Comparison of results after one year between sleeve gastrectomy and gastric bypass in patients with BMI ≥ 50 kg/m²

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Jérémie ThereauxJean-Luc Bouillot

Abstract

Although laparoscopic sleeve gastrectomy (LSG) was initially described as the first step of a 2-stage procedure for high-risk patients requiring laparoscopic Roux-en-Y gastric bypass (LRYGB), it is now being used as a single-stage procedure. Experience with laparoscopic bariatric surgery is growing, such that LRYGB is increasingly feasible for patients with body mass index (BMI) ≥ 50 kg/m². Nevertheless, outcomes for such category of patients following LSG and LRYGB are lacking. To compare weight loss and changes in obesity related co-morbidities at one year following LSG with LRYGB in patients with BMI ≥ 50 kg/m². The prospective database of a single surgery university center was queried for clinical and other relevant data. From January 2004 to January 2013, 74 and 285 patients underwent LSG or LRYGB with a BMI ≥ 50 kg/m². At one year, rate of follow-up was 92.8%. Success of surgery was defined as % of excess weight loss (%EWL)≥ 50% at one year. Logistic regression was used to compute odds ratio (OR) to evaluate the success at one year of surgery. LSG (N = 74) and LGBP (N = 285) groups did not differ for initial BMI (57.2 ± 7.1 versus 56.7 ± 5.5 kg/m²; P = .52), % of female (64.6% versus 73.7%, P = .13) or major adverse posto...Continue Reading

References

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Dec 10, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jérémie ThereauxJean-Luc Bouillot
Jan 15, 2016·Annals of Surgery·Roel Bolckmans, Jacques Himpens

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Citations

Aug 16, 2015·Surgical Endoscopy·Raquel Gonzalez-HerediaEnrique Elli
Jun 12, 2016·Surgical Endoscopy·Adam C CelioKonstantinos Spaniolas
Sep 27, 2018·Obesity Surgery·Rita Bettencourt-SilvaDavide Carvalho
Jan 9, 2017·Obesity Surgery·Jérémie ThereauxKarine Lacut
Jan 26, 2016·The British Journal of Surgery·J ThereauxC Carette
Oct 14, 2021·Obesity Surgery·Sofia Raquel Gomes-RochaUNKNOWN CRI-O Group

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