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

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