Banded vs. non-banded Roux-en-Y gastric bypass for morbid obesity: a systematic review and meta-analysis

Clinical Obesity
Dimitrios E MagouliotisDimitrios Zacharoulis

Abstract

We aim to review the available literature on patients with morbid obesity treated with banded (BRYGB) or non-banded Roux-en-Y gastric bypass (NBRYGB), in order to compare the clinical outcomes and intraoperative parameters of the two methods. A systematic literature search was performed in PubMed, Cochrane library and Scopus databases, in accordance with the PRISMA guidelines. Eight studies met the inclusion criteria incorporating 3899 patients. This study reveals similar rates of complications, mortality, remission of type 2 diabetes, hypertension, dyslipidaemia, gastroesophageal reflux and obstructive sleep apnoea, along with similar % excess weight loss (%EWL) at 1 and 2 years postoperatively. In contrast, according to an analysis of two eligible studies the BRYGB procedure was associated with increased %EWL at 5 years postoperatively. These results should be interpreted with caution due to the small number of statistical arms and randomized controlled studies. However, the present article represents the best available evidence in the field. Well-designed, randomized controlled studies, comparing BRYGB to NBRYGB, are necessary to further assess their clinical outcomes.

References

Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
Jun 5, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Marc BesslerMary DiGiorgi
Sep 5, 2007·Surgical Endoscopy·Robert E Brolin, Ronald P Cody
Oct 16, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Manish ParikhMichel Gagner
May 23, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·UNKNOWN SAGES Guidelines Committee
Dec 14, 2011·Obesity Surgery·William AwadCristián Martínez
Dec 25, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Xeily ZarateMiguel F Herrera
Jan 23, 2013·Obesity Surgery·Henry Buchwald, Danette M Oien
Jan 28, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Helen M HeneghanPhilip Schauer
Jun 28, 2014·Obesity Surgery·Kamal K MahawarPeter K Small
Jan 11, 2016·Obesity Surgery·Kamal K MahawarPeter K Small
Mar 8, 2017·Obesity Surgery·Dimitrios E MagouliotisDimitrios Zacharoulis

❮ Previous
Next ❯

Related Concepts

Related Feeds

CV Disorders & Type 2 Diabetes

This feed focuses on the association of cardiovascular diseases in patients with type 2 diabetes.