Factors influencing the choice between laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass
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and Other Interventional Techniques
2020 SAGES ORAL
Factors influencing the choice between laparoscopic sleeve gastrectomy and Roux‑en‑Y gastric bypass Hassan Nasser1 · Tommy Ivanics1 · Arthur M. Carlin1 Received: 22 May 2020 / Accepted: 25 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background While laparoscopic sleeve gastrectomy (LSG) continues to be the most commonly performed bariatric operation, several variables influence surgeons’ practice patterns and patients’ decision-making in the type of bariatric procedure to perform. The aim of this study was to evaluate patient factors that influence the decision between laparoscopic Roux-en-Y gastric bypass (LRYGB) versus LSG. Methods The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was queried for patients undergoing LSG and LRYGB between 2015 and 2017. Univariate analysis and multivariate logistic regression were used to evaluate factors associated with performing LRYGB compared to LSG. Results A total of 252,117 (72.3%) LSG and 96,677 (27.7%) LRYGB cases were identified. Patients undergoing LSG were younger (44.3 ± 12.0 vs 45.2 ± 11.8 years; p 3). BMI was also represented as a binary variable (
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