DOI: https://doi.org/10.14710/dmj.v13i4.45768

COMPARISON of BMI and HbA1c 3 MONTHS POST ROUX-EN-Y GASTRIC BYPASS and SLEEVE GASTRECTOMY at SUMBER WARAS HOSPITAL JAKARTA

Julia Clairine Setyadi  -  Faculty of Medicine Universitas Tarumanagara, Jakarta, Indonesia, Indonesia
*Jeffrey Jeffrey  -  Department of Surgery, Faculty of Medicine, Universitas Tarumanagara, Jakarta, Indonesia, Indonesia

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Abstract

Background: Obesity is a chronic condition that is closely linked to type 2 diabetes mellitus. Bariatric surgery is deemed to be an effective method to reduce weight and induce diabetes remission. Laparoscopic Roux-en-Y Gastric Bypass (RYGB) and laparoscopic Sleeve Gastrectomy (SG) are the most commonly performed surgical procedures. Objective: This study aimed to find out the efficacy of bariatric surgery including the more effective method between Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in lowering BMI and improving HbA1c levels. Methods: This study is a cohort retrospective study of 64 patients who underwent laparoscopic RYGB  and SG in January 2020 – September 2023 in Sumber Waras Hospital. Data regarding BMI and HbA1c pre- and 3 months post-surgery were collected and analyzed using SPSS with statistical significance defined as p <0.05. Results: Greater decrease of IMT (p=0,000) and HbA1c (0,013) were observed in patients post laparoscopic RYGB. Meanwhile, in morbidly obese patients (BMI pre-op > 35kg/m2), no significant differences were found in HbA1c changes in both groups (p=0,240).  Conclusion: Laparoscopic RYGB is more effective in lowering BMI and HbA1c compared to laparoscopic SG. However, this comparison does not apply in morbidly obese patients.  

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Keywords: Bariatric Surgery, Body Mass Index, HbA1c, Roux-en-Y Gastric Bypass, Sleeve Gastrectomy

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Language : EN
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  1. Obesity [Internet]. [cited 2023 Aug 1]. Available from: https://www.who.int/health-topics/obesity#tab=tab_1
  2. Koliaki C, Dalamaga M, Liatis S. Update on the Obesity Epidemic: After the Sudden Rise, Is the Upward Trajectory Beginning to Flatten? Curr Obes Rep [Internet]. 2023 Dec 1 [cited 2024 Jun 1];12(4):514–27. Available from: https://link.springer.com/article/10.1007/s13679-023-00527-y
  3. Al-Goblan AS, Al-Alfi MA, Khan MZ. Mechanism linking diabetes mellitus and obesity. Diabetes Metab Syndr Obes [Internet]. 2014 Dec 4 [cited 2023 Oct 19];7:587. Available from: /pmc/articles/PMC4259868/
  4. Diabetes Tests | CDC [Internet]. [cited 2023 Oct 19]. Available from: https://www.cdc.gov/diabetes/basics/getting-tested.html
  5. The Practical Guide Identification, Evaluation, and Treatment of Overweight and Obesity in Adults NHLBI Obesity Education Initiative. [cited 2023 Oct 3]; Available from: https://www.nhlbi.nih.gov/files/docs/guidelines/prctgd_c.pdf
  6. Noria SF, Grantcharov T. Biological effects of bariatric surgery on obesity-related comorbidities. Canadian Journal of Surgery [Internet]. 2013 [cited 2023 Sep 13];56(1):47. Available from: /pmc/articles/PMC3569476/
  7. Bariatric Surgery Procedures | ASMBS [Internet]. [cited 2023 Oct 19]. Available from: https://asmbs.org/patients/bariatric-surgery-procedures
  8. McTigue KM, Wellman R, Nauman E, Anau J, Coley RY, Odor A, et al. Comparing the 5-year diabetes outcomes of sleeve gastrectomy and gastric bypass the national patient-centered clinical research network (PCORNet) bariatric study. JAMA Surg. 2020 May 1;155(5)
  9. Lee WJ, Chong K, Ser KH, Lee YC, Chen SC, Chen JC, et al. Gastric Bypass vs Sleeve Gastrectomy for Type 2 Diabetes Mellitus A Randomized Controlled Trial [Internet]. Available from: http://www.clinicaltrials.gov
  10. Seelbach CL, D’Almeida MJ. Postoperative Assessment and Management of Obesity Surgery. StatPearls [Internet]. 2022 Oct 24 [cited 2023 Aug 2]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK563131/
  11. Zhang HW, Han XD, Liu WJ, Yu HY, Zhang P, Mao ZQ. Is Roux-en-Y gastric bypass advantageous?—surgical outcomes in obese patients with type-2 diabetes after gastric bypass versus sleeve gastrectomy, a matched retrospective study. Ann Transl Med [Internet]. 2020 Mar [cited 2024 Jun 3];8(6):372–372. Available from: https://atm.amegroups.org/article/view/37317/html
  12. Seelbach CL, D’Almeida MJ. Postoperative Assessment and Management of Obesity Surgery. StatPearls [Internet]. 2022 Oct 24 [cited 2023 Oct 13]; Available from: https://www.ncbi.nlm.nih.gov/books/NBK563131/
  13. Pucci A, Batterham RL. Mechanisms underlying the weight loss effects of RYGB and SG: similar, yet different. Vol. 42, Journal of Endocrinological Investigation. Springer International Publishing; 2019. p. 117–28
  14. Peterli R, Wolnerhanssen BK, Peters T, Vetter D, Kroll D, Borbely Y, et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic roux-en-y gastric bypass onweight loss in patients with morbid obesity the sm-boss randomized clinical trial. JAMA - Journal of the American Medical Association. 2018 Jan 16;319(3):255–65
  15. Fiorani C, Coles SR, Kulendran M, Mcglone ER, Reddy M, Khan OA. Long-Term Quality of Life Outcomes After Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass-a Comparative Study. Available from: https://doi.org/10.1007/s11695-020-05049-3
  16. Park JY. Weight Loss Prediction after Metabolic and Bariatric Surgery. Vol. 32, Journal of Obesity and Metabolic Syndrome. Korean Society for the Study of Obesity; 2023. p. 46–54
  17. Balasubaramaniam V, Pouwels S. Remission of Type 2 Diabetes Mellitus (T2DM) after Sleeve Gastrectomy (SG), One-Anastomosis Gastric Bypass (OAGB), and Roux-en-Y Gastric Bypass (RYGB): A Systematic Review. Vol. 59, Medicina (Lithuania). MDPI; 2023
  18. Maffazioli GD, Stanford FC, Campoverde Reyes KJ, Stanley TL, Singhal V, Corey KE, et al. Comparing outcomes of two types of bariatric surgery in an adolescent obese population: Roux-en-y gastric bypass vs. sleeve gastrectomy. Front Pediatr. 2016 Jul 1;4(JUL)
  19. Pham S, Gancel A, Scotte M, Houivet E, Huet E, Lefebvre H, et al. Comparison of the effectiveness of four bariatric surgery procedures in obese patients with type 2 diabetes: A retrospective study. J Obes. 2014;2014
  20. Chew CAZ, Tan IJW, Ng HJH, Lomanto D, So J, Shabbir A. Early weight loss after laparoscopic sleeve gastrectomy predicts midterm weight loss in morbidly obese Asians. Surgery for Obesity and Related Diseases [Internet]. 2017 Dec 1 [cited 2024 Jun 17];13(12):1966–72. Available from: http://www.soard.org/article/S1550728917302678/fulltext

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