A 9 years comparison of weight loss, disappearance of obesity, and resolution of diabetes mellitus with biliointestinal bypass and with adjustable gastric banding: experience of a collaborative network

Aims Long-term comparisons between bariatric surgical techniques have been performed for gastric bypass (RYGB), sleeve gastrectomy (LSG), and biliopancreatic diversion (BPD) vs gastric banding (LAGB), but short-term studies (6 months–4 years) have only compared biliointestinal bypass (BIBP) and LAGB...

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Bibliographic Details
Published in:Acta diabetologica 2019-02, Vol.56 (2), p.163-169
Main Authors: Pontiroli, Antonio E., Zakaria, Ahmed S., Micheletto, Giancarlo, Osio, Chiara, Saibene, Alessandro, Folli, Franco
Format: Article
Language:English
Subjects:
Adult
Bariatric Surgery - classification
Bariatric Surgery - methods
Bariatric Surgery - statistics & numerical data
Blood pressure
Body weight
Body weight loss
Cholesterol
Comparative Effectiveness Research
Diabetes
Diabetes mellitus
Diabetes Mellitus - diagnosis
Diabetes Mellitus - surgery
Female
Gastrectomy
Gastric bypass
Humans
Internal Medicine
Long-term effects
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Middle Aged
Obesity
Obesity, Morbid - diagnosis
Obesity, Morbid - surgery
Original Article
Outcome Assessment (Health Care)
Postoperative Period
Retrospective Studies
Time
Weight control
Weight Loss
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Summary:Aims Long-term comparisons between bariatric surgical techniques have been performed for gastric bypass (RYGB), sleeve gastrectomy (LSG), and biliopancreatic diversion (BPD) vs gastric banding (LAGB), but short-term studies (6 months–4 years) have only compared biliointestinal bypass (BIBP) and LAGB. The participating institutions regularly perform both BIBP and LAGB with a common protocol, and the aim of this retrospective study was to compare long-term effects of the two procedures on body weight, on clinical and metabolic variables, and on resolution of obesity and of diabetes. Methods All procedures performed between 01/01/1998 and 31/12/2005 were considered; 73 out of 91 patients undergoing BIBP, and 154 out of 249 patients undergoing LAGB were evaluable up to 9 years. Results BIBP was significantly more effective than LAGB in terms of weight loss and of resolution of obesity (BMI 
ISSN:0940-5429
1432-5233
DOI:10.1007/s00592-018-1221-0