Laparoscopic Roux-en-Y gastric bypass patients have an increased lifetime risk of repeat operations when compared to laparoscopic sleeve gastrectomy patients

Surgical Endoscopy
Yulia ZakDenise W Gee

Abstract

Although long-term data have been published on the complications after laparoscopic Roux-en-Y gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LSG) is a relatively new procedure without a well-established long-term procedure-related morbidity profile. Our aim was to compare the 6-year data on re-operations occurring after and related to LRYGB versus LSG at a large academic bariatric center. Retrospective review of all the bariatric procedures at the Massachusetts General Hospital between 2009 and 2014. A total of 934 LRYGB and 553 LSG were performed. There were no significant differences in the gender, age, or BMI of the patients at the time of their index operations (p > 0.05 for all). A higher percentage of LRYGB patients required cholecystectomy as compared to LSG patients (5 vs. 2 %, X (2) = 8.63, p < 0.01). There was also a significant difference in the proportion of patients requiring re-operations for other reasons following LRYGB as compared to LSG (6.9 vs. 0.9 %, X (2) = 27.8, p < 0.01). A total of 32.8 % of these bypass patients underwent more than one re-operation, with a relative risk of 11.5 (95 % CI 4.69-28.5) as compared to those undergoing SG. A total of 9.3 % of secondary operations occurred at a mean o...Continue Reading

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Citations

Oct 21, 2018·Surgical Endoscopy·Marie Ashley VillardRana M Higgins
Jun 12, 2016·Surgical Endoscopy·Adam C CelioKonstantinos Spaniolas
Mar 5, 2019·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Linas MartinaitisVíctor Valentí
Sep 21, 2017·Obesity Surgery·Gustavo Andrés ArmanG Leman
Feb 27, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Jelmer E OorWouter J M Derksen
Apr 1, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Qianyi WanXiaoting Wu
May 8, 2019·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Lionel RebiboSimon Msika
Oct 14, 2021·Obesity Surgery·Sofia Raquel Gomes-RochaUNKNOWN CRI-O Group

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