Laparoscopic Gastric Bypass versus Laparoscopic Adjustable Gastric Banding in the Super-obese: A Comparative Study of 290 Patients View Full Text


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Article Info

DATE

2005-01

AUTHORS

Philippe Mognol, Denis Chosidow, Jean-Pierre Marmuse

ABSTRACT

BACKGROUND: Controversy exists regarding the best surgical treatment for super-obesity (BMI >50 kg/m2). The two most common bariatric procedures performed worldwide are laparoscopic adjustable gastric banding (LAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGBP). We undertook a retrospective single-center study to compare the safety and efficacy of these two operations in super-obese patients. METHODS: 290 super-obese patients underwent laparoscopic bariatric surgery: 179 LAGB and 111 LRYGBP. RESULTS: There were one death in both groups. The early complication rate was higher in the LAGB group (10% vs 2.8%, P<0.01). Late complication rate was higher in the LAGB group (26% vs 15.3%, P<0.05). Operating time and hospital stay were significantly higher in the LRYGBP group. LRYGBP had significantly better excess weight loss than LAGB (63% vs 41% at 1 year, and 73% vs 46% at 2 years), as well as lower BMI than LAGB (35 vs 41 at 18 months). CONCLUSION: LRYGBP results in significantly greater weight loss than LAGB in super-obese patients, but is associated with a higher early complication rate. More... »

PAGES

76-81

References to SciGraph publications

  • 1997-08. Laparoscopic Adjustable Silicone Gastric Banding (Lap-Band®): How To Avoid Comlications in OBESITY SURGERY
  • 2000-12. Complications of the Laparoscopic Roux-en-Y Gastric Bypass: 1,040 Patients - What Have We Learned? in OBESITY SURGERY
  • 2000-06. Laparoscopic Gastric Bypass, Roux en-Y - 500 Patients: Technique and Results, with 3-60 month follow-up in OBESITY SURGERY
  • 2003-08. Laparoscopic Adjustable Gastric Banding for Severe Obesity in OBESITY SURGERY
  • 2004-11. Laparoscopic Conversion of Laparoscopic Gastric Banding to Roux-en-Y Gastric Bypass: a Review of 70 Patients in OBESITY SURGERY
  • 2002-12. Results of the Italian Multicenter Study on 239 Super-obese Patients Treated by Adjustable Gastric Banding in OBESITY SURGERY
  • 2003-06. Overweight and Obesity Worldwide now Estimated to Involve 1.7 Billion People in OBESITY SURGERY
  • 2000-06. A 3-year experience with laparoscopic gastric banding for obesity in SURGICAL ENDOSCOPY
  • 2001-04. Pre-operative Predictors of Weight Loss at 1-Year after Lap-Band® Surgery in OBESITY SURGERY
  • 1999-06. Laparoscopic gastric banding for morbid obesity in SURGICAL ENDOSCOPY
  • 1999-04. Swedish Adjustable Gastric Band (SAGB)-Distal Gastric Bypass: A New Variant of an Old Technique in the Treatment of Superobesity and Failed Band Restriction in OBESITY SURGERY
  • 2004-02. A Comparison of Laparoscopic Adjustable Gastric Banding and Biliopancreatic Diversion in Superobesity in OBESITY SURGERY
  • 2004-05. Laparoscopic Vertical Banded Gastroplasty and Laparoscopic Gastric Bypass: a Comparison in OBESITY SURGERY
  • 2002-12. Re-operations Following Laparoscopic Adjustable Gastric Banding in OBESITY SURGERY
  • 2003-06. Letters to the editors in JOURNAL OF GASTROINTESTINAL SURGERY
  • 2001-04. Laparoscopic gastric bypass as a reoperative bariatric surgery for failed open restrictive procedures in SURGICAL ENDOSCOPY
  • 2004-03. Complications after Laparoscopic Adjustable Gastric Banding for Morbid Obesity: Experience with 1,000 Patients over 7 Years in OBESITY SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1381/0960892052993486

    DOI

    http://dx.doi.org/10.1381/0960892052993486

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1044762552

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/15760503


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