• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Resolution of Comorbid Conditions Are Significantly Higher with Malabsorptive Procedures

Pulkesh Bhatia, MD1, Steven Cheung, MD1, Thomas Kang1, Spencer Gantz1, Pradeep Pallati1, Armour Forse2, Kalyana Nandipati1. 1CREIGHTON UNIVERSITY MEDICAL CENTER, 2DOCTORS HOSPITAL AT RENAISSANCE HEALTH SYSTEM

Background: The resolution of comorbid conditions among the three most common bariatric procedures: sleeve gastrectomy, laparoscopic Roux-en-Y Gastrojejunostomy (LRNY), and biliopancreatic diversion with duodenal switch (BPD) in a single institution study has not been previously reported. This study aims to compare excess weight loss and co-morbidity resolution rates between these three procedures in a single center experience.

Methods: We identified 154 patients (who had at least one comorbid condition along with morbid obesity) from our retrospective database who had at least one year follow up. SPSS was used to analyze the data. ANOVA or the student t-test was used to identify significance between variables. The Chi square test was applied to assess categorical data. When the criteria for the above tests was not satisfied, we used Welch and Brown-Forsythe, Fisher or Mann-Whitney U test.

Results: The most common procedure performed was the LRNY (n=100) followed by the BPD (n=34) and sleeve gastrectomy (n=20). Patients with less than 1 year follow up were excluded from analysis. The majority of patients (75%) were women with an overall mean preoperative weight of 138.4 kgs (BMI 49.1). The average weight loss was 40.4 kg, which amounted to 42.4% in terms of excess weight loss. The diabetes mellitus (DM) resolution was statistically significantly higher in BPD (77.4%) compared to RNY (41.2%; p=0.001) and sleeve (37.5%, p=0.029). When comparing hypertension (HTN) improvement rates, these were found significantly higher in RNY (62%) compared to sleeve (36.8%; p < 0.05). When comparing BPD and sleeve; BPD was found to have statistically significant better rates with HTN resolution (48% vs 15.8%, p=0.02), DM resolution (77.4 % vs 37.5%, p= 0.029), GERD resolution (61.9% vs 26.7%, p= 0.03), OSA resolution (68.8 % vs 22.2% ,p=0.025) and HLD resolution (58.3 % vs 10% , p= 0.01); however complication (48.5% vs 10%, p=0.04) and reoperation rates (45.5% vs 5%, p= 0.002) were significantly higher in the BPD cohort compared to sleeve. No significant difference was found for the other co-morbidities analyzed between the bariatric procedures in our study cohort.

Conclusion: The resolution of comorbidities particularly diabetes mellitus was significantly higher in BPD patients comparison to other bariatric procedures, however this came at a much higher re operation and complication rates. The improvement in hypertension was also significantly higher after RNY compared to sleeve.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 80773

Program Number: P495

Presentation Session: Poster (Non CME)

Presentation Type: Poster

93

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons