Comparative analysis of weight loss and resolution of comorbidities between laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass: A systematic review and meta-analysis based on 18 studies

International Journal of Surgery
Youkui HanYongjie Zhao

Abstract

Laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy are the most common procedures performed in bariatric surgery and both have been demonstrated to have significant effectiveness in treating morbid obesity. However, comparative analysis of their effectiveness has not been well studied. This comparative analysis was conducted to determine whether Laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy have the same mid- and long-term outcomes in weight loss, resolution of obesity comorbidities and adverse events (AEs) of treatment. We searched the Cochrane Library, PubMed, Embase and Web of Science databases from the establishment of the database to January 1, 2020 for both randomized control trials and non-randomised interventional studies that studied Laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy with respect to weight loss outcomes, resolution of obesity comorbidities and AEs of treatment. Standardised mean differences, risk ratios and odds ratio with 95% confidence intervals were calculated to compare the outcomes of the groups. Two reviewers assessed the quality of the trials and extracted the data independently. All statistical analyses were performed usi...Continue Reading

Citations

Aug 26, 2020·Expert Review of Endocrinology & Metabolism·Dominic Oduro-DonkorThomas M Barber
Feb 5, 2021·Obesity Surgery·Carsten T HerzGerit-Holger Schernthaner
Mar 14, 2021·Langenbeck's Archives of Surgery·Istvan Bence BalintZsolt Kaposztas
Apr 1, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Qianyi WanXiaoting Wu
Jun 9, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ioannis I LazaridisTarik Delko
Jun 13, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Elise A F HeutsMatthijs P Somford
Nov 7, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Joshua PhillipsFredrick Brody
Aug 21, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Arnaud SansClaire Blanchard

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