Laparoscopic Roux-en-Y gastric bypass versus laparoscopic adjustable gastric banding: five years of follow-up

Boza, Camilo; Gamboa, Cristian; Awruch, Diego; Pérez, Gustavo; Escalona, Alex; Ibáñez, Luis

doi:10.1016/j.soard.2010.02.045

Cited by 40 publications

(33 citation statements)

References 29 publications

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“…In addition, some patients relocated, due to the job market or personal reasons, away from the surgeon's office and thus continued their follow-up visits elsewhere. Like other investigators, we found that using telephone or email communication is an acceptable method for achieving long-term outcome updates on patients who do not or cannot return for a follow-up office visit [21,22,27,31,32,36]. Although some patients tend to overstate their weight loss success in a telephone interview, they typically are very close to the actual weight that we later find when they turn up again for an office visit or when we compare the results with the data we receive from their primary care physician.…”

Section: Discussionsupporting

confidence: 75%

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Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States

et al. 2012

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Over the long term, LRYGB had an approximate reduction of 15 kg/m(2) BMI and 60% EWL, a significantly better outcome than LAGB patients experienced with band intact. The main issue with LAGB was its 50% failure rate in the long term, as defined by poor weight loss and percentage of band removal. Nevertheless, LAGB had a remarkably safe course, and it may therefore be considered for motivated and informed patients.

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Section: Discussionsupporting

confidence: 75%

“…In a retrospective case series, Boza et al [21] reported an excellent 59.1% EWL for LAGB (n = 62) and 92.9% EWL for LRYGB (n = 91) during a 5-year follow-up period. Late reoperations were necessary for 9.9% of the LRYGB patients and 24.1% of the LAGB patients.…”

Section: Discussionmentioning

confidence: 97%

Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States

et al. 2012

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“…A per-oral balloon is inflated to calibrate the adjustment of the device creating a 15-25-ml gastric pouch. In general, American studies have used the Lap-Band® system, and other studies have also used a Swedish adjustable gastric band (Obtech® and Ethicon Endo-Surgery®) [6][7][8], and others, the Heliogast Band ® (Helioscopie, Vienne cedex, France) [9] and Soft Gastric Band ® (Agency for Medical Innovation, Gotzis, Austria) [9,10]. The device was typically adjusted from 6 to 8 weeks after surgery according to the clinical assessment and in every visit thereafter, along with the usual care.…”

Section: Surgical Proceduresmentioning

confidence: 99%

A Review of Studies Comparing Three Laparoscopic Procedures in Bariatric Surgery: Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and Adjustable Gastric Banding

et al. 2011

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Obesity is a major worldwide problem in public health, reaching epidemic proportions in many countries, especially in urbanized regions. Bariatric procedures have been shown to be more effective in the management of morbid obesity, compared to medical treatments in terms of weight loss and its sustainability. The two most commonly performed procedures are laparoscopic Roux-en-Y gastric bypass (LRYGB), laparoscopic adjustable gastric banding (LAGB), and the novel laparoscopic sleeve gastrectomy (LSG). The MEDLINE database (cutoff date September 2010), LILACS, and the Cochrane Library were searched using the key words "gastric bypass," "sleeve gastrectomy," and "gastric banding." Only studies that compared at least two of the laparoscopic procedures were included. Reviews and meta-analysis, editorial letters or comments, case reports, animal or in vitro studies, comparisons with medical treatment, comparisons with open (non-laparoscopic) procedures were excluded. Most studies indicated that LRYGB and LSG could be more effective achieving weight loss than LAGB. However, LAGB seems to be a safer procedure with frequent, but less severe, long-term complications. Although not uniformly reported, a resolution of obesity-related comorbidities was achieved with most bariatric procedures. The three procedures have acceptable efficacy and safety. We believe that patients should be informed in detail on the advantages and disadvantages of each available procedure, possibly in several interviews and always accompanied by a specialized interdisciplinary team, warranting long-term follow-up.

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“…Obeid et al, discussed their tremendous resolution rate of T2DM. They acknowledged that only a select number of studies have reported T2DM resolution rates similar to theirs [17,19,22]. However, Obeid et al, argue that there is evidence in the literature for a relationship between the maintenance of weight loss and remission of comorbidites, such as T2DM [23].…”

Section: Rygb and Long-term T2dm Resolutionmentioning

confidence: 98%

“…This procedure is relatively quicker to perform and very popular in the private sector, but it may not be as effective as RYGB in terms of weight loss and T2DM resolution.A recent retrospective study by Boza et al, also compared LAGB to RYGB [17]. 91 RYGB patients were compared to 62 LAGB patients.…”

Section: Malabsorptive Versus Restrictive Proceduresmentioning

confidence: 99%

Treatment of obesity and diabetes with bariatric surgery

Whitlock¹,

Gill²,

Switzers³

et al. 2013

Glob Epidemi Obes

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Obesity rates are on the rise worldwide. Nearly 1 in every 4 Canadians is classified as being overweight. With an increase in obesity, there is also a correlated rise in its comorbidities, most notably Type-2 Diabetes Mellitus (T2DM). Bariatric surgery is superior to diet and lifestyle management in managing the severe obese. These bariatric procedures are traditionally classified as either being restrictive(reducing caloric intake), or malabsorptive (re-routing the gastrointestinal tract). The roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric surgery. Studies have shown that post-RYGB, there is a significant improvement or even complete resolution in patients' type-2 diabetes mellitus (T2DM), with significantly more patients achieving euglycemia compared to the control population. RYGB has also been shown to prevent the development of T2DM. When RYGB was compared to more restrictive procedures, it achieved superior results in both weight-loss and T2DM resolution and the maintenance of these results long-term. The superiority of procedures, such as RYGB, is potentially explained through alterations in gut hormones, ghrelin and GLP-1. In this review, we explore the role of bariatric surgery in the prevention and treatment of T2DM, with a specific focus on the recent evidence surrounding surgical treatment via RYGB.

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Laparoscopic Roux-en-Y gastric bypass versus laparoscopic adjustable gastric banding: five years of follow-up

Cited by 40 publications

References 29 publications

Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States

Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States

A Review of Studies Comparing Three Laparoscopic Procedures in Bariatric Surgery: Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and Adjustable Gastric Banding

Treatment of obesity and diabetes with bariatric surgery

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