Breaking news...latest results for Bariatric Surgery

Breaking news...latest results for Bariatric Surgery

In the last 24 hours, two major publications have been released with important long-term data on the safety and effectiveness of Bariatric Surgery.

The first paper was 5-year outcomes from the Australian Bariatric Surgery Registry, and the second paper was 5-year outcomes from the International Federation for Surgery of Obesity.

I will put the references and summary below but here are the salient points:

  • One Anastomosis Gastric Bypass (mini-bypass) has the best weight loss
  • Laparoscopic Sleeve Gastrectomy has the lowest complication rate
  • Roux-en-Y Gastric Bypass is inferior to One Anastomosis Gastric Bypass in every respect (less weight loss and higher complication rate)
  • Diabetic outcomes were excellent
  • Endoscopic Sleeve Gastrectomy weight loss is no better than intra-gastric balloon and inferior to pharmacotherapy
  • Endoscopic Sleeve Gastrectomy is no safer than Laparoscopic Sleeve Gastrectomy and half as effective

1.Brown, W. A. et al. Metabolic bariatric surgery generates substantial, sustained weight loss and health improvement in a real‐world setting. ANZ J. Surg. (2025) doi:10.1111/ans.19378.

2.Dayyeh, B. K. A. et al. IFSO Bariatric Endoscopy Committee Evidence-Based Review and Position Statement on Endoscopic Sleeve Gastroplasty for Obesity Management. Obes. Surg. 34, 4318–4348 (2024).

Weight Loss at 5 years postop (TBWL):

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OAGB 35%

RYGB 31%

LSG 27%

LAGB 18%

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Complication rates:

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Sleeve gastrectomy 1.7%

Roux-en-Y gastric bypass 6.6%

One anastomosis gastric bypass 3.6%

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Diabetes:

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No medication for diabetes was required by 72% at 1 year and 61% at 5 years.

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Endoscopic Sleeve Gastroplasty (TBWL):

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6?months 16%

12?months 17%

18?months 16%

2?years 15%

3 years 14%

5 years 15%

Complication rate 1.25%

Cassandra Schmidtke

Impairment Assessment Advisor

1 个月

It is great to see some more information on long term outcomes for weight loss surgeries. As someone who has undergone one of the mentioned procedures there is certainly a lot of post operative information and changes that were not noted. Research like this will help people make fully informed decisions about their health.

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