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Five-Year BAROS Score Outcomes for Roux-en-Y Gastric Bypass, One Anastomosis Gastric Bypass, and Sleeve Gastrectomy: a Comparative Study

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Obesity Surgery Aims and scope

Abstract

Purpose

Metabolic and bariatric surgery (MBS) has been shown to enhance the quality of life (QoL) in individuals with obesity. The Bariatric Analysis and Reporting Outcome System (BAROS) is a highly reliable scoring system utilized to assess weight loss, obesity-associated medical conditions, and QoL following MBS. This study aimed to assess the efficacy of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB) in improving health outcomes for individuals with severe obesity, employing the BAROS questionnaire.

Methods

A retrospective study was conducted, enrolling 299 patients with a body mass index (BMI) of 40 or higher who had undergone primary MBS (RYGB, OAGB, or SG) and had a 5-year follow-up. Patients were evaluated using the BAROS scoring system, which included measures of % excess weight loss (%EWL), improvement and remission of obesity-related medical problems, and postoperative short-term and long-term complications.

Results

The mean age and pre-op BMI of the patients was 39.4 ± 9.4 years and 44.6± 6.5 kg/m2, respectively. The total BAROS score was significantly higher in patients who underwent OAGB compared to those who underwent RYGB and SG (P, 0.02). However, no significant differences were observed in other aspects of the BAROS score, such as QoL.

Conclusion

This study demonstrated that all three common metabolic and bariatric surgical procedures (SG, RYGB, and OAGB) significantly improved the QoL after surgery. Furthermore, patients who underwent OAGB had a significantly higher total BAROS score at the 5-year follow-up compared to those who underwent RYGB and SG.

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Data Availability

The authors confirm that the data supporting the findings of this study are available within the article.

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Authors and Affiliations

  1. Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran

    Saeed Madani, Masoumeh Shahsavan, Seyed Amin Setarehdan & Fahimeh Yarigholi

  2. Department of Surgery, Qom University of Medical Sciences, Qom, Iran

    Saeed Madani

  3. Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Minimally Invasive Surgery Research Center, Rasool-E Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

    Abdolreza Pazouki, Foolad Eghbali, Shahab Shahabi Shahmiri & Mohammad Kermansaravi

  4. Center of Excellence of European Branch of International Federation for Surgery of Obesity, Hazrat-e Rasool Hospital, Tehran, Iran

    Abdolreza Pazouki, Foolad Eghbali, Shahab Shahabi Shahmiri & Mohammad Kermansaravi

Authors
  1. Saeed Madani
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  2. Masoumeh Shahsavan
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  3. Abdolreza Pazouki
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  4. Seyed Amin Setarehdan
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  5. Fahimeh Yarigholi
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  6. Foolad Eghbali
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  7. Shahab Shahabi Shahmiri
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  8. Mohammad Kermansaravi
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Correspondence to Masoumeh Shahsavan or Mohammad Kermansaravi.

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Key Points

• All three commonly performed MBS procedures were found to significantly enhance the QoL following surgery.

• OAGB had a significantly higher total BAROS score at the 5-year follow-up compared to RYGB and SG.

• Most patients who underwent OAGB, SG, and RYGB were classified as good to excellent on the BAROS scale.

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Madani, S., Shahsavan, M., Pazouki, A. et al. Five-Year BAROS Score Outcomes for Roux-en-Y Gastric Bypass, One Anastomosis Gastric Bypass, and Sleeve Gastrectomy: a Comparative Study. OBES SURG 34, 487–493 (2024). https://doi.org/10.1007/s11695-023-07015-1

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  • DOI: https://doi.org/10.1007/s11695-023-07015-1

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