Patients who undergo RYGB lose more weight and have greater improvements in diabetes measures compared with sleeve gastrectomy; but, adverse events are higher with RYGB, particularly in Hispanics and Blacks for some measures, new study shows. MedTwitter
remission, but also higher complication rates, versus sleeve gastrectomy across all racial and ethnic groups.
In terms of average weight loss after 5 years, the rates were approximately 6% to 8% higher for RYGB compared with sleeve gastrectomy across the racial groups , with no significant differences between groups. levels at 5 years were greater with RYGB versus sleeve gastrectomy across all groups .Hispanic, Black Patients More Likely to Be Hospitalized 5 Years After RYGB
Hispanic patients also had a significantly greater risk of all-cause mortality with RYGB versus sleeve gastrectomy , while the risk was not significantly higher for Blacks and was slightly lower for Whites . "Recent publications have documented Black patients, in particular, had higher rates of adverse events immediately after primarily RYGB operations," the authors note.
"In addition, these groups of patients often have limited access to healthy foods and physical activity, which are critical to weight loss maintenance and the resulting disease remission regardless of the way people lose weight," they note. "There are many factors that might affect their decision to get surgery and which operation to get, including age, comorbidity status, peer and family social support for change, risk tolerance for both patient and surgeon, amount of weight loss, and their access to post-operative care in the short and long term."
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