A Retrospective 2-Year Follow-up of Late Complications Treated Surgically and Endoscopically After Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) and Laparoscopic Sleeve Gastrectomy (LSG) for Morbid Obesity

Abstract

LRYGB was found to be associated with a greater risk of late complications. If larger databases confirm these results, the trend toward LSG is justified.

Different surgical approaches in laparoscopic sleeve gastrectomy and their influence on metabolic syndrome

“…acute pancreatitis which may occur in 9.4%, but also, stenosis, abdominal abscess, pulmonary embolism, deep venous thrombosis may appear. [ 47 , 48 , 50 , 51 ] However, according to the position statement on sleeve gastrectomy as a bariatric procedure by American Society for Metabolic and Bariatric Surgery (ASMBS), LSG is a preferred method of obesity treatment as a first-step management. [ 52 ] In our study the complication rate was 2.5% (n = 3).…”

Fracture Risk After Bariatric Surgery: A Systematic Literature Review and Meta-Analysis

“…In the study by Lu et al 20 , the risk of fracture in the surgical group, compared with the control group, increased by 1.21 times, with malabsorption procedures presenting a significantly higher risk, with a tendency to increase in the first 1 to 2 years after the procedure. Javanainen et al 17 , in one of the studies with the longest follow-up of patients, also showed a higher risk of fractures in bariatric patients. Corroborating these findings, other observational studies included also found similar results.…”

“…Among the included studies, 12 were observational studies (10 cohort studies, 1 case-control study, and 1 case series) 5,6,[13][14][15][16][17][18][19][20][21][22] and 3 interventional clinical studies (2 randomized and 1 nonrandomized). [23][24][25] Most of the studies were conducted in the United States, with the majority of participants being premenopausal women.…”

“…Ten observational studies 6,[13][14][15][16][17][18][19][20][21] were included in the metaanalysis to compare the fracture risk between the surgical (N ¼ 116.205) and nonsurgical (N ¼ 134.637) groups. Of all 10 studies, there were 3.512 fractures in 138.562 subjects who underwent bariatric surgery versus 3.515 fractures in 156.994 control subjects.…”

“…3.6.1. Meta-analysis According to the Type of Surgery Eight observational studies 6,13,[16][17][18][19]21 were included in this meta-analysis to compare malabsorptive procedures to the nonsurgical approach on the risk of any fracture. The malabsorptive procedures had the highest risk of fracture compared with the control group (RR, 1.53 [95% CI, 1.13-2.07; P < .006]).…”