Our Summary

This paper is about a study looking at two types of weight loss surgeries, Sleeve Gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB), that are performed on people who didn’t lose enough weight or had complications after their initial Adjustable Gastric Banding surgery. The researchers analyzed past studies and found that, in the short-term (12 and 24 months), people who underwent RYGB lost more excess weight. However, they also found that RYGB was associated with more complications, required more follow-up interventions, and led to more readmissions to the hospital. The long-term results of the two types of surgery weren’t clear from the data. The researchers suggest that surgeons should take these findings into account when deciding on the best type of revision surgery for their patients. The paper also highlights the need for more high-quality studies comparing these two options over a longer period.

FAQs

  1. What were the two types of weight loss surgeries investigated in the study?
  2. What were the key findings of the study regarding weight loss and complications between Sleeve Gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB)?
  3. Why did the researchers emphasize the need for more high-quality studies comparing these two surgeries over a longer period?

Doctor’s Tip

A helpful tip a doctor might tell a patient about gastrectomy is to follow a strict post-operative diet plan to help with recovery and promote weight loss. This may include eating small, frequent meals, avoiding certain foods that may cause discomfort, and staying hydrated. It is important to work closely with a healthcare team to monitor progress and address any concerns or complications that may arise. Regular exercise and behavior modifications are also key components of a successful recovery and long-term weight management after gastrectomy surgery.

Suitable For

Patients who are typically recommended gastrectomy include those with severe obesity (BMI over 40), those with obesity-related comorbidities such as diabetes, hypertension, and sleep apnea, and those who have not been successful with other weight loss methods such as diet and exercise. In the case of revision surgery, patients who have had complications or inadequate weight loss after a previous bariatric surgery may be recommended for gastrectomy. It is important for patients to discuss their individual medical history and weight loss goals with their healthcare provider to determine if gastrectomy is the right option for them.

Timeline

Before gastrectomy:

  1. Patient undergoes a consultation with a healthcare provider to discuss the benefits and risks of the surgery.
  2. Patient may undergo pre-operative testing and evaluations to ensure they are a suitable candidate for gastrectomy.
  3. Patient receives instructions on pre-operative diet and lifestyle changes to prepare for the surgery.

After gastrectomy:

  1. Patient undergoes the gastrectomy surgery, which involves the removal of a portion of the stomach.
  2. Patient is closely monitored in the hospital for complications and recovery.
  3. Patient is instructed on post-operative diet and lifestyle changes to promote healing and weight loss.
  4. Patient may experience initial weight loss and changes in appetite and digestion following the surgery.
  5. Patient attends follow-up appointments with their healthcare provider for monitoring and support in the post-operative period.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with gastrectomy surgery?
  2. How will my diet and eating habits need to change after the surgery?
  3. How much weight can I expect to lose after gastrectomy surgery?
  4. What is the recovery process like after gastrectomy surgery?
  5. Will I need to take any supplements or medications after the surgery?
  6. How often will I need to follow up with my surgeon after the surgery?
  7. What are the potential long-term effects of gastrectomy surgery?
  8. Are there any alternative treatments or procedures that I should consider before undergoing gastrectomy surgery?
  9. What is the success rate of gastrectomy surgery in terms of weight loss and overall health improvement?
  10. How experienced is the surgical team in performing gastrectomy surgeries, and what is their success rate?

Reference

Authors: Wu C, Wang FG, Yan WM, Yan M, Song MM. Journal: Obes Surg. 2019 Oct;29(10):3252-3263. doi: 10.1007/s11695-019-03988-0. PMID: 31292884