Bypass Better than Band

Those people who had undergone gastric bypass surgery lost more weight in the year following surgery and showed a 76 percent resolution rate of Type 2 diabetes versus a 50 percent resolution rate in those who had gastric banding.

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Gastric Bypass or Lap Band Surgery?


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If you’re one of the millions of overweight Americans and has been considering weight-loss surgery, the results of a new study comparing the safety and effectiveness of gastric bypass surgery and lap-band surgery may interest you. The study, titled “Better Weight Loss, Resolution of Diabetes, and Quality of Life for Laparoscopic Gastric Bypass vs. Banding,” written by Guilherme M. Campos, M.D., et al. appeared in the February publication “Archives of Surgery.”

The study’s design was to match 100 pairs of people, one of whom had undergone the laparoscopic Roux-en-Y gastric bypass and the other the laparoscopic gastric banding surgery. The pairs were carefully matched so various criteria such as age, weight, sex, presence of Type 2 diabetes and body mass index were close to identical for the two people chosen for each pair.

This study measured outcomes during and after the surgical procedure, including a one-year period post-surgery. The measured outcomes included weight loss, quality of life and Type 2 diabetes resolution. Although many experts expected the outcomes to be more positive for those people who had had the gastric bandings performed, this study’s conclusions demonstrated that the Roux-en-Y gastric bypass had a similar rate of overall complications as did the gastric banding, but fewer re-operations were needed with the gastric bypass.

Those people who had undergone gastric bypass surgery lost more weight in the year following surgery and showed a 76 percent resolution rate of Type 2 diabetes versus a 50 percent resolution rate in those who had gastric banding.

In a telephone interview with Reuters, Campos explained, “In the gastric bypass patients, about 86 percent of patients successfully lost more than 40 percent of excess weight. Only about 31 percent of the Lap-Band patients lost that amount of weight.” A finding the University of Wisconsin School of Medicine in Madison physician termed “significant.”

There is a qualifying phrase in the study’s conclusion: “When performed in high-volume centers by expert surgeons” … gastric bypass has a “better risk-benefit profile” than gastric banding.

Campos explains that although gastric bypass and lap-band surgeries are the most common and most effective surgeries performed in the United States, not all surgeons are equally skilled at performing the procedures. He suggests using the American College of Surgeons or the American Society for Bariatric Surgery for the lists of “Centers of Excellence.”

When evaluating information from any one study or outcome, it is important to note that scientific research requires at least two studies whose methods and conclusions agree before such information is accepted as scientific fact.

While these study results are interesting and valid in and of themselves, a decision as important as to what type of weight-loss surgery would be best for you and your condition must be made with your health care provider’s input. You may want to mention this study’s results to your health care provider to learn his views, but the final decision is yours.

Read more at news.yahoo.com

 

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