Meta-analysis of the effectiveness of laparoscopic adjustable gastric banding versus laparoscopic sleeve gastrectomy for obesity

Medicine
Laiyuan LiJianping Wang

Abstract

Laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG) are common weight loss procedures. Our meta-analysis compared these procedures for the treatment of morbid obesity and related diseases. We systematically searched the PubMed, Embase, and the Cochrane Library through January 2018. The percentage of excess weight loss (%EWL), improvement or remission of type 2 diabetes mellitus (T2DM) and hypertension were analyzed and compared. Thirty-three studies with 4109 patients were included. Greater decreases in excess weight were found in patients who received LSG at 6 months (weighted mean difference (WMD) -9.29, 95% confidence interval (CI): -15.19 to -3.40, P = .002), 12 months (WMD -16.67 95% CI: -24.30 to -9.05, P < .0001), 24 months (WMD -19.63, 95% CI: -29.00 to -10.26, P < .0001), and 36 months (WMD -19.28, 95% CI: -27.09 to -11.47, P < .0001) than in patients who received LAGB. However, there were no significant differences in the 3-month outcomes between the 2 groups (WMD -1.61, 95% CI: -9.96 to 6.73, P = .70). T2DM patients after LSG experience more significant improvement or remission of diabetes (odds ratio (OR): 0.22, 95% CI: 0.06-0.87, P = .03). The 2 groups did not significantly diff...Continue Reading

References

Apr 21, 2005·BMC Medical Research Methodology·Stela Pudar HozoIztok Hozo
Aug 18, 2005·Obesity Surgery·F B LangerG Prager
Aug 24, 2007·The New England Journal of Medicine·Lars SjöströmUNKNOWN Swedish Obese Subjects Study
Oct 13, 2007·ANZ Journal of Surgery·Susan S H GanJohn O Jorgensen
Oct 9, 2008·Obesity Surgery·Yong Wang, Jingang Liu
Jun 30, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Marco BueterCarel W le Roux
Jul 1, 2009·Molecular and Cellular Endocrinology·Efthimia Karra, Rachel L Batterham
Nov 17, 2009·Obesity Surgery·Mario RizzelloNicola Basso
Nov 26, 2009·The Journal of International Medical Research·Brane Breznikar, D Dinevski
Apr 24, 2010·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Susan Thomas, Philip Schauer
Mar 23, 2011·Archives of Surgery·Jacques HimpensGiovanni Dapri
May 31, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Joshua B AlleyRichard M Peterson
Nov 19, 2011·Obesity Surgery·Priscila C SalaDan L Waitzberg
Jan 5, 2012·JAMA : the Journal of the American Medical Association·Lars SjöströmLena M S Carlsson
Mar 13, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·P D ChakravartyJ A Ford
Mar 28, 2012·The New England Journal of Medicine·Geltrude MingroneFrancesco Rubino
May 23, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Wiebke K FenskeCarel W le Roux
May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·J Esteban Varela
Jun 12, 2012·Lancet·John B DixonPaul Zimmet
Jan 23, 2013·Obesity Surgery·Henry Buchwald, Danette M Oien
Mar 4, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·John J LoyChristine J Ren-Fielding
May 21, 2014·Obesity Surgery·A Mas-LorenzoUNKNOWN Obemar Group
Jul 30, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·E O AartsF J Berends
Dec 3, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Umer I ChaudhryBradley J Needleman
Dec 3, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Wei-Jei LeeYi-Chih Lee
Apr 4, 2015·Obesity Surgery·L AngrisaniN Scopinaro

❮ Previous
Next ❯

Citations

Apr 19, 2020·Obesity Surgery·Bianca M LecaGeorgios K Dimitriadis
May 27, 2021·Minimally Invasive Surgery·Oluwatobi O OnafowokanHugo J R Bonatti

❮ Previous
Next ❯

Methods Mentioned

BETA
gastric bypass

Software Mentioned

Review Manager
STATA
SE

Related Concepts

Related Feeds

CV Disorders & Type 2 Diabetes

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