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Sleeve Gastrectomy Now a Common Choice for Bariatric Surgery

Sleeve gastrectomy is now a treatment option for patients with obesity to help reduce weight and manage diabetes….

Bradley N. Reames, MD, MS, looked at patient populations in Michigan to determine the popularity of sleeve gastrectomy between 2006 and December 2013. In this study, data on 43,732 adults were included who had primary inpatient and outpatient bariatric surgery within 39 different hospitals.

The results showed that the percentage of sleeve gastrectomy increased from 6% (95% CI, 5.4-6.6) in 2008 to 67.3% (CI 66-68.6) in 2013 of all procedure. Meanwhile, other procedures such as RYGB and laparoscopic adjustable gastric banding reduced competitively, from 58% to 27.4% and from 34.5% to 4.6%, respectively. It was also reported that rates were relatively low for patient with type 2 diabetes, 49.9% (95% CI, 48.3-51.6), compared to patients without type 2 diabetes, 60.4% (95% CI, 59.3-61.5). For all these comparisons, P value was <0.001.

These findings can be used to educate primary care physician about the predominant use of bariatric procedure, sleeve gastrectomy, regardless of pre-existing comorbidity.

Practice Pearls:
  • Sleeve gastrectomy is a leading choice for bariatric surgery
  • Food intake is decreased with weight loss, resulting in a better maintenance of glucose level
  • Decreased amount of medications needed

BN Reames "Sleeve Gastrectomy Top Bariatric Surgery Choice, Even in Diabetes." JAMA (2014);doi:10.1001/jama.2014.7651.