What question did this study set out to answer?

This review aims to compare the long-term outcomes of different bariatric surgery procedures over a span of 10 years.

March 2, 2026Journal of Laparoendoscopic & Advanced Surgical Techniques0 citations

A Comprehensive Review of Sleeve Gastrectomy, Roux-en-Y Gastric Bypass, One-Anastomosis Gastric Bypass, Duodenal Switch, and SADI-S: Very Long-Term Outcomes at 10 Years and Beyond

PNPatrick NoelHôpital privé Clairval CCC. CazèresHôpital Laveran RLRami Edward LutfiShirley Ryan AbilityLab

Key Points

This review aims to compare the long-term outcomes of different bariatric surgery procedures over a span of 10 years.
Comprehensive analysis of five surgical procedures: Sleeve Gastrectomy, Roux-en-Y Gastric Bypass, One-Anastomosis Gastric Bypass, Duodenal Switch, and SADI-S.
Evaluation of weight loss efficacy and patient-specific factors influencing procedure selection.
Assessment of outcomes focusing on durability and effectiveness.
All five procedures showed significant and durable weight loss at 10 years and beyond.
Malabsorptive procedures, particularly Roux-en-Y and Duodenal Switch, were more effective for weight loss compared to others.
Procedure selection success was linked to factors like baseline BMI, GERD presence, and metabolic comorbidities.

Abstract

All five procedures demonstrate durable weight loss at 10+ years, with a clear hierarchy favoring malabsorptive procedures for weight loss efficacy. Procedure selection should consider patient-specific factors, including baseline BMI, presence of GERD, metabolic comorbidities, and capacity for long-term nutritional follow-up.

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