 5-year follow-up but the level of total cholesterol did not show significant improvement. The risk for cumulative iron, vitamin B12 deficiency, and anemia was 20%, 48%, and 28%, respectively. Conclusion: In conclusion, laparoscopic sleeve gastrectomy ensured long-term excess weight loss 61.0% at 5 years. Laparoscopic sleeve gastrectomy has a long-term effect on significant improvement in the median values of triglycerides, low-density lipoproteins, and high-density lipoproteins, but not on total cholesterol levels. There is a risk of postoperative vitamin B12 and iron deficiency.

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Long-Term Effects of Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass on Body Composition and Bone Mass Density

Obesity Facts ◽

10.1159/000512450 ◽

2020 ◽

pp. 1-10

Author(s):

Julian Bühler ◽

Silvan Rast ◽

Christoph Beglinger ◽

Ralph Peterli ◽

Thomas Peters ◽

...

Keyword(s):

Vitamin D ◽

Gastric Bypass ◽

Body Composition ◽

Sleeve Gastrectomy ◽

Bone Mass ◽

Laparoscopic Sleeve Gastrectomy ◽

Mass Density ◽

Bone Mass Density

Background: Currently, the two most common bariatric procedures are laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). Long-term data comparing the two interventions in terms of their effect on body composition and bone mass density (BMD) are scarce. Objective: The aim of this study was to assess body composition and BMD at least 5 years after LSG and LRYGB. Setting: Department of Endocrinology and Nutrition, St. Claraspital Basel and St. Clara Research Ltd., Basel, Switzerland. Methods:Bariatric patients at least 5 years after surgery (LSG or LRYGB) were recruited, and body composition and BMD were measured by means of dual-energy X-ray absorptiometry. Data from body composition before surgery were included in the analysis. Blood samples were taken for determination of plasma calcium, parathyroid hormone, vitamin D3, alkaline phosphatase, and C-terminal telopeptide, and the individual risk for osteoporotic fracture assessed by the Fracture Risk Assessment Tool score was calculated. After surgery, all patients received multivitamins, vitamin D3, and zinc. In addition, LRYGB patients were prescribed calcium. Results: A total of 142 patients were included, 72 LSG and 70 LRYGB, before surgery: median body mass index 43.1, median age 45.5 years, 62.7% females. Follow-up after a median of 6.7 years. For LRYGB, the percentage total weight loss at follow-up was 26.3% and for LSG 24.1% (p = 0.243). LRYGB led to a slightly lower fat percentage in body composition. At follow-up, 45% of both groups had a T score at the femoral neck below –1, indicating osteopenia. No clinically relevant difference in BMD was found between the groups. Conclusions:At 6.7 years after surgery, no difference in body composition and BMD between LRYGB and LSG was found. Deficiencies and bone loss remain an issue after both interventions and should be monitored.

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