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Laparoscopic gastric bypass vs sleeve gastrectomy in obese Korean patients.
World J Gastroenterol. 2015 Nov 28; 21(44):12612-9.WJ

Abstract

AIM

To compare the mid-term outcomes of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in obese Korean patients.

METHODS

All consecutive patients who underwent either LSG or LRYGB with primary to treat morbid obesity between January 2011 and December 2012 were retrospectively reviewed. Patients with a body mass index (BMI) ≥ 30 kg/m(2) with inadequately controlled obesity-related comorbidities (e.g., diabetes, obstructive sleep apnea, hypertension, or obesity-related arthropathy) or BMI ≥ 35 kg/m(2) were considered for bariatric surgery according to the International Federation for the Surgery of Obesity-Asia Pacific Chapter Consensus statements in 2011. The decision regarding the procedure type was made on an individual basis following extensive discussion with the patient about the specific risks associated with each procedure. All operative procedures were performed laparoscopically by a single surgeon experienced in upper gastrointestinal surgeries. Baseline demographics, perioperative surgical outcomes, and postoperative anthropometric data from a prospectively established database were thoroughly reviewed and compared between the two surgical approaches.

RESULTS

One hundred four patients underwent LSG, and 236 underwent LRYGB. Preoperative BMI in the LSG group was significantly higher than that of the LRYGB group (38.6 kg/m(2) vs 37.2 kg/m(2), P = 0.024). Patients with diabetes were more prevalent in the LRYGB group (18.3% vs 35.6%, P = 0.001). Operating time and hospital stay were significantly shorter in the LSG group compared with the LRYGB group (100 min vs 130 min, P < 0.001; 1 d vs 2 d, P = 0.003), but the incidence of perioperative complications was similar between the groups (P = 0.351). The mean percentage of excess weight loss (%EWL) was 71.2% for LRYGB, while it was 63.5% for LSG, at mean follow-up periods of 18.0 and 21.0 mo, respectively (P = 0.073). The %EWL at 1, 3, 6, 12, 18, 24, and 36 mo was equivalent between the groups. Four patients required surgical revision after LSG (4.8%), while revision was only required in one case following LRYGB (0.4%; P = 0.011).

CONCLUSION

Both LSG and LRYGB are effective procedures that induce comparable weight loss in the mid-term and similar surgical risks, except for the higher revision rate after LSG.

Authors+Show Affiliations

Ji Yeon Park, Yong Jin Kim, Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul 140-743, South Korea.Ji Yeon Park, Yong Jin Kim, Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul 140-743, South Korea.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

26640337

Citation

Park, Ji Yeon, and Yong Jin Kim. "Laparoscopic Gastric Bypass Vs Sleeve Gastrectomy in Obese Korean Patients." World Journal of Gastroenterology, vol. 21, no. 44, 2015, pp. 12612-9.
Park JY, Kim YJ. Laparoscopic gastric bypass vs sleeve gastrectomy in obese Korean patients. World J Gastroenterol. 2015;21(44):12612-9.
Park, J. Y., & Kim, Y. J. (2015). Laparoscopic gastric bypass vs sleeve gastrectomy in obese Korean patients. World Journal of Gastroenterology, 21(44), 12612-9. https://doi.org/10.3748/wjg.v21.i44.12612
Park JY, Kim YJ. Laparoscopic Gastric Bypass Vs Sleeve Gastrectomy in Obese Korean Patients. World J Gastroenterol. 2015 Nov 28;21(44):12612-9. PubMed PMID: 26640337.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic gastric bypass vs sleeve gastrectomy in obese Korean patients. AU - Park,Ji Yeon, AU - Kim,Yong Jin, PY - 2015/03/16/received PY - 2015/05/26/revised PY - 2015/08/29/accepted PY - 2015/12/8/entrez PY - 2015/12/8/pubmed PY - 2016/11/8/medline KW - Bariatric surgery KW - Morbid obesity KW - Roux-en-Y gastric bypass KW - Sleeve gastrectomy KW - Weight loss SP - 12612 EP - 9 JF - World journal of gastroenterology JO - World J. Gastroenterol. VL - 21 IS - 44 N2 - AIM: To compare the mid-term outcomes of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in obese Korean patients. METHODS: All consecutive patients who underwent either LSG or LRYGB with primary to treat morbid obesity between January 2011 and December 2012 were retrospectively reviewed. Patients with a body mass index (BMI) ≥ 30 kg/m(2) with inadequately controlled obesity-related comorbidities (e.g., diabetes, obstructive sleep apnea, hypertension, or obesity-related arthropathy) or BMI ≥ 35 kg/m(2) were considered for bariatric surgery according to the International Federation for the Surgery of Obesity-Asia Pacific Chapter Consensus statements in 2011. The decision regarding the procedure type was made on an individual basis following extensive discussion with the patient about the specific risks associated with each procedure. All operative procedures were performed laparoscopically by a single surgeon experienced in upper gastrointestinal surgeries. Baseline demographics, perioperative surgical outcomes, and postoperative anthropometric data from a prospectively established database were thoroughly reviewed and compared between the two surgical approaches. RESULTS: One hundred four patients underwent LSG, and 236 underwent LRYGB. Preoperative BMI in the LSG group was significantly higher than that of the LRYGB group (38.6 kg/m(2) vs 37.2 kg/m(2), P = 0.024). Patients with diabetes were more prevalent in the LRYGB group (18.3% vs 35.6%, P = 0.001). Operating time and hospital stay were significantly shorter in the LSG group compared with the LRYGB group (100 min vs 130 min, P < 0.001; 1 d vs 2 d, P = 0.003), but the incidence of perioperative complications was similar between the groups (P = 0.351). The mean percentage of excess weight loss (%EWL) was 71.2% for LRYGB, while it was 63.5% for LSG, at mean follow-up periods of 18.0 and 21.0 mo, respectively (P = 0.073). The %EWL at 1, 3, 6, 12, 18, 24, and 36 mo was equivalent between the groups. Four patients required surgical revision after LSG (4.8%), while revision was only required in one case following LRYGB (0.4%; P = 0.011). CONCLUSION: Both LSG and LRYGB are effective procedures that induce comparable weight loss in the mid-term and similar surgical risks, except for the higher revision rate after LSG. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/26640337/Laparoscopic_gastric_bypass_vs_sleeve_gastrectomy_in_obese_Korean_patients_ L2 - http://www.wjgnet.com/1007-9327/full/v21/i44/12612.htm DB - PRIME DP - Unbound Medicine ER -