Roux-en-Y Gastric Bypass vs Gastric Banding for Morbid Obesity

The effectiveness of bariatric surgery on long term psychosocial quality of life – A systematic review

“…Data available for both within study comparisons and across study comparisons showed more percentage excess weight loss (%EWL) for gastric bypass participants compared to the other two procedures. This again is in line with previous statistical findings in weight loss surgery literature [18,62,[64][65]. Weight loss tended to slow down with longer follow up and in some cases weight regain occurred [59].…”

“…None of these studies reported or made QoL comparisons in relation to type of surgical procedure. However studies have shown gastric bypass to be associated with better quality of life outcomes compared to gastric banding and gastroplasty [61][62][63]. Data available for both within study comparisons and across study comparisons showed more percentage excess weight loss (%EWL) for gastric bypass participants compared to the other two procedures.…”

The Effect of Bariatric Surgery Type on Lipid Profile: An Age, Sex, Body Mass Index and Excess Weight Loss Matched Study

“…Bariatric surgery is also effective in improving the lipid profile in obese patients but the type and magnitude of this improvement differs according to the procedure [6,9]. The three most common techniques-RYGB, SG and adjustable gastric banding (AGB)-increase HDL and decrease TG levels [6,[13][14][15], but only RYGB, a mixed malabsorptive and restrictive technique, appears to be capable of reducing total cholesterol (TC) and LDL cholesterol [6,[13][14][15][16]. A still unanswered question is whether this improvement in the lipid profile is merely weight-dependent or otherwise, also results from specificities inherent to the bariatric procedure itself [6].…”

Treatment of obesity and diabetes with bariatric surgery

“…Obeid et al, discussed their tremendous resolution rate of T2DM. They acknowledged that only a select number of studies have reported T2DM resolution rates similar to theirs [17,19,22]. However, Obeid et al, argue that there is evidence in the literature for a relationship between the maintenance of weight loss and remission of comorbidites, such as T2DM [23].…”

“…Recently, Romy et al, reported a retrospective matchedpair study that compared LAGB to RYGB [19]. A total of 442 patients were included in the study with an even split between LAGB and RYGB.…”