Abstract
Introduction: Clinical trials in the field of bariatrics, have frequently been gender imbalanced, with males representing only 20% of examinees. Long-term gender-oriented results, specifically the quality of life (QOL) parameters, have not been addressed sufficiently. Our study aimed to examine the long-term gender association with the outcome of one anastomosis gastric bypass (OAGB), including its impact on QOL.
Methods: A retrospective cohort study of patients who underwent different bariatric procedures at Soroka Medical Center, Israel, between 2017 – 2024. This cohort was selected from all patients fitting the inclusion criteria. Demographics, body mass index (BMI), and renal function were extracted from the national medical records. QOL and weight parameters were supplemented via telephone questionnaires using the bariatric analysis and reporting outcome system (BAROS).
Results: The final analysis included 250 patients; 67% were females. Basic demographics showed no significant differences between males and females, and there was no difference for procedural variables. Males had a higher BAROS score in OAGB and lap adjustable band (LAGB). At the same time, no significant difference was seen in lap sleeve gastrectomy (LSG), even though failure rates (as defined by BAROS) were similar in all procedures studied.
Discussion: OAGB and LAGB surgery result in better outcomes for male than female patients as measured by the BAROS despite a similar BMI reduction. This difference was not seen in LSG patients, and further studies are needed to understand this phenomenon. These results reiterate that gender-specific outcomes should be considered in optimizing patient selection and preoperative patient counseling.
doi: 10.17756/jocd.2025-suppl1
Citation: Proceedings of the 9th International Conference on Obesity and Chronic Diseases (ICOCD-2025). J Obes Chronic Dis 9(Suppl 1): S1-S13.
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