Our Summary

This research paper reviews the effectiveness of a weight loss surgery called One Anastomosis/Mini Gastric Bypass (OAGB-MGB) for patients who are obese with a Body Mass Index (BMI) of 35 or less.

The researchers analyzed data from 376 past procedures. The average patient was 44 years old with a BMI of about 29. Two-thirds of the patients were women. The average time for the surgery was about 90 minutes, and patients were followed for about 33 months on average.

The results showed that the surgery was largely successful and safe. It reduced the patients’ BMI to about 24 within a year. The surgery also helped improve patients’ health in several ways. It lowered their fasting blood sugar levels from an average of about 197 to 103, and it brought down their average hemoglobin A1c levels (a measure of long-term blood sugar control) from about 9% to 6%. The surgery also reduced their average cholesterol levels from about 198 to 121 and lowered their levels of low-density lipoprotein (the “bad” cholesterol) and triglycerides (a type of fat in the blood).

There were some complications reported, such as stomach ulcers in about 6% of patients and anemia in about 5%. There was one report of low albumin (a type of protein in the blood) but no deaths.

In conclusion, the researchers believe that this surgery is a safe and effective way to help obese diabetic patients with a BMI of 35 or less. However, more studies are needed to compare this procedure with other weight loss surgeries and to follow patients for a longer period of time.

FAQs

  1. What is the purpose of the One Anastomosis/Mini Gastric Bypass (OAGB-MGB) procedure?
  2. What were the results of the review on OAGB-MGB procedures in patients with a BMI of 35 kg/m2 or less?
  3. Is OAGB-MGB a safe and effective procedure for diabetic patients with a BMI of 35 kg/m2 or less?

Doctor’s Tip

A helpful tip a doctor might tell a patient about gastric bypass surgery is to focus on long-term lifestyle changes, including a healthy diet and regular exercise, to ensure successful weight loss and overall health improvement after the procedure. It’s important to follow up with your healthcare team regularly and adhere to their recommendations for monitoring your progress and adjusting your treatment plan as needed. Remember that gastric bypass is a tool to help you achieve your weight loss goals, but ultimately, your commitment to a healthy lifestyle will determine your long-term success.

Suitable For

Patients with a body mass index (BMI) ≤ 35 kg/m2 who are suffering from obesity and have comorbidities such as diabetes, hypertension, hyperlipidemia, and obstructive sleep apnea are typically recommended gastric bypass surgery. This review suggests that one anastomosis/mini gastric bypass (OAGB-MGB) may be a safe and effective metabolic procedure for diabetic patients with a lower BMI. Patients who are unable to lose weight through diet and exercise alone and have significant health risks associated with their obesity may benefit from gastric bypass surgery. It is important for patients to discuss their options with their healthcare provider to determine if gastric bypass surgery is the right choice for them.

Timeline

Before gastric bypass:

  • Patient consults with a bariatric surgeon and undergoes a series of evaluations, including medical history, physical exam, and possibly psychological evaluation.
  • Patient may be required to undergo preoperative tests such as blood work, imaging studies, and nutritional counseling.
  • Patient may be required to follow a preoperative diet and exercise regimen to prepare for surgery.
  • Patient undergoes gastric bypass surgery, which typically lasts around 90 minutes.
  • Postoperative recovery period in the hospital, typically a few days.
  • Follow-up appointments with the surgeon and dietitian to monitor progress and make necessary lifestyle changes.
  • Over time, patient experiences weight loss, improvement in metabolic parameters such as blood sugar and cholesterol levels, and improvement in overall health and quality of life.

After gastric bypass:

  • Patient continues to follow a strict postoperative diet and exercise regimen to support weight loss and prevent complications.
  • Patient may experience side effects such as dumping syndrome, vitamin deficiencies, and potential complications such as marginal ulceration and anemia.
  • Patient undergoes regular follow-up appointments with the surgical team to monitor progress and address any concerns.
  • Long-term weight loss and maintenance of metabolic improvements are observed, leading to improved overall health and quality of life.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with gastric bypass surgery?
  2. How long is the recovery process after gastric bypass surgery?
  3. Will I need to make any significant changes to my diet and lifestyle after the surgery?
  4. How often will I need to follow up with you after the surgery?
  5. What kind of support or resources are available to help me through the post-operative period?
  6. How will the surgery affect my current medical conditions, such as diabetes or high cholesterol?
  7. Are there any specific vitamins or supplements I will need to take after the surgery?
  8. How long can I expect to see significant weight loss results after the surgery?
  9. Will I need to undergo any additional procedures or treatments in the future after gastric bypass surgery?
  10. What are the long-term effects of gastric bypass surgery on my overall health and well-being?

Reference

Authors: Parmar CD, Zakeri R, Mahawar K. Journal: Obes Surg. 2020 Feb;30(2):725-735. doi: 10.1007/s11695-019-04293-6. PMID: 31760604