Roux-en-Y Gastric Bypass Vs Sleeve Gastrectomy in Super Obesity: a Systematic Review and Meta-Analysis

被引：22
|
作者：
Gomes-Rocha, Sofia Raquel [1 ]
Costa-Pinho, Andre Manuel [1 ,2 ]
Pais-Neto, Carolina Coelho [1 ]
de Araujo Pereira, Andre [1 ,3 ]
Nogueiro, Jorge Pedro Martins [1 ,3 ]
Carneiro, Silvestre Porfirio Ramos [1 ,3 ]
Santos-Sousa, Hugo Miguel Teixeira Ferraz [1 ,2 ]
Lima-da-Costa, Eduardo Jorge [1 ,2 ]
Bouca-Machado, Raquel [4 ]
Preto, John Rodrigues [1 ,2 ]
机构：
[1] Univ Porto, Fac Med, P-4200319 Porto, Portugal
[2] Sao Joao Univ, Med Ctr, Obes Integrated Responsibil Unit CRI O, P-4099001 Porto, Portugal
[3] Sao Joao Univ, Med Ctr, Surg Dept, P-4099001 Porto, Portugal
[4] Inst Med Mol Joao Lobo Antunes, P-1649028 Lisbon, Portugal
来源：
OBESITY SURGERY | 2022年 / 32卷 / 01期
关键词：
Bariatric surgery; Laparoscopic Roux-en-Y gastric bypass; LRYGB; Laparoscopic sleeve gastrectomy; LSG; Super obesity; Weight loss; Comorbidity resolution; Meta-analysis; BARIATRIC SURGERY; DUODENAL SWITCH; MORBID-OBESITY; WEIGHT-LOSS; OUTCOMES; IMPACT; RISK;
D O I：
10.1007/s11695-021-05745-8
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are safe procedures that may present sub-optimal results in superobesity (SO). A meta-analysis was performed aiming to summarize the available evidence on weight loss (primary outcome) and comorbidities resolution of LRYGB and LSG in patients with SO (BMI >= 50 kg/m(2)). From the 16 included studies, 7 integrated the meta-analysis. LRYGB showed a significantly higher weight loss at 6 to 12-months, but not after 24 months and a higher dyslipidemia resolution at 12 months. When compared with LSG, LRYGB achieved better weight loss after 6 and 12 months and higher dyslipidemia resolution after 1 year. There were no significant differences for resolution of the other co-morbidities studied.
引用
收藏
页码：170 / 185
页数：16
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