Young people who had a sleeve gastrectomy (a type of debulking surgery in which part of the stomach is removed) were more likely to go to the emergency room or be hospitalized within 5 years after surgery than those who had a split stomach. is now lower. Pouch with gastric bypass surgery, according to a new study.
In an analysis published by researchers at the University of Michigan, rates of complications, death and subsequent surgery were similar in both groups. jam.
All study patients had Medicaid, the largest health insurer for under-19s in the United States.
“Previous studies have found that sleeve gastrectomy and gastric bypass are associated with greater weight loss and lower complication rates in severely obese adolescents. Ryan Howard, M.D. General Surgery Resident at Michigan Health University. “However, these comparative results between the two procedures, he said, may be useful in health insurance policy and decision-making, but had not yet been investigated in adolescents with Medicaid coverage.”
Researchers identified just over 1,110 patients who underwent one of two weight-loss surgeries between 2012 and 2018. This is a relatively small number compared to her more than 95,000 patients covered by Medicare who underwent gastric bypass or sleeve gastrectomy at the same time. period.
This disparity may be due to access issues and concerns about bariatric surgery as a weight-loss treatment for young people, Howard said.
Other authors include Jie Yang, Ph.D., Jyothi Thumma, Ph.D., and Anne Ehlers, Ph.D., MPH, Sean O’Neill, Ph.D., and Dana Telem, from the University of Michigan Center for Health Outcomes and Policy. , MD, MPH, and Justin B. Dimick, MD, MPH, All of Michigan Medicine.
Papers cited: “Healthcare Use and Adverse Events After Sleeve Gastrectomy and Gastric Bypass in Severely Obese Adolescents with Medicaid Insurance” jam.
