Our Summary

The research paper compares two types of weight loss surgeries: one-anastomosis gastric bypass (OAGB) and sleeve gastrectomy with loop duodenojejunal bypass (SG + LoopDJB). Both surgeries are used to treat obesity and Type 2 diabetes.

The study found that both surgeries have similar results in terms of diabetes remission, weight loss, and improvement in blood fat levels after one year. However, the surgical procedure for SG + LoopDJB takes longer and requires a longer hospital stay, but has similar major complications to the OAGB procedure.

One difference is that OAGB has a higher risk of low protein levels in the blood (hypoalbuminemia), but a lower risk of heartburn (gastroesophageal reflux disease or GERD) compared to SG + LoopDJB. The study suggests that preserving the pylorus (a part of the stomach) during the SG + LoopDJB surgery might reduce the risk of hypoalbuminemia, but it might increase the risk of GERD.

In simple terms, both surgeries are effective for weight loss and treating diabetes, but each comes with its own set of potential side effects and risks.

FAQs

  1. What were the main findings of the research paper comparing OAGB and SG + LoopDJB surgeries?
  2. What are the potential side effects and risks associated with OAGB and SG + LoopDJB surgeries?
  3. How does preserving the pylorus during the SG + LoopDJB surgery affect the risk of hypoalbuminemia and GERD?

Doctor’s Tip

A helpful tip a doctor might tell a patient about gastric sleeve surgery is to carefully weigh the potential risks and benefits of the procedure, and to discuss any concerns or questions with their healthcare provider before making a decision. It’s important to have a thorough understanding of the potential side effects and complications associated with the surgery in order to make an informed decision about whether it is the right choice for you. Additionally, following the post-operative guidelines provided by your healthcare team, such as making dietary and lifestyle changes, can help ensure a successful outcome after gastric sleeve surgery.

Suitable For

Patients who are recommended for gastric sleeve surgery typically have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as Type 2 diabetes, high blood pressure, or sleep apnea. They have also likely tried other weight loss methods such as diet and exercise without success.

It is important for patients to discuss the risks and benefits of gastric sleeve surgery with their healthcare provider to determine if it is the right option for them. Additionally, patients should be committed to making lifestyle changes after the surgery to ensure long-term success.

Timeline

Before gastric sleeve surgery:

  1. Patient consults with a healthcare provider to discuss weight loss options.
  2. Patient undergoes various tests and evaluations to determine if they are a candidate for surgery.
  3. Patient attends educational sessions to learn about the procedure and post-operative care.
  4. Patient follows a pre-surgery diet and exercise regimen to prepare for the surgery.

After gastric sleeve surgery:

  1. Patient undergoes the surgical procedure to remove a portion of the stomach and create a smaller sleeve-shaped stomach.
  2. Patient stays in the hospital for a few days to recover from the surgery.
  3. Patient follows a strict post-operative diet and exercise plan to promote weight loss and healing.
  4. Patient attends regular follow-up appointments with their healthcare provider to monitor progress and address any issues.
  5. Patient experiences gradual weight loss and improvements in overall health and quality of life.

What to Ask Your Doctor

Some questions a patient should ask their doctor about gastric sleeve surgery include:

  1. What are the potential risks and complications associated with gastric sleeve surgery?
  2. How does gastric sleeve surgery compare to other weight loss surgeries in terms of effectiveness and safety?
  3. What is the expected timeline for recovery and when can I expect to see results?
  4. Will I need to make any lifestyle changes or follow a specific diet after surgery?
  5. How long will I need to stay in the hospital after surgery and what is the typical recovery process like?
  6. Will I need to take any medication or supplements after surgery to support my weight loss and overall health?
  7. How often will I need to follow up with you after surgery and what kind of support can I expect during my weight loss journey?
  8. Are there any specific dietary or exercise guidelines I need to follow before and after surgery?
  9. What are the long-term effects of gastric sleeve surgery and how will it impact my overall health in the future?
  10. Are there any specific factors or conditions that may make me a better candidate for gastric sleeve surgery compared to other weight loss procedures?

Reference

Authors: Si Y, Lin S, Guan W, Shen J, Liang H. Journal: Obes Surg. 2024 Jul;34(7):2391-2398. doi: 10.1007/s11695-024-07294-2. Epub 2024 May 23. PMID: 38780835