Banded One Anastomosis Gastric Bypass versus Non-Banded One Anastomosis Gastric Bypass: A 3-year Prospective Cohort Study.

Document Type : Original Article

Authors

General Surgery Department, Faculty of Medicine, Ain Shams University, Egypt

10.21608/ASJS.2024.318563.1158

Abstract

Background: The impact of band use in one anastomosis gastric bypass (OAGB) is uncertain. Limited evidence
is available on how this approach enhance weight loss.
Patients and methods: Prospective cohort study was conducted to compare effectiveness of B_OAGB and OAGB
regarding weight loss and resolution of Obesity related medical conditions. Patients were followed from December
2020 to June 2024. Eighty-seven patients were enrolled. 43 patients for B_OAGB and 44 patients for OAGB were
analyzed, with a 3-year follow-up at the Ain Shams University Bariatric surgery department.
Results: The two groups’ baseline characteristics were similar. There was a significant difference between both
groups in operative time, B_OAGB took longer time (80.09 ± 10.18) minutes compared to OAGB (70.09 ± 10.52)
minutes, p value ≤ 0.001. Between the two groups, there was no statistically significant difference in morbidity,
death, or the resolution of Obesity related medical conditions. There was a significant difference in BMI between
B_OAGB with and OAGB at 12, 24, and 36 months, B_OAGB showed lower BMI, p values were 0.001, 0.001 and
≤0.001 respectively.
Conclusion: Patients who received B_OAGB surgery lost more weight three years after surgery than those who
did not have band. These findings imply that B_OAGB with a silicon ring was successful in sustaining weight loss
and resolution of comorbidities over short to medium period with accepted rate of complications.

Keywords

Ain Shams Journal of Surgery
Volume 17, Issue 4
October 2024
Pages 349-355

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