Laparoscopic sleeve gastrectomy versus laparoscopic mini-gastric bypass in obesity

Le résumé fourni par la source

Background: Laparoscopic mini‑gastric bypass (MGBP) is gaining popularity among the bariatricprocedures today, andlaparoscopic sleevegastrectomy(SG) as a single‑stageprocedure forthe treatment of morbid obesity is becoming increasingly popular. Patients and methods: Between October 2014 and July 2018, 100 obese patients were randomized, operated upon, and followed up for 24 months in Al Minia University Hospital. A total of 50 patients underwent SG, and 50 patients underwent MGBP. The mean BMI of all patients was 47.8 ± 5.5 kg/m2, their mean age was 30 ± 8.3 years, and80% of them were female. Patients were followed up at 1, 3, 6, 9, 12, 15, 18, 21 and 24 months. Results: Age, sex, BMI, and comorbidities were equal. The mean operative time for SG was 86.9 ± 51.6 min and that for MGBP was 108.4 ± 41.8 min; the percentage of 1‑year excess weight loss wassimilar (76.2 ± 4.49% for SG and 80.3 ± 8.3% for MGBP). The comorbidities were significantly improved after both procedures, except for type 2 diabetes mellitus, which showed a higher resolution rate after MGBP. Conclusion: Laparoscopic SG regarding excess weight loss is comparable to laparoscopic MGBP in short‑termfollow‑up (2 year) with less metabolic effect. Furtherlong‑termstudies are needed.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.