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  • Hedberg, SuzanneGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery (författare)

Comparison of Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass : A Randomized Clinical Trial

  • Artikel/kapitelEngelska2024

Förlag, utgivningsår, omfång ...

  • American Medical Association (AMA),2024
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-111226
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-111226URI
  • https://doi.org/10.1001/jamanetworkopen.2023.53141DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-200914URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:154848764URI
  • https://gup.ub.gu.se/publication/335608URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|Swedish Research Council (Medicine and Health); Region Vastra Gotaland; Healthcare Committee; Agreement Concerning Research and Education of Doctors; Erling-Persson Foundation
  • IMPORTANCE: Laparoscopic sleeve gastrectomy (SG) and laparoscopic Roux-en-Y gastric bypass (RYGB) are widely used bariatric procedures for which comparative efficacy and safety remain unclear.OBJECTIVE: To compare perioperative outcomes in SG and RYGB.DESIGN, SETTING, AND PARTICIPANTS: In this registry-based, multicenter randomized clinical trial (Bypass Equipoise Sleeve Trial), baseline and perioperative data for patients undergoing bariatric surgery from October 6, 2015, to March 31, 2022, were analyzed. Patients were from university, regional, county, and private hospitals in Sweden (n = 20) and Norway (n = 3). Adults (aged ≥18 years) eligible for bariatric surgery with body mass indexes (BMIs; calculated as weight in kilograms divided by height in meters squared) of 35 to 50 were studied.INTERVENTIONS: Laparoscopic SG or RYGB.MAIN OUTCOMES AND MEASURES: Perioperative complications were analyzed as all adverse events and serious adverse events (Clavien-Dindo grade >IIIb). Ninety-day mortality was also assessed.RESULTS: A total of 1735 of 14 182 eligible patients (12%; 1282 [73.9%] female; mean (SD) age, 42.9 [11.1] years; mean [SD] BMI, 40.8 [3.7]) were included in the study. Patients were randomized and underwent SG (n = 878) or RYGB (n = 857). The mean (SD) operating time was shorter in those undergoing SG vs RYGB (47 [18] vs 68 [25] minutes; P < .001). The median (IQR) postoperative hospital stay was 1 (1-1) day in both groups. The 30-day readmission rate was 3.1% after SG and 4.0% after RYGB (P = .33). There was no 90-day mortality. The 30-day incidence of any adverse event was 40 (4.6%) and 54 (6.3%) in the SG and RYGB groups, respectively (odds ratio, 0.71; 95% CI, 0.47-1.08; P = .11). Corresponding figures for serious adverse events were 15 (1.7%) for the SG group and 23 (2.7%) for the RYGB group (odds ratio, 0.63; 95% CI, 0.33-1.22; P = .19).CONCLUSIONS AND RELEVANCE: This randomized clinical trial of 1735 patients undergoing primary bariatric surgery found that both SG and RYGB were performed with a low perioperative risk without clinically significant differences between groups.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02767505.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Thorell, AndersKarolinska Institutet (författare)
  • Österberg, JohannaDepartment of Surgery, Mora Hospital, Mora, Sweden; Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden,Mora Hosp, Sweden; Karolinska Inst, Sweden (författare)
  • Peltonen, MarkkuFinnish Institute for Health and Welfare, Helsinki, Finland,Finnish Inst Hlth & Welf, Finland (författare)
  • Andersson, EllenLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken ViN(Swepub:liu)ellan64 (författare)
  • Näslund, ErikKarolinska Institutet (författare)
  • Hertel, Jens KristofferDepartment of Endocrinology, Obesity, and Nutrition, Vestfold Hospital Trust, Tønsberg, Norway,Vestfold Hosp Trust, Norway (författare)
  • Svanevik, MariusDepartment of Endocrinology, Obesity, and Nutrition, Vestfold Hospital Trust, Tønsberg, Norway; Department of Surgery, Vestfold Hospital Trust, Tønsberg, Norway,Vestfold Hosp Trust, Norway; Vestfold Hosp Trust, Norway (författare)
  • Stenberg, Erik,1979-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery,Orebro Univ, Sweden(Swepub:oru)eisg (författare)
  • Neovius, MartinKarolinska Institutet (författare)
  • Näslund, IngmarDepartment of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Orebro Univ, Sweden (författare)
  • Wirén, MikaelDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden; Department of Surgery, Ersta Hospital, Stockholm, Sweden,Danderyd Hosp, Sweden; Ersta Hosp, Sweden (författare)
  • Ottosson, JohanDepartment of Surgery,Orebro Univ, Sweden (författare)
  • Olbers, TorstenLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken ViN,Wallenberg Centre for Molecular Medicine(Swepub:liu)torol42 (författare)
  • BEST Study Group, - (bidragsgivare)
  • Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för kirurgi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:JAMA Network Open: American Medical Association (AMA)7:12574-3805

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