Voila un article intéressant qui semble montrer d’après les auteurs la supériorité du by pass en oméga sur les autres techniques, sur un terme un peu long (5ans) et ce semble troubles carentielles majorés par rapport aux autres techniques. Je rappelle que la réalisation du by pass en oméga est pour le moment plus reccomandé en France, mais il n’existe pas de reccomandations pour transformer les by pass en oméga déjà réalisés en by pass en Y . Quelque soit la technique, un suivi régulier doit être réalisé.
Received: 11 September 2020; Accepted: 18 October 2020; Published: 20 October 2020
Abstract: This study aimed to compare the long-term weight loss results, remission of comorbidities and nutritional deficiencies of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB) and One-Anastomosis gastric bypass (OAGB) on type 2 diabetic (T2D) patients. Patients and Methods:
A retrospective analysis of all the morbidly obese and diabetic patients undergoing SG, RYGB, and OAGB as primary bariatric procedures between February 2010 and June 2015 was performed. Anthropometric parameters, remission of comorbidities, nutritional deficiencies and supplementation requirements at 1, 2 and 5 years’ follow-up were monitored. Patients lost to follow-up 5 years after surgery were excluded from the analysis. Results: 358 patients were included. The follow-up rate was 84.8%. Finally, 83 SG, 152 RYGB, and 123 OAGB patients were included in the analysis. OAGB obtained significantly greater weight loss and remission of dyslipidemia than the other techniques.
There was a trend towards greater T2D and hypertension remission rate after OAGB, while fasting glucose and glycated hemoglobin levels were significantly lower after OAGB. There were no significant di↵erences in hemoglobin or protein levels between groups. SG obtained lower iron deficiencies than the other techniques, while there were no significant di↵erences in other nutritional deficiencies between groups. Conclusion: OAGB obtained greater weight loss and remission of dyslipidemia than RYGB or SG. Excluding lower iron deficiency rates after SG, there were no significant di↵erences in the development of nutritional deficiencies between groups.