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Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients.
Obes Surg. 2005 Jan; 15(1):76-81.OS

Abstract

BACKGROUND

Controversy exists regarding the best surgical treatment for super-obesity (BMI >50 kg/m2). The two most common bariatric procedures performed worldwide are laparoscopic adjustable gastric banding (LAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGBP). We undertook a retrospective single-center study to compare the safety and efficacy of these two operations in super-obese patients.

METHODS

290 super-obese patients underwent laparoscopic bariatric surgery: 179 LAGB and 111 LRYGBP.

RESULTS

There were one death in both groups. The early complication rate was higher in the LAGB group (10% vs 2.8%, P<0.01). Late complication rate was higher in the LAGB group (26% vs 15.3%, P<0.05). Operating time and hospital stay were significantly higher in the LRYGBP group. LRYGBP had significantly better excess weight loss than LAGB (63% vs 41% at 1 year, and 73% vs 46% at 2 years), as well as lower BMI than LAGB (35 vs 41 at 18 months).

CONCLUSION

LRYGBP results in significantly greater weight loss than LAGB in super-obese patients, but is associated with a higher early complication rate.

Authors+Show Affiliations

Service de Chirurgie Générale A, Hôpital Bichat, Paris, France. philippe.mognol@bch.ap-hop-paris.frNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

15760503

Citation

Mognol, Philippe, et al. "Laparoscopic Gastric Bypass Versus Laparoscopic Adjustable Gastric Banding in the Super-obese: a Comparative Study of 290 Patients." Obesity Surgery, vol. 15, no. 1, 2005, pp. 76-81.
Mognol P, Chosidow D, Marmuse JP. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients. Obes Surg. 2005;15(1):76-81.
Mognol, P., Chosidow, D., & Marmuse, J. P. (2005). Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients. Obesity Surgery, 15(1), 76-81.
Mognol P, Chosidow D, Marmuse JP. Laparoscopic Gastric Bypass Versus Laparoscopic Adjustable Gastric Banding in the Super-obese: a Comparative Study of 290 Patients. Obes Surg. 2005;15(1):76-81. PubMed PMID: 15760503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients. AU - Mognol,Philippe, AU - Chosidow,Denis, AU - Marmuse,Jean-Pierre, PY - 2005/3/12/pubmed PY - 2005/4/6/medline PY - 2005/3/12/entrez SP - 76 EP - 81 JF - Obesity surgery JO - Obes Surg VL - 15 IS - 1 N2 - BACKGROUND: Controversy exists regarding the best surgical treatment for super-obesity (BMI >50 kg/m2). The two most common bariatric procedures performed worldwide are laparoscopic adjustable gastric banding (LAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGBP). We undertook a retrospective single-center study to compare the safety and efficacy of these two operations in super-obese patients. METHODS: 290 super-obese patients underwent laparoscopic bariatric surgery: 179 LAGB and 111 LRYGBP. RESULTS: There were one death in both groups. The early complication rate was higher in the LAGB group (10% vs 2.8%, P<0.01). Late complication rate was higher in the LAGB group (26% vs 15.3%, P<0.05). Operating time and hospital stay were significantly higher in the LRYGBP group. LRYGBP had significantly better excess weight loss than LAGB (63% vs 41% at 1 year, and 73% vs 46% at 2 years), as well as lower BMI than LAGB (35 vs 41 at 18 months). CONCLUSION: LRYGBP results in significantly greater weight loss than LAGB in super-obese patients, but is associated with a higher early complication rate. SN - 0960-8923 UR - https://www.unboundmedicine.com/medline/citation/15760503/Laparoscopic_gastric_bypass_versus_laparoscopic_adjustable_gastric_banding_in_the_super_obese:_a_comparative_study_of_290_patients_ L2 - https://dx.doi.org/10.1381/0960892052993486 DB - PRIME DP - Unbound Medicine ER -