Both Roux-en-Y gastric bypass bests sleeve gastrectomy for weight reduction, reveals research
A new study published in the journal of The Lancet Diabetology and Endocrinology revealed that with 68% of individuals obtaining at least 50% excess weight reduction, Roux-en-Y gastric bypass was determined to be the most successful procedure for treating extreme obesity. This is in contrast to 41% for sleeve gastrectomy and 25% for adjustable gastric banding.
Bariatric and metabolic surgery can result in a 20% to 30% reduction in overall weight. According to trials, obesity-management pharmaceuticals can reduce overall weight loss by up to 24%. However, this may be less in real-world situations. The long-term effects and acceptability of these medications are unknown.
Both bariatric and metabolic surgery can lower the health risks associated with extreme obesity; however, it is unclear which procedure is more cost-effective or efficient. Thus, this study was set out to compare sleeve gastrectomy, adjustable gastric banding, and Roux-en-Y gastric bypass in individuals who were extremely obese.
A total of 12 UK hospitals participated in the pragmatic, multi-center, open-label, randomized controlled study known as By-Band-Sleeve. Adults (≥18 years old) who satisfied national requirements for bariatric and metabolic surgery were eligible participants. When sleeve gastrectomy became popular in the UK, two and a half years after the study's inception, a two-group experiment was expanded to a three-group trial.
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