In Bariatric Surgery, Sleeve Gastrectomy Now More Common than Bypass — Physician’s First Watch
In Bariatric Surgery, Sleeve Gastrectomy Now More Common than Bypass
By Joe Elia
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."