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Cited by 32Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesBody Contouring and Surgery

Long-term results of a prospective comparison of roux-en-y gastric bypass versus a variant of biliopancreatic diversion in a non-superobese population (bmi 35–50 kg/m2)

Skroubis, George, Kouri, Natasa, Mead, Nancy, Kalfarentzos, Fotis·2014·Obesity Surgery
DOI 10.1007/s11695-013-1081-1
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Abstract

Background This study presents late results of a previously published 2-year prospective comparison between Roux-en-Y gastric bypass (RYGBP) versus biliopancreatic diversion with Roux-en-Y gastric bypass (BPD-RYGBP) in an exclusively non-superobese population.Methods From a cohort of 130 patients with a BMI of 35-50 kg/m(2), 65 were randomly selected to undergo RYGBP and 65 to BPD-RYGBP. All underwent follow-up evaluation at 1, 3, 6, and 12 months postoperatively and every year thereafter.Results Follow-up at the eighth year was achieved in 60% of the BPD-RYGBP and in 58% of the RYGBP group (p = 1.00). Mean excess weight loss (EWL%), was significantly higher following BPD-RYGBP (76.89 ± 1.53) as compared to RYGBP (67.17 ± 1.43) (p = 0.0004). The mean success rate (percentage of patients with EWL% ≥50%) was significantly higher after BPD-RYGBP (95.85 ± 1.01) than RYGBP (75.91 ± 3.58) (p = 0.0001). No significant differences were observed for late non-metabolic complications. The incidence of anemia, iron deficiency, B12 deficiency, and low-ferritin levels was relatively high in both groups with not always significant differences. Severe protein malnutrition occurred in four patients (three BPD-RYGBP and one RYGBP) (p = 0.37). In only one BPD-RYGBP patient (1.54%) was revision surgery to RYGBP necessary, due to recurrent episodes of hypoproteinemia. The remaining patients were treated successfully with total parenteral nutrition and nutritional counseling.Conclusions Late results presented in this paper agree with the previously published 2-year results of the same patient cohort. Although both procedures are safe and effective, BPD-RYGBP seems to prevail in terms of successful weight loss without a significantly higher incidence of metabolic and non-metabolic complications.

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  • The prevalence of iron deficiency one year after RYGB, AGB and SG was estimated to be 20%, 14% and 15%, respectively.

    “In representative investigations, the prevalence of iron deficiency one year after RYGB, AGB and SG was estimated to be 20%, 14% and 15%, respectively [51,56,57].”

    From Obesity as an emerging risk factor for iron deficiency (2014) · cites this paper as [56]

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Authors
Skroubis, G., Kouri, N., Mead, N., & Kalfarentzos, F.
Affiliations
University of Patras (GR)
Corresponding author
Kalfarentzos, Fotis
ORCID
Venue
Obesity Surgery
Publisher
Springer Science and Business Media LLC
Published
2013-10-09
Volume
24
Issue
2
Pages
197-204
ISSN
  • 0960-8923 (ISSN-L)
  • 1708-0428
DOI
10.1007/s11695-013-1081-1
OpenAlex
W2015090917
Cited by
32
References
23
Citations by year
2025: 3 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 1 · 2016: 1 · 2015: 5 · 2014: 3
FWCI
2.95
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Obesity Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords
Roux-en-Y gastric bypass
MeSH terms
Adult, Female, Ferritins, Follow-Up Studies, Humans, Male, Obesity, Morbid, Postoperative Complications, Prospective Studies, Gastric Bypass, Weight Loss, Biliopancreatic Diversion, Body Mass Index, Treatment Outcome, Anemia, Iron-Deficiency

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