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Study compares adverse effects after two types of bariatric surgery in adolescents

Teens who had a sleeve gastrectomy, a type of weight-loss surgery that involves removing part of the stomach, were less likely to go to the emergency room or be admitted to hospital within five years. their operation than those whose stomachs had been divided into pouches by gastric bypass surgery, according to new research.

Rates of complications, death and subsequent surgery were similar in the two groups, University of Michigan researchers found in an analysis published in JAMA.

All of the patients studied had Medicaid, the largest health insurance provider for those under 19 in the United States.

“Previous research has shown that sleeve gastrectomy and gastric bypass surgery result in significant weight loss and low complication rates in adolescents with severe obesity,” said Ryan Howard, MD, resident in general surgery at the University of Michigan Health. “But the comparative outcomes of these two procedures, which could help inform health insurance policy and decision-making, had not previously been explored for Medicaid-insured adolescents.”

The researchers identified just over 1,110 patients who underwent one of two weight loss surgeries between 2012 and 2018, a relatively small number compared to the more than 95,000 Medicare-covered patients who underwent gastric bypass surgery or a gastrectomy at the same time. period.

Howard says the disparity could be due to access issues or concerns about bariatric surgery as a weight loss treatment for young people.

Other authors include Jie Yang, Ph.D., and Jyothi Thumma, MPH, from the Center for Healthcare Outcomes and Policy at the University of Michigan and Anne Ehlers, MD, MPH, Sean O’Neill, MD, Ph.D ., Dana Telem, MD, MPH, and Justin B. Dimick, MD, MPH, all of Michigan Medicine.

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Material provided by Michigan Medicine – University of Michigan. Original written by Mary Clare Fischer. Note: Content may be edited for style and length.