Greater Weight Loss with the Omega Loop Bypass Compared to the Roux-en-Y Gastric Bypass: a Comparative Study

• Published in: Obesity surgery Vol. 24; no. 6; pp. 841 - 846
• Main Authors: Disse, E., Pasquer, A., Espalieu, P., Poncet, G., Gouillat, C., Robert, M.
• Format: Journal Article
• Language: English
• Published: Boston Springer US 01-06-2014; Springer Nature B.V; Springer Verlag
• Subjects: Adult; Aged; Body Mass Index; Comparative studies; Diabetes Mellitus - surgery; Female; Gastric Bypass - methods; Gastrointestinal surgery; Humans; Insecticide-Treated Bednets; Laparoscopy; Life Sciences; Male; Medicine; Medicine & Public Health; Metabolism; Middle Aged; Obesity; Obesity, Morbid - surgery; Original Contributions; Patient safety; Remission Induction; Surgery; Surgical techniques; Weight control; Weight Loss; Young Adult; Roux-en-Y gastric bypass; Morbid obesity; Omega loop bypass; Weight loss; Bariatric surgery; Body Mass Index; Obesity; Humans; Middle Aged; Male; Laparoscopy; Remission Induction; Young Adult; Diabetes Mellitus/surgery; Insecticide-Treated Bednets; Weight Loss; Gastric Bypass/methods; Adult; Female; Aged; Morbid/surgery
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-014-1180-7

Background
Despite similar initial results on weight loss and metabolic control, with a better feasibility than the Roux-en-Y gastric bypass (RYGBP), the omega loop bypass (OLB) remains controversial. The aim of this study was to compare the short-term outcomes of the laparoscopic OLB versus the RYGBP in terms of weight loss, metabolic control, and safety.
Methods
Two groups of consecutive patients who underwent laparoscopic gastric bypass surgery were selected: 20 OLB patients and 61 RYGBP patients. Patients were matched for age, gender, and initial body mass index (BMI). Data concerning weight loss, metabolic outcomes, and complications were collected prospectively.
Results
Mean duration of the surgical procedure was shorter in the OLB group (105 vs 152 min in the RYGBP group;
p
 < 0.001). Mean excess BMI loss percent (EBL%) at 6 months and at 1 year was greater in the OLB group (76.3 vs 60.0 %,
p
 = 0.001, and 89.0 vs 71.0 %,
p
 = 0.002, respectively). After adjustment for age, sex, initial BMI, and history of previous bariatric surgery, the OLB procedure was still associated with a significantly greater 1-year EBL%. Diabetes improvement at 6 months was similar between both groups. The early and late complication rates were not statistically different. There were three anastomotic ulcers in the OLB group, in smokers, over 60 years old, who were not taking proton pump inhibitor medication.
Conclusions
In this short-term study, we observed a greater weight loss with OLB and similar efficiency on metabolic control compared to RYGBP. Long-term evaluation is necessary to confirm these outcomes.