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In Bariatric Surgery, Sleeve Gastrectomy Now More Common than Bypass — Physician’s First Watch

Medical News |
September 3, 2014

In Bariatric Surgery, Sleeve Gastrectomy Now More Common than Bypass

By Joe Elia

Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM

If Michigan is any indicator, sleeve gastrectomy has supplanted Roux-en-Y bypass as the most common bariatric surgical approach, according to a JAMA research letter.

The authors examined data on some 44,000 patients undergoing surgery in a 39-hospital Michigan collaborative. From 2008 to 2013, the prevalence of sleeve gastrectomy rose from about 6% to 67% of bariatric procedures. The Roux-en-Y approach dropped from 58% to 27%; adjustable banding fell from 35% to 5%.

The authors comment that long-term outcomes of the sleeve approach are unknown, but that its popularity may reflect a "favorable perioperative safety profile."

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