30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data
Sleeve gastrectomy
Roux-en-Y anastomosis
DOI:
10.1038/s41366-021-01048-1
Publication Date:
2021-12-15T08:03:48Z
AUTHORS (432)
ABSTRACT
Abstract Background There is a paucity of data comparing 30-day morbidity and mortality sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), one anastomosis (OAGB). This study aimed to compare the safety SG, RYGB, OAGB in propensity score-matched cohorts. Materials methods analysis utilised collected from GENEVA which was multicentre observational cohort bariatric metabolic surgery (BMS) 185 centres across 42 countries between 01/05/2022 31/10/2020 during Coronavirus Disease-2019 (COVID-19) pandemic. complications were categorised according Clavien–Dindo classification. Patients receiving or propensity-matched baseline characteristics compared groups. Results In total, 6770 patients (SG 3983; 702; RYGB 2085) included this analysis. Prior matching, associated with highest complication rate 5.8%; 7.5%; 8.0% ( p = 0.006)). On multivariate regression modelling, Insulin-dependent type 2 diabetes mellitus hypercholesterolaemia increased complications. Being non-smoker reduced rates. When SG as reference category, but not OAGB, an A total 702 pairs score-matched. The group 7.3% n 51) 7.5% 53) 0.68). Similarly, 2085 6.1% 127) 7.9% 166) 0.09). And, matched. both groups same at 7.5 % 53; 0.07). Conclusions global found no significant difference
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