@article{454bc73953c9450a90eeaf84e17eca99,
title = "Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy in Young Adults: a Dutch Registry Study",
abstract = "Background The most commonly performed bariatric procedures worldwide are Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), yet outcomes following these procedures in young adults are limited. Therefore, the objective of this study was to compare weight loss outcomes between RYGB and SG in young adults.Methods This is a nationwide retrospective cohort study of young adults, aged 18-25 years, who underwent RYGB or SG between 2015 and 2019, with data from the Dutch Audit Treatment of Obesity (DATO). The primary outcome was weight loss expressed as percentage total weight loss (%TWL) in a period of 3 years after surgery. Secondary outcomes were the incidence of complications (<30 days) and progression of obesity-related comorbidities.Results In total, 2313 patients were included, 1246 in the RYGB group and 1067 in the SG group. Percentage TWL was significantly higher in the RYGB group compared to the SG group at 1, 2, and 3 years after surgery (respectively 2.4%, 2.9%, and 3.3% higher, p < 0.001). RYGB was associated with an on-average 2.75 higher %TWL compared to SG in females (p < 0.001), although this was not seen in males (beta= 0.63, p =0.514). No differences were found in the incidence of complications, nor the progression of obesity-related comorbidities except for gastroesophageal reflux disease (GERD). There was more improvement or resolution of GERD in the RYGB group (95.2% vs. 56.3%, p < 0.001).Conclusion Similar numbers of RYGB and SG were performed in young adults, whereas RYGB was associated with greater weight loss in the short- and midterm, particularly in females.",
keywords = "Obesity, Bariatric surgery, Young adults, Gastric bypass, Gastric sleeve, BARIATRIC SURGERY, WEIGHT-LOSS, MORBID-OBESITY, OUTCOMES",
author = "{van de Pas}, K.G.H. and D.S. Bonouvrie and L. Janssen and M.M. Romeijn and A.A.P.M. Luijten and W.K.G. Leclercq and {van Dielen}, F.M.H. and {Dutch Audit for Treatment of Obesity Research Group}",
note = "Funding Information: The authors thank the members of the Dutch Institute for Clinical Auditing (DICA) for the registration of the data and for providing us with the data. The members of the Dutch Audit for Treatment of Obesity research group are co-authors of this study, and we want to thank them for their input. Dutch Audit for Treatment of Obesity Research Group: Dhr. dr. L.M. de Brauw, chirurg, Spaarne Gasthuis, Haarlem, the Netherlands Dhr. dr. S.M.M. de Castro, chirurg, OLVG, Amsterdam, the Netherlands Dhr. drs. S.L. Damen, chirurg, Medisch Centrum Leeuwarden, Leeuwarden, the Netherlands Dhr. dr. F.H.W. Jonker, chirurg, Rode Kruis Ziekenhuis, Beverwijk, the Netherlands Dhr. drs. J.A. Apers, chirurg, Sint Franciscus Gasthuis, Rotterdam, the Netherlands Dhr. dr. I.F. Faneyte, chirurg, Ziekenhuisgroep Twente, Almelo, the Netherlands Dhr. prof. dr. J.W.M. Greve, chirurg, Zuyderland Medisch Centrum, Heerlen, the Netherlands Dhr. prof. dr. E.J. Hazebroek, chirurg, Rijnstate, Arnhem, DSMBS, the Netherlands Dhr. drs. G. van {\textquoteright}t Hof, chirurg, Bariatrisch Centrum Zuid-West Nederland, Bergen op Zoom, the Netherlands Dhr. dr. I.M.C. Janssen, chirurg, Medisch Directeur Nederlandse Obesitas Klinieken, Zeist, the Netherlands Dhr. drs. E.H. Jutte, chirurg, Medisch Centrum Leeuwarden, Leeuwarden, the Netherlands Dhr. drs. R.A. Klaassen, chirurg, Maasstad Ziekenhuis, Rotterdam, the Netherlands Dhr. drs. E.A.G.L. Lagae, chirurg, ZorgSaam Zeeuws-Vlaanderen, Terneuzen, the Netherlands Mw. dr. B.S. Langenhoff, chirurg, ETZ, Tilburg, the Netherlands Dhr. drs. R.S.L. Liem, chirurg, Groene Hart Ziekenhuis, secretary, Gouda, the Netherlands Dhr. drs. A.A.P.M. Luijten, M{\'a}xima Medisch Centrum, Eindhoven, the Netherlands Dhr. dr. S.W. Nienhuijs, chirurg, Catharina Ziekenhuis, chairman, Eindhoven, the Netherlands Dhr. dr. R. Schouten, chirurg, Flevoziekenhuis, Almere, the Netherlands Dhr. dr. R.M. Smeenk, chirurg, Albert Schweitzer Ziekenhuis, Dordrecht, the Netherlands Dhr. dr. D.J. Swank, chirurg, Nederlandse Obesitas Kliniek West, Den Haag & Gouda, the Netherlands Dhr. dr. M.J. Wiezer, chirurg, St. Antonius Ziekenhuis, Utrecht, the Netherlands Dhr. drs. W. Vening, bariatrisch chirurg, Rijnstate, Arnhem, the Netherlands Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2022",
month = mar,
doi = "10.1007/s11695-021-05846-4",
language = "English",
volume = "32",
pages = "763--770",
journal = "Obesity Surgery",
issn = "0960-8923",
publisher = "Springer, Cham",
number = "3",
}