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Comparative study on laparoscopic sleeve gastrectomy and laparoscopic gastric bypass for treatment of morbid obesity patients.
Hepatogastroenterology. 2014 Mar-Apr; 61(130):319-22.H

Abstract

BACKGROUND/AIMS

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most widely used bariatric procedures for the treatment of morbid obesity. Laparoscopic sleeve gastrectomy (LSG) is a relatively innovative procedure which has been increasingly accepted as a sole bariatric procedure in the Asian-Pacific region. This study aims to compare mid-term outcomes in morbid obesity patients undergoing LRYGB and LSG.

METHODOLOGY

Between January 2008 and May 2011, 94 morbid obesity patients were assigned by patient choice after informed consent to either a LSG (n = 56) or LRYGB (n = 38) group. We compared operation time, amount of bleeding, hospital length-of-stay, complications, improvement of diabetic patients, BMI, and excess weight loss (EWL) at 6-30 months post-operation.

RESULTS

There was no death in either group. The operating time, hospital length-of-stay, and complications were significantly shorter in the LSG group (P < 0.05). There was no significant difference in the overall improvement of diabetes mellitus (P > 0.05). LRYGB had better effectiveness than LSG in BMI decrease and EWL in the first year (P < 0.05), but there was no significant difference after 1 year (P > 0.05).

CONCLUSIONS

The two procedures are safe and effective, but the LRYGB procedure incurs a high number of complications and long hospital stay. LSG is a promising bariatric procedure and the results of LSG as a single procedure are equally effective to LRYGB at 2 years follow-up on weight reduction. Furthermore, the LSG group has a more stable EWL in the early stage. However, studies with large number of patients and longer follow-up are necessary to make a definitive conclusions.

Authors

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Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24901132

Citation

Li, Ke, et al. "Comparative Study On Laparoscopic Sleeve Gastrectomy and Laparoscopic Gastric Bypass for Treatment of Morbid Obesity Patients." Hepato-gastroenterology, vol. 61, no. 130, 2014, pp. 319-22.
Li K, Gao F, Xue H, et al. Comparative study on laparoscopic sleeve gastrectomy and laparoscopic gastric bypass for treatment of morbid obesity patients. Hepatogastroenterology. 2014;61(130):319-22.
Li, K., Gao, F., Xue, H., Jiang, Q., Wang, Y., Shen, Q., Tian, Y., & Yang, Y. (2014). Comparative study on laparoscopic sleeve gastrectomy and laparoscopic gastric bypass for treatment of morbid obesity patients. Hepato-gastroenterology, 61(130), 319-22.
Li K, et al. Comparative Study On Laparoscopic Sleeve Gastrectomy and Laparoscopic Gastric Bypass for Treatment of Morbid Obesity Patients. Hepatogastroenterology. 2014 Mar-Apr;61(130):319-22. PubMed PMID: 24901132.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative study on laparoscopic sleeve gastrectomy and laparoscopic gastric bypass for treatment of morbid obesity patients. AU - Li,Ke, AU - Gao,Fei, AU - Xue,Huanzhou, AU - Jiang,Qingfeng, AU - Wang,Yadong, AU - Shen,Quan, AU - Tian,Yuwei, AU - Yang,Yanling, PY - 2014/6/6/entrez PY - 2014/6/6/pubmed PY - 2014/6/20/medline SP - 319 EP - 22 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 61 IS - 130 N2 - BACKGROUND/AIMS: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is one of the most widely used bariatric procedures for the treatment of morbid obesity. Laparoscopic sleeve gastrectomy (LSG) is a relatively innovative procedure which has been increasingly accepted as a sole bariatric procedure in the Asian-Pacific region. This study aims to compare mid-term outcomes in morbid obesity patients undergoing LRYGB and LSG. METHODOLOGY: Between January 2008 and May 2011, 94 morbid obesity patients were assigned by patient choice after informed consent to either a LSG (n = 56) or LRYGB (n = 38) group. We compared operation time, amount of bleeding, hospital length-of-stay, complications, improvement of diabetic patients, BMI, and excess weight loss (EWL) at 6-30 months post-operation. RESULTS: There was no death in either group. The operating time, hospital length-of-stay, and complications were significantly shorter in the LSG group (P < 0.05). There was no significant difference in the overall improvement of diabetes mellitus (P > 0.05). LRYGB had better effectiveness than LSG in BMI decrease and EWL in the first year (P < 0.05), but there was no significant difference after 1 year (P > 0.05). CONCLUSIONS: The two procedures are safe and effective, but the LRYGB procedure incurs a high number of complications and long hospital stay. LSG is a promising bariatric procedure and the results of LSG as a single procedure are equally effective to LRYGB at 2 years follow-up on weight reduction. Furthermore, the LSG group has a more stable EWL in the early stage. However, studies with large number of patients and longer follow-up are necessary to make a definitive conclusions. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/24901132/Comparative_study_on_laparoscopic_sleeve_gastrectomy_and_laparoscopic_gastric_bypass_for_treatment_of_morbid_obesity_patients_ L2 - http://www.diseaseinfosearch.org/result/9028 DB - PRIME DP - Unbound Medicine ER -