Nutritional Outcomes One Year after One Anastomosis Gastric Bypass Compared to Sleeve Gastrectomy

One Anastomosis Gastric Bypass (OAGB) and Sleeve Gastrectomy (SG) are the most common bariatric procedures performed worldwide. SG is a restrictive procedure whereas OAGB involves malabsorption as well, supposing a risk of deficiency development post OAGB. The aim of the study was to compare nutriti...

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Published inNutrients Vol. 14; no. 13; p. 2597
Main Authors Shirazi, Naama, Beglaibter, Nahum, Grinbaum, Ronit, Ahmad, Wiessam Abu, Aronis, Anna
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 23.06.2022
MDPI
Subjects
Albumins
Anastomosis
bariatric surgeries
Biomarkers
Blood tests
Dietary supplements
Ferritin
Folic acid
Gastrectomy
Gastric bypass
Gastrointestinal surgery
Hemoglobin
Hospitals
Low density lipoprotein
Malabsorption
Malnutrition
Metabolism
Nutrient deficiency
nutritional deficiencies
Obesity
one anastomosis gastric bypass
sleeve gastrectomy
Trends
Vitamin B12
Vitamin deficiency
Weight control
Weight loss
Israel
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Summary:One Anastomosis Gastric Bypass (OAGB) and Sleeve Gastrectomy (SG) are the most common bariatric procedures performed worldwide. SG is a restrictive procedure whereas OAGB involves malabsorption as well, supposing a risk of deficiency development post OAGB. The aim of the study was to compare nutritional deficiencies and metabolic markers one year after the procedures, while adhering to the current protocols. Retrospective analysis was performed for data on 60 adults undergoing primary OAGB, compared to 60 undergoing primary SG. Mean pre-surgery BMI for SG was 42.7 kg/m2 and 43.3 kg/m2 for OAGB. A multidisciplinary team followed up with the patients at least 3 times during the first year. Mean weight loss was 39.0 kg for SG and 44.1 kg for OAGB. The OAGB group presented a significantly sharper decline in T.Chol and a trend for sharper LDL decrease; a higher increase in folate and a trend for a greater decrease in albumin and hemoglobin were observed in OAGB. For vitamin B12, D, iron and ferritin, no difference was observed between the treatment groups, although there were some in-group differences. Nutritional recommendations and adopted supplement plans minimize the risk of deficiencies and result in improvement in metabolic biomarkers one year after OAGB, which was comparable to SG.
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ISSN:2072-6643
2072-6643
DOI:10.3390/nu14132597