{"id":6970,"date":"2025-05-22T12:41:47","date_gmt":"2025-05-22T09:41:47","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=6970"},"modified":"2025-05-22T12:41:47","modified_gmt":"2025-05-22T09:41:47","slug":"gastric-bypass-lowers-heart-attack-risk-more-than-sleeve-surgery-long-term-study-finds","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/gastric-bypass-lowers-heart-attack-risk-more-than-sleeve-surgery-long-term-study-finds\/","title":{"rendered":"Gastric Bypass Lowers Heart Attack Risk More Than Sleeve Surgery, Long-Term Study Finds."},"content":{"rendered":"<div>Gastric Bypass Lowers Heart Attack Risk More Than Sleeve Surgery, Long-Term Study Finds.<\/div>\n<div><\/div>\n<div>2. \u20601.<span> <\/span>Study Overview:<\/div>\n<div>A long-term study published in JAMA Surgery (May 12, 2025) compared outcomes between gastric bypass surgery and sleeve gastrectomy in over 39,000 adult patients.<\/div>\n<div><span> 2. Key Finding:<\/span><\/div>\n<div>Gastric bypass was linked to a significantly lower risk of major cardiovascular events\u2014including myocardial infarction, stroke, heart failure, and all-cause mortality\u2014compared to sleeve gastrectomy (1.9% vs. 3.0%).<\/div>\n<div><span> 3. Primary Driver:<\/span><\/div>\n<div>The reduced rate of heart attacks (MI) was the main contributor to the cardiovascular benefit seen with gastric bypass.<\/div>\n<div><span> 4. Other Benefits of Gastric Bypass:<\/span><\/div>\n<div><span> \u2022 Lower risk of conversion surgery (secondary operations to adjust or replace the initial procedure).<\/span><\/div>\n<div><span> \u2022 Lower incidence of peptic ulcer disease.<\/span><\/div>\n<div><span> 5. Downsides of Gastric Bypass:<\/span><\/div>\n<div><span> \u2022 Higher likelihood of needing revision surgery due to its more complex nature.<\/span><\/div>\n<div><span> \u2022 After adjustment, it was associated with a higher risk of in-hospital complications, though mortality rates remained similar to sleeve gastrectomy.<\/span><\/div>\n<div><span> 6. Context &amp; Interpretation:<\/span><\/div>\n<div><span> \u2022 Although sleeve gastrectomy has been more popular recently due to its safety profile and shorter surgical time, concerns are rising over long-term weight regain and new-onset GERD, which may explain the shift back toward bypass.<\/span><\/div>\n<div><span> \u2022 Authors emphasize the need for individualized patient selection and shared decision-making in clinical practice.<\/span><\/div>\n<div><span> 7. Expert Commentary:<\/span><\/div>\n<div><span> \u2022 Metabolic bariatric surgery remains the most effective long-term treatment for severe obesity despite the emergence of GLP-1\u2013based medications, which still face limitations in sustainability and adherence.<\/span><\/div>\n<div><\/div>\n<div>Source:<\/div>\n<div><a href=\"https:\/\/jamanetwork.com\/journals\/jamasurgery\/fullarticle\/2833512\">https:\/\/jamanetwork.com\/journals\/jamasurgery\/fullarticle\/2833512<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Gastric Bypass Lowers Heart Attack Risk More Than Sleeve Surgery, Long-Term Study Finds. 2. \u20601. Study Overview: A long-term study published in JAMA Surgery (May 12, 2025) compared outcomes between gastric bypass surgery and sleeve gastrectomy in over 39,000 adult patients. 2. Key Finding: Gastric bypass was linked to a significantly lower risk of major [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6970","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/6970","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=6970"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/6970\/revisions"}],"predecessor-version":[{"id":6971,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/6970\/revisions\/6971"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=6970"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=6970"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=6970"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}