Laparoscopic Versus Open Gastric Bypass in the Treatment of Morbid Obesity

Luján, Juan; Frutos, María Dolores; Hernández, Quiteria; Lirón, R.; Cuenca, Jose Ramon Araluce; Valero-Navarro, Graciela; Parrilla, Pascual

doi:10.1097/01.sla.0000120071.75691.1f

Cited by 271 publications

(169 citation statements)

References 18 publications

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“…Nguyen et al [7][8][9] performed a series of well-designed randomized controlled studies comparing laparoscopic and open gastric bypass. Another randomized study verified their overall results, showing that LRYGB offered the benefits of less pain, faster recovery, and shorter hospital stay without any detrimental effects on excess body weight loss [10].…”

mentioning

confidence: 60%

Predictive value of upper gastrointestinal studies versus clinical signs for gastrointestinal leaks after laparoscopic gastric bypass

Madan

Stoecklein

Ternovits³

et al. 2007

Surg Endosc

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mentioning

confidence: 60%

Predictive value of upper gastrointestinal studies versus clinical signs for gastrointestinal leaks after laparoscopic gastric bypass

Madan

Stoecklein

Ternovits³

et al. 2007

Surg Endosc

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“…A total number of 20 articles entered the meta-analysis models (fig. 1) [24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43]. …”

Section: Resultsmentioning

confidence: 99%

Laparoscopic versus Open Obesity Surgery: A Meta-Analysis of Pulmonary Complications

Antoniou¹,

Antoniou²,

Koch³

et al. 2015

Dig Surg

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The clinical effects of laparoscopy in the pulmonary function of obese patients have been poorly investigated in the past. A systematic review was undertaken, with the objective to identify published evidence on pulmonary complications in laparoscopic surgery in the obese. Outcome measures included pulmonary morbidity, pulmonary infection and mortality. The random effects model was used to calculate combined overall effect sizes of pooled data. Data are presented as the odds ratio (OR) with 95% confidence interval (CI). A total of 6 randomized and 14 observational studies were included, which reported data on 185,328 patients. Pulmonary complications occurred in 1.6% of laparoscopic and in 3.6% of open procedures (OR 0.45, 95% CI 0.34-0.60). Pneumonia was reported in 0.5% and in 1.1%, respectively (OR 0.45, 95% CI 0.40-0.51). Available evidence suggests lower pulmonary morbidity for laparoscopic surgery in obese patients; further quality studies are however necessary to consolidate these findings.

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“…Westling and Gustavsson found that weight loss was unaffected by the surgical approach, but postoperative hospital stay was two days shorter after laparoscopic surgery (EL 1b [355]). Most recently, laparoscopic and open gastric bypass were compared by Lujan et al in a well-performed study (EL 1b [191]). The duration of surgery and hospital stay were shorter in the laparoscopic group.…”

Section: Surgical Access: Open Vs Laparoscopicmentioning

confidence: 99%

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

Sauerland

Angrisani

Belachew³

et al. 2004

Surg Endosc

454

280

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After the patient's multidisciplinary evaluation, obesity surgery should be considered in adults with a documented BMI greater than or equal to 35 and related comorbidity, or a BMI of at least 40. In addition to standard laboratory testing, chest radiography, electrocardiography, spirometry, and abdominal ultrasonography, the preoperative evaluation of obesity surgery patients also includes upper gastrointestinal endoscopy or radiologic evaluation with a barium meal. Psychiatric consultation and polysomnography can safely be restricted to patients with clinical symptoms on preoperative screening. Adjustable gastric banding (GB), vertical banded gastroplasty (VBG), Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion (BPD) are all effective in the treatment of morbid obesity, but differ in degree of weight loss and range of complications. The choice of procedure therefore should be tailored to the individual situation. There is evidence that a laparoscopic approach is advantageous for LAGB, VBG, and GB (and probably also for BPD). Antibiotic and antithromboembolic prophylaxis should be used routinely. Patients should be seen 3 to 8 times during the first postoperative year, 1 to 4 times during the second year and once or twice a year thereafter. Outcome assessment after surgery should include weight loss and maintainance, nutritional status, comorbidities and quality-of-life.

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Laparoscopic Versus Open Gastric Bypass in the Treatment of Morbid Obesity

Cited by 271 publications

References 18 publications

Predictive value of upper gastrointestinal studies versus clinical signs for gastrointestinal leaks after laparoscopic gastric bypass

Predictive value of upper gastrointestinal studies versus clinical signs for gastrointestinal leaks after laparoscopic gastric bypass

Laparoscopic versus Open Obesity Surgery: A Meta-Analysis of Pulmonary Complications

Obesity surgery: Evidence-based guidelines of the European Association for Endoscopic Surgery (EAES)

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