Research
Mixed
Roux-en-Y gastric bypass (RYGB) results in greater weight loss and glycemic improvement compared to laparoscopic adjustable gastric banding (LAGB) and lifestyle intervention alone.
If choosing between surgical options for obesity and Type 2 Diabetes, Roux-en-Y gastric bypass (RYGB) provides greater weight loss and better glycemic control than laparoscopic adjustable gastric banding (LAGB). While LAGB is less invasive and reversible, RYGB is more effective for achieving remission and significant weight reduction.
GoodSupportsHIGH confidence
Mean (SE) reductions in percentage of body weight at 3 years were the greatest after RYGB at 25.0% (2.0%), followed by LAGB at 15.0% (2.0%) and lifestyle treatment at 5.7% (2.4%) (P < .01).
Why this rating
RCT with 3-year follow-up, small sample size.
Source
Three-Year Outcomes of Bariatric Surgery vs Lifestyle Intervention for Type 2 Diabetes Mellitus Treatment
Anita P. Courcoulas et al. · JAMA Surgery · 2015
rct · n=61Cited 366×
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