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Comparison of Outcomes Between Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in a Lebanese Bariatric Surgical Practice.
Obes Surg. 2018 02; 28(2):396-404.OS

Abstract

PURPOSE

Long-term studies on the outcomes of bariatric surgery are still limited in the Middle East. The aim of this study is to compare the outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (LSG) up to 5 years of follow-up.

MATERIALS AND METHODS

A retrospective analysis of patients who underwent LRYGB and LSG was performed. The primary outcome was weight loss. Postoperative complications, operative time, and hospital length of stay were secondary outcomes.

RESULTS

Four hundred patients underwent primary LSG and 175 patients underwent LRYGB between 2008 and 2013. Follow-up rates at 5 years were around 60%. Percent total weight loss was similar after 3, 4, and 5 years in both groups, averaging around 28%. Mean percentage of excess weight loss (%EWL) at 5 years was 72.0 ± 31.0% in the LSG group vs. 63.0 ± 21.0% in the LRYGB group (p = 0.03). Patients undergoing LRYGB had a significantly longer operative time as well as a longer hospital stay. No significant difference was found in the rates of short- and long-term complications between the two groups. However, patients undergoing LRYGB were more likely to develop small intestinal obstruction and iron-deficiency anemia.

CONCLUSIONS

Both LSG and LRYGB result in satisfactory weight loss within 5 years. Patients' comorbidities and potential risks must be included in the choice of the appropriate bariatric procedure. LSG appears to give durable weight loss with less risk of major long-term complications.

Authors+Show Affiliations

Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.Computer Science and Mathematics Department, Lebanese American University, Byblos, Lebanon.Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon. bs21@aub.edu.lb.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

28776151

Citation

Dakour Aridi, Hanaa, et al. "Comparison of Outcomes Between Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in a Lebanese Bariatric Surgical Practice." Obesity Surgery, vol. 28, no. 2, 2018, pp. 396-404.
Dakour Aridi H, Khazen G, Safadi BY. Comparison of Outcomes Between Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in a Lebanese Bariatric Surgical Practice. Obes Surg. 2018;28(2):396-404.
Dakour Aridi, H., Khazen, G., & Safadi, B. Y. (2018). Comparison of Outcomes Between Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in a Lebanese Bariatric Surgical Practice. Obesity Surgery, 28(2), 396-404. https://doi.org/10.1007/s11695-017-2849-5
Dakour Aridi H, Khazen G, Safadi BY. Comparison of Outcomes Between Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in a Lebanese Bariatric Surgical Practice. Obes Surg. 2018;28(2):396-404. PubMed PMID: 28776151.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of Outcomes Between Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in a Lebanese Bariatric Surgical Practice. AU - Dakour Aridi,Hanaa, AU - Khazen,Georges, AU - Safadi,Bassem Y, PY - 2017/8/5/pubmed PY - 2018/11/10/medline PY - 2017/8/5/entrez KW - Bariatric KW - Laparoscopic KW - Roux-en-Y gastric bypass KW - Sleeve gastrectomy KW - Weight loss SP - 396 EP - 404 JF - Obesity surgery JO - Obes Surg VL - 28 IS - 2 N2 - PURPOSE: Long-term studies on the outcomes of bariatric surgery are still limited in the Middle East. The aim of this study is to compare the outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (LSG) up to 5 years of follow-up. MATERIALS AND METHODS: A retrospective analysis of patients who underwent LRYGB and LSG was performed. The primary outcome was weight loss. Postoperative complications, operative time, and hospital length of stay were secondary outcomes. RESULTS: Four hundred patients underwent primary LSG and 175 patients underwent LRYGB between 2008 and 2013. Follow-up rates at 5 years were around 60%. Percent total weight loss was similar after 3, 4, and 5 years in both groups, averaging around 28%. Mean percentage of excess weight loss (%EWL) at 5 years was 72.0 ± 31.0% in the LSG group vs. 63.0 ± 21.0% in the LRYGB group (p = 0.03). Patients undergoing LRYGB had a significantly longer operative time as well as a longer hospital stay. No significant difference was found in the rates of short- and long-term complications between the two groups. However, patients undergoing LRYGB were more likely to develop small intestinal obstruction and iron-deficiency anemia. CONCLUSIONS: Both LSG and LRYGB result in satisfactory weight loss within 5 years. Patients' comorbidities and potential risks must be included in the choice of the appropriate bariatric procedure. LSG appears to give durable weight loss with less risk of major long-term complications. SN - 1708-0428 UR - https://www.unboundmedicine.com/medline/citation/28776151/Comparison_of_Outcomes_Between_Laparoscopic_Roux_en_Y_Gastric_Bypass_and_Sleeve_Gastrectomy_in_a_Lebanese_Bariatric_Surgical_Practice_ L2 - https://dx.doi.org/10.1007/s11695-017-2849-5 DB - PRIME DP - Unbound Medicine ER -