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Scand J Surg. 2015 Mar;104(1):5-9. doi: 10.1177/1457496914553148. Epub 2015 Jan 26.

Laparoscopic Roux-en-Y gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: peri-operative and early outcomes.

Author information

1
Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland Department of Gastrointestinal Surgery, Vaasa Central Hospital, Vaasa, Finland salvatore.giordano@gmail.com salvatore.giordano@tyks.fi.
2
Department of Gastrointestinal Surgery, Vaasa Central Hospital, Vaasa, Finland.

Abstract

INTRODUCTION:

Controversy exists between laparoscopic Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding in super-obese patients.

METHODS:

This is a retrospective review of prospectively collected data. A total of 102 consecutive super-obese (body mass index >50) patients underwent laparoscopic Roux-en-Y gastric bypass (Group 1), and 79 consecutive ones underwent laparoscopic adjustable gastric banding (Group 2). Early complications and weight loss outcomes were evaluated.

RESULTS:

No significant difference was found in operative mean (± standard deviation) time (93.5 ± 33 vs 87.7 ± 39 min, p = 0.29), hospital stay (2.68 ± 2.27 vs 2.75 ± 1.84 days, p = 0.80), or overall early postoperative morbidity (17.65% and 10.12%, p = 0.20). Intra-operative complications occurred in six patients (5.9%) in Group 1 and none in Group 2 (0.0%, p = 0.04). Mean excess weight loss percent at 6 and 12 months in Group 1 was 44.75% ± 11.84% and 54.71% ± 18.18% versus 26.20% ± 12.42% and 31.55% ± 19.79% in Group 2 (p < 0.001).

CONCLUSION:

There seems to be no significant differences in early complications between laparoscopic Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding operations in the short term. Weight loss and excess weight loss percent at 6 and 12 months are significantly better after laparoscopic Roux-en-Y gastric bypass.

KEYWORDS:

Morbid obesity; bariatric surgery; body mass index >50; gastric bypass; laparoscopic adjustable gastric banding; laparoscopy; super-obese; super-obesity; weight loss

PMID:
25623917
DOI:
10.1177/1457496914553148
[Indexed for MEDLINE]

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