Weight-loss surgeries are trending up in the United States, but also in the rest of the world. Another trend, reported today in Surgery for Obesity and Related Diseases is the increasing use of sleeve gastrectomy, a surgical approach much simpler than Roux-en-Y bypass surgery and with a better complication profile. A decade ago, Roux-en-Y bypass surgery was the most common surgery by far, but in North America sleeve gastrectomies are now the most common, and their percentage continues to increase. Although in the past sleeve gastrectomies were seen as less effective for weight loss and diabetes remission compared to bypass surgery, a recent 5-year follow-up of a randomized trial in people with diabetes comparing sleeve gastrectomy to Roux-en-Y bypass found no difference in weight loss, A1C or diabetes remission between these two surgical approaches.
See abstract here.
See full-text of 5-year RCT results here.