title: Management of Super-super Obese Patients: Comparison Between Mini (One Anastomosis) Gastric Bypass and Sleeve Gastrectomy.
abstract: Management of super-super obese patients poses a particular challenge for bariatric surgeons. Many staged algorithms exist for these patients. Essentially all of these involve a lower-risk procedure like sleeve gastrectomy first before a definitive second-stage procedure like gastric bypass or duodenal switch. This study compares our results with 19 mini (one anastomosis) gastric bypass and 56 sleeve gastrectomy in super-super obese patients. Sleeve gastrectomy patients were significantly older. There was no mortality or major complication in either group. There was no minor complication in mini (one anastomosis) gastric bypass group compared to two in the sleeve gastrectomy group. Mini (one anastomsosis) gastric bypass patients experienced significantly higher weight loss compared to sleeve gastrectomy patients at 6 months, 1 year, and 2 years after surgery.
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
authors.forename: Brijesh
authors.initials: B
authors.lastname: Madhok
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK. kamal_mahawar@hotmail.com.
authors.forename: Kamal K
authors.initials: KK
authors.lastname: Mahawar
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
authors.forename: Maureen
authors.initials: M
authors.lastname: Boyle
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
authors.forename: William R J
authors.initials: WR
authors.lastname: Carr
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
authors.forename: Neil
authors.initials: N
authors.lastname: Jennings
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
authors.forename: Norbert
authors.initials: N
authors.lastname: Schroeder
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
authors.forename: Shlok
authors.initials: S
authors.lastname: Balupuri
authors.affiliation: Bariatric Unit, Sunderland Royal Hospital, Sunderland, SR4 7TP, UK.
authors.forename: Peter K
authors.initials: PK
authors.lastname: Small
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Mini gastric bypass; Omega loop gastric bypass; One anastomosis gastric bypass; Single anastomosis gastric bypass; Sleeve gastrectomy; Super-super obese