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Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Procedure and Patient Selection in Bariatric and Metabolic Surgery

Mahawar, Kamal, Parmar, Chetan and Graham, Yitka (2019) Procedure and Patient Selection in Bariatric and Metabolic Surgery. Minerva Chirugia.

Item Type: Article


Introduction: Sleeve Gastrectomy (SG), Roux-en-Y Gastric Bypass (RYGB), and One Anastomosis Gastric Bypass (OAGB) are the commonest bariatric procedures performed worldwide. The purpose of this review was to analyse comparative data on these three procedures to aid patient and procedure selection for patients seeking Bariatric and Metabolic Surgery (BMS).

Evidence Acquisition: We examined published English language scientific literature available on PubMed for data comparing SG, RYGB, and OAGB for various groups of patients.

Evidence Synthesis: There are a number of variables that can influence patient and procedure selection for individuals seeking BMS. High-quality data comparing each of these procedures for every patient subgroup, for each possible outcome measure is lacking. It is, therefore, not currently possible to make strict recommendations regarding patient and procedure selection. At the same time, the multidisciplinary teams should understand that risks of surgery may simply be too high for some patients – such as those suffering from end-stage organ disease and those suffering from mega obesity (BMI ≥ 70 kg/m2). Surgery should only be offered to such high-risk groups in dedicated centres with appropriate expertise. For other patients, surgeons should carefully consider the pros and cons of each procedure, their own experience, and patient preferences before deciding the most appropriate BMS procedure for them.

Conclusion: This review examines various factors influencing patient and procedure selection in bariatric surgery. Authors feel it is currently not possible to make strict recommendations and surgeons should carefully discuss the pros and cons of bariatric surgery and that of various options available in their practice with the patients before making a final recommendation.

Mahawar et al, Minverva Chirugia.pdf - Accepted Version

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Depositing User: Yitka Graham


Item ID: 11233
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Users with ORCIDS

ORCID for Yitka Graham: ORCID iD

Catalogue record

Date Deposited: 21 Oct 2019 11:14
Last Modified: 10 May 2021 15:31


Author: Yitka Graham ORCID iD
Author: Kamal Mahawar
Author: Chetan Parmar

University Divisions

Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Nursing

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