Impact of one-anastomosis gastric bypass and laparoscopic sleeve gastrectomy on metabolic parameters in morbidly obese patients: A comparative review.

Authors

  • Muhmmad Dilawaiz Mujahid Faisalabad Medical University, Faisalabad.
  • Ayisha Mahnoor Allied Hospital, Faisalabad.
  • Afifa Saadia Faisalabad Medical University, Faisalabad.
  • Muhammad Usman Allied Hospital, Faisalabad.
  • Shahzad Allied Hospital, Faisalabad.
  • Muhammad Akram Faisalabad Medical University, Faisalabad.

DOI:

https://doi.org/10.29309/TPMJ/2024.31.05.8036

Keywords:

Dyslipidemia, Laparoscopic Sleeve Gastrectomy, Obesity, One-anastomosis Gastric Bypass

Abstract

Objective: To compare one-anastomosis gastric bypass and laparoscopic sleeve gastrectomy in morbidly obese patients in terms of frequency of dyslipidemia, mean AST, mean ALT, mean HbA1C and mean FPG. Study Design: Randomized Controlled Trial Setting: Department of General Surgery, Allied Hospital, Faisalabad. Period: October 20, 2022, to June 20, 2023, Methods: Morbidly obese individuals were randomly assigned to either undergo laparoscopic sleeve gastrectomy (Group A) or one-anastomosis gastric bypass (Group B). The study, led by a consultant with 3 years of post-fellowship experience, conducted comprehensive patient assessments, including BMI calculations and metabolic profiling. Monthly follow-ups continued until the 6th month, after which lipid profiles, alanine transaminase (ALT), aspartate transaminase (AST), hemoglobin A1C (HbA1C) and fasting plasma glucose (FPG), results were obtained from the hospital pathology lab. The comparative analysis revealed superior outcomes in Group B, the one-anastomosis gastric bypass cohort, as compared to Group A (laparoscopic sleeve gastrectomy), spanning multiple parameters. Results: The mean FPG in Group A was 5.52±0.26, compared to 5.56±0.25 in Group B. Mean HbA1c was 6.65±0.24 in Group A and 6.26±0.19 in Group B. AST levels were comparable, with 24.13±3.31 in Group A and 24.23±3.48 in Group B, yielding a p-value of 0.896. Similarly, ALT levels showed no significant difference between the groups (24.55±3.46 in Group A and 23.92±3.35 in Group B, p-value=0.414). Conclusion: One-anastomosis gastric bypass demonstrated superior efficacy over laparoscopic sleeve gastrectomy in morbidly obese patients, showcasing favorable outcomes in terms of dyslipidemia, AST, ALT, HbA1C, and FPG.

Author Biographies

Muhmmad Dilawaiz Mujahid, Faisalabad Medical University, Faisalabad.

MBBS, FCPS, Assistant Professor Surgery, 

Ayisha Mahnoor, Allied Hospital, Faisalabad.

MBBS, Postgraduate Resident, 

Afifa Saadia, Faisalabad Medical University, Faisalabad.

MBBS, FCPS, Assistant Professor Surgery, 

Muhammad Usman, Allied Hospital, Faisalabad.

MBBS, FCPS, Senior Registrar, 

Shahzad, Allied Hospital, Faisalabad.

MBBS, Postgraduate Resident, 

Muhammad Akram, Faisalabad Medical University, Faisalabad.

MBBS, FCPS, Professor Surgery, 

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Published

2024-05-04