Which Bariatric Procedure Is Best For Patients With Morbid Obesity?

MedicalResearch.com Interview with:
Torsten Olbers MD, PhD

Assistant Professor of Surgery
Sahlgrenska University Hospital
Gothenburg, Sweden

Medical Research: What is the background for this study? What are the main findings?

Dr. Olbers: Until now there has been no consensus regarding preferred bariatric procedure for patients with a body mass index (BMI) above 50 kg/m2. We report on the 5-year outcomes from a randomized clinical trial of gastric bypass and duodenal switch published online by JAMA Surgery on February 4th.

Medical Research: What should clinicians and patients take away from your report?

Dr. Olbers:  Duodenal switch resulted in more weight loss and greater improvements in several cardio-metabolic risk factors compared with gastric bypass when treating patients with a very high weight. However, duodenal switch was associated with more surgical, nutritional and gastrointestinal adverse effects making us recommend caution in the use of this procedure.

Medical Research: What recommendations do you have for future research as a result of this study?

Dr. Olbers: Based on our findings we conclude that duodenal switch should be used with caution owing to a relatively high rate of long-term adverse effects in comparison to gastric bypass yet the greater weight loss.

Citation:

Hilde Risstad, Torgeir T. Søvik, My Engström, Erlend T. Aasheim, Morten W. Fagerland, Monika Fagevik Olsén, Jon A. Kristinsson, Carel W. le Roux, Thomas Bøhmer, Kåre I. Birkeland, Tom Mala, Torsten Olbers. Five-Year Outcomes After Laparoscopic Gastric Bypass and Laparoscopic Duodenal Switch in Patients With Body Mass Index of 50 to 60. JAMA Surgery, 2015; DOI: 10.1001/jamasurg.2014.3579

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MedicalResearch.com Interview with:, & Torsten Olbers MD, PhD (2015). Which Bariatric Procedure Is Best For Patients With Morbid Obesity? MedicalResearch.com

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