Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy in Terms of Efficacy and Safety: a Comparative Study During 11-Year Experience

Toolabi, Karamollah; Golzarand, Mahdieh; Farid, Roya

doi:10.1007/s11695-021-05313-0

Cited by 11 publications

(5 citation statements)

References 36 publications

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“…A recent 11-year experience comparative study involving 396 LRYGB and 750 LSG procedures did not find any differences in weight loss and weight regain after the eighth year. Secondly, severe complications, including surgery-related mortality were not statistically significant between the two groups [ 22 ]. This shows that LSG seems to be an appropriate alternative as a definitive bariatric procedure.…”

Section: Discussionmentioning

confidence: 99%

Bariatric Surgery in Cebu, Philippines: Current Status and Initial Experience With Laparoscopic Sleeve Gastrectomy

Yap¹,

Eleazar²,

Roble³

et al. 2021

Cureus

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BackgroundThe prevalence of obesity in the Philippines has increased more than three-fold over the last two decades. However, bariatric surgery has not been widely adopted yet in the country. Local data mainly on laparoscopic adjustable gastric banding (LAGB) and Roux-en-Y gastric bypass (RYGB) are limited as well. We report for the first time our experience with laparoscopic sleeve gastrectomy (LSG) and present the current local status of bariatric surgery in Cebu, Philippines. Patients and methodsThis is a retrospective study of all patients 18 years old and above who underwent LSG in a single, private, tertiary institution during the period 2009 -2019. Our primary endpoint was weight loss after LSG. Secondary endpoint was postoperative complications. ResultsThirty-three patients (mean age 40.9 ± 14.5 years) underwent LSG. Baseline weight and BMI were 112.6 ± 29 kg and 41.3 ± 8.6, respectively. The mean operative duration was 201 ± 72.9 minutes. The were no open conversions with minimal morbidity. Mean hospital stay was 3.7 ± 0.9 days. The postoperative mean weight and BMI after one year were 68.9 ± 17 kg and 26.6 ± 6, respectively. Overall, mean excess weight loss (EWL) was 61.9 ± 44.1 % at a median follow-up of 5.4 months. Significant weight loss was noted after the third month. ConclusionLSG is a safe and effective method in producing weight loss. It can be a definitive treatment option as local prevalence of obesity is increasing in the Philippines. However, access to and the practice of bariatric surgery remains limited in the country. A collaboration among private and government stakeholders is essential.

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Section: Discussionmentioning

confidence: 99%

Bariatric Surgery in Cebu, Philippines: Current Status and Initial Experience With Laparoscopic Sleeve Gastrectomy

Yap¹,

Eleazar²,

Roble³

et al. 2021

Cureus

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“…The dynamics of CoEQ measures was assessed by comparing the VAS at each postoperative timepoint to the baseline. Percent TWL was defined as total weight loss at each defined timepoint (using initial weight as a reference) divided by initial weight, and TWL of 25% (25%TWL) at 12 months was used as the successful weight loss target consistent with the significant body of evidence reported previously in the literature [ [44] , [45] , [46] , [47] , [48] , [49] ]. Percent excess weight loss (%EWL) was defined as total weight loss at each time point divided by excess weight at the initial visit (initial weight – ideal weight [corresponding to BMI of 25 kg/m 2 ]), and EWL of 50% (50%EWL) at 12 months was used as the cut-off value for adequate weight loss [ [50] , [51] , [52] , [53] ].…”

Section: Methodsmentioning

confidence: 99%

Stronger control of eating 3 months after sleeve gastrectomy predicts successful weight loss outcomes at one year

Lytvyak,

Zarrinpar,

Ore

et al. 2024

Obesity Pillars

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“…[207][208][209] Both procedures have good effects on body weight and diabetes remission. [210][211][212][213][214][215] In addition, gastric bypass relieves gastro-oesophageal reflux, which may be worsened by sleeve gastrectomy. 210,211 Long-term studies showed that bariatric surgery may reduce the risk of heart disease/ stroke and improve survival.…”

Section: H What Is the Role Of Bariatric Surgery?mentioning

confidence: 99%

“…[210][211][212][213][214][215] In addition, gastric bypass relieves gastro-oesophageal reflux, which may be worsened by sleeve gastrectomy. 210,211 Long-term studies showed that bariatric surgery may reduce the risk of heart disease/ stroke and improve survival. 212,216 The evidence specifically supporting bariatric surgery in NAFLD is exclusively derived from observational studies.…”

Section: H What Is the Role Of Bariatric Surgery?mentioning

confidence: 99%

Non-alcoholic fatty liver disease: A patient guideline

et al. 2021

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This patient guideline is intended for all patients at risk of or living with non-alcoholic fatty liver disease (NAFLD). NAFLD is the most frequent chronic liver disease worldwide and comes with a high disease burden. Yet, there is a lot of unawareness. Furthermore, many aspects of the disease are still to be unravelled, which has an important impact on the information that is given (or not) to patients. Its management requires a close interaction between patients and their many healthcare providers. It is important for patients to develop a full understanding of NAFLD in order to enable them to take an active role in their disease management. This guide summarises the current knowledge relevant to NAFLD and its management. It has been developed by patients, patient representatives, clinicians and scientists and is based on current scientific recommendations, intended to support patients in making informed decisions.

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Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy in Terms of Efficacy and Safety: a Comparative Study During 11-Year Experience

Cited by 11 publications

References 36 publications

Bariatric Surgery in Cebu, Philippines: Current Status and Initial Experience With Laparoscopic Sleeve Gastrectomy

Bariatric Surgery in Cebu, Philippines: Current Status and Initial Experience With Laparoscopic Sleeve Gastrectomy

Stronger control of eating 3 months after sleeve gastrectomy predicts successful weight loss outcomes at one year

Non-alcoholic fatty liver disease: A patient guideline

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