Medium-Term Results of Laparoscopic Sleeve Gastrectomy: a Matched Comparison with Gastric Bypass

Lee, Wei-Jei; Pok, Eng-Hong; Almulaifi, Abdullah; Tsou, Ju Juin; Ser, Kong-Han; Lee, Yi-Chih

doi:10.1007/s11695-015-1582-1

Cited by 73 publications

(30 citation statements)

References 38 publications

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“…There is a similar trend across all weight loss surgery centers in the USA [33]. However, our results, and those of other similar studies [4–13, 15–19, 21–24, 27], suggest a greater weight loss and/or improvement in obesity-related comorbidities including diabetes and hyperlipidemia, as well as similar rates of serious (grades II–III) complications with GB [14]. The established drawbacks of GB are the increase in grade I complications, extended length of stay, and emergency department visits.…”

Section: Discussionsupporting

confidence: 89%

Roux-En-Y Gastric Bypass Vs. Sleeve Gastrectomy: Balancing the Risks of Surgery with the Benefits of Weight Loss

et al. 2016

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BackgroundThe purpose of the study was to compare weight loss, metabolic parameters, and postoperative complications in patients undergoing Roux-en-Y gastric bypass (GB) and sleeve gastrectomy (SG).MethodsWe retrospectively studied 30-day postoperative complications as well as change in weight, blood pressure, cholesterol, hemoglobin, hemoglobin A1C, and creatinine from baseline to 2, 6, 12, and 24 months postoperatively in 383 patients undergoing GB and 336 patients undergoing SG at the University of Michigan from January 2008 to November 2013. For a study population which typically has high attrition rates, there were excellent follow-up rates (706/719 at 2 months, 566/719 at 6 months, 519/719 at 12 months, and 382/719 at 24 months).ResultsBaseline characteristics were similar in both groups except for higher weight and BMI in the SG group. The GB group experienced greater total body weight loss at 6, 12, and 24 months (41.9 vs. 34.6 kg at 24 months, p < 0.0001). Excess weight loss was 69.7 and 51.7 % following GB and SG respectively at 24 months (p < 0.0001). BP improved significantly in both groups. Surgical complication rates were greater after GB (10.1 vs. 3.5 %, p = 0.0007) with no significant difference in life-threatening or potentially life-threatening complications.ConclusionsWeight loss was greater following GB compared to SG at 2 years. The risk for surgical complications was greater following GB. Surgical intervention should be tailored to surgical risk, comorbidities, and desired weight loss.Electronic supplementary materialThe online version of this article (doi:10.1007/s11695-016-2265-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 89%

Roux-En-Y Gastric Bypass Vs. Sleeve Gastrectomy: Balancing the Risks of Surgery with the Benefits of Weight Loss

et al. 2016

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“…Many articles indicated that LRYGB was superior to LSG in weight reduction especially for super-obese patients [3,6]. Thus, LSG might be converted to LRYGB due to insufficient weight loss or severe reflux esophagitis [5,27]. Nowadays, the goal of bariatric surgery is not as simple as controlling weight alone.…”

Section: %Ewlmentioning

confidence: 99%

“…Compared to LSG, LRYGB was a more effective treatment of dyslipidemia [37], but the two groups had similar effects on obesity metabolic disorders [17]. Studies that combined various factors showed that the remission rate of abnormally LDL in LRYGB was higher than that in LSG [27,32], because LRYGB might have reduced the absorption rate of LDL than did LSG [32]. Other studies have shown that LSG has no significant effect on the reduction of LDL, while LRYGB could cause absorption disorder in individuals; perhaps, this is the reason why LRYGB could improve the overall lipid profile better than LSG [47].…”

Section: Dyslipidemiamentioning

confidence: 99%

A meta-analysis of the medium- and long-term effects of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass

Huang

et al. 2020

BMC Surg

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Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are two representative bariatric surgeries. This study aimed to compare the effects of the LSG and LRYGB based on highquality analysis and massive amount of data.Methods: For this study databases of PubMed, Web of Science, EBSCO, Medline, and Cochrane Library were searched for articles published until January 2019 comparing the outcomes of LSG and LRYGB.Results: This study included 28 articles. Overall, 9038 patients (4597, LSG group; 4441, LRYGB group) were included. The remission rate of type 2 diabetes mellitus (T2DM) in the LRYGB group was superior to that in the LSG group at the 3-years follow-up. Five-year follow-up results showed that LRYGB had an advantage over LSG for the percentage of excess weight loss and remission of T2DM, hypertension, dyslipidemia, and abnormally low-density lipoprotein.Conclusions: In terms of the long-term effects of bariatric surgery, the effect of LRYGB was better than of LSG.

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“…With only a small number of contraindications, bariatric surgery seems to be recognized today as an effective therapeutic alternative for people with morbid obesity [5,6]. Today, 2 main types of surgical procedures are performed and a number of studies have investigated the effects of these 2 techniques on the evolution of BMI [7]. On the one hand, the technique known as sleeve gastrectomy (SG) enables weight loss by combining restricted food intake (the amount of food ingested is reduced by 80%) and modified hormonal secretions characterized by a drop in the orexigenic hormone ghrelin [8].…”

mentioning

confidence: 99%

Weight loss and quality of life after bariatric surgery: a 2-year longitudinal study

Foll

Lechaux²,

Rascle

et al. 2020

Surgery for Obesity and Related Diseases

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Medium-Term Results of Laparoscopic Sleeve Gastrectomy: a Matched Comparison with Gastric Bypass

Abstract: LSG appears to be an ideal bariatric surgery, and the efficacy of this surgery is not inferior to that of gastric bypass.

Cited by 73 publications

References 38 publications

Roux-En-Y Gastric Bypass Vs. Sleeve Gastrectomy: Balancing the Risks of Surgery with the Benefits of Weight Loss

Roux-En-Y Gastric Bypass Vs. Sleeve Gastrectomy: Balancing the Risks of Surgery with the Benefits of Weight Loss

A meta-analysis of the medium- and long-term effects of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass

Weight loss and quality of life after bariatric surgery: a 2-year longitudinal study

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