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

被引:159
作者
Franco, Juan Victor A. [2 ]
Adrian Ruiz, Pablo [2 ]
Palermo, Mariano [1 ,2 ]
Gagner, Michel [1 ]
机构
[1] Mt Sinai Med Ctr, Dept Surg, Miami Beach, FL 33140 USA
[2] Univ Buenos Aires, Dept Surg, Buenos Aires, DF, Argentina
关键词
Laparoscopic Roux-en-Y gastric bypass; Laparoscopic adjustable gastric banding; Laparoscopic sleeve gastrectomy; PLASMA GHRELIN LEVELS; WEIGHT-LOSS SURGERY; MORBID-OBESITY; INSULIN-RESISTANCE; GUT HORMONE; BILIOPANCREATIC DIVERSION; SINGLE-INSTITUTION; COST-EFFECTIVENESS; DIABETES-MELLITUS; OUTCOMES;
D O I
10.1007/s11695-011-0390-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:1458 / 1468
页数:11
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