Comparative Safety of Sleeve Gastrectomy and Gastric Bypass Up to 5 Years After Surgery in Patients With Severe Obesity.

ABSTRACT:

Importance

Sleeve gastrectomy is the most widely used bariatric operation; however, its long-term safety is largely unknown.

Objective

To compare the risk of mortality, complications, reintervention, and health care use 5 years after sleeve gastrectomy and gastric bypass.

Design, setting, and participants

This retrospective cohort study included adult patients in a national Medicare claims database who underwent sleeve gastrectomy or gastric bypass from January 1, 2012, to December 31, 2018. Instrumental variables survival analysis was used to estimate the cumulative incidence of outcomes up to 5 years after surgery.

Exposures

Laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass.

Main outcomes and measures

The main outcome was risk o

SUBMITTER: Howard R 

PROVIDER: S-EPMC8495604 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature