Laparoscopic Gastric Bypass Versus Laparoscopic Sleeve Gastrectomy as a Definitive Surgical Procedure for Morbid Obesity. Mid-Term Results

Abstract

There is a similar short- and mid-term weight loss and 1-year comorbidity improvement or resolution between LRYGB and LSG, although minor complication rate is higher for LRYGB. Results of LSG as a single procedure need to be confirmed after a long-term follow-up.

Laparoscopic sleeve gastrectomy at a new bariatric surgery centre in Canada: 30-day complication rates using the Clavien–Dindo classification

“…In the study by Vidal and colleagues, 14 minor complications were reported in 5 (4.4%) patients: urinary tract infection (n = 2), pseudomembranous colitis (n = 1), hypertensive crisis (n = 1) and subphrenic abscess (n = 1). Major complications were reported in 5 (4.4%) patients: gastric leak (n = 2), bleeding from the port site (n = 2) and acute myocardial infarction resulting in death (n = 1).…”

Roux-En-Y Gastric Bypass Vs. Sleeve Gastrectomy: Balancing the Risks of Surgery with the Benefits of Weight Loss

“…Large observational studies and RCTs ( n  > 50) as well as a meta-analysis show either no differences between procedures [9] or a greater rate of one or more of the following for GB: minor complications, longer hospital stay, and longer operative time [8, 10, 12, 14, 16, 18–24]. …”

Laparoscopic and Robotic Sleeve Gastrectomy: Short- and Long-Term Results

“…Consequently, LSG has been proposed as an effective alternative to laparoscopic Roux-en-Y gastric bypass and is associated with a relatively shorter operating time and fewer complications, with comparable clinical outcomes [4,[19][20][21][22][23][24]. Many other studies have demonstrated that LSG is a safe and feasible technique resulting in a short operating time and short length of hospitalization [25]. Still, postoperative complications associated with LSG have been reported, including leaks and bleeding [26].…”