Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding

被引:17
作者
Lehmann, Andrzej [1 ]
Bobowicz, Maciej [2 ]
Lech, Pawel [3 ]
Orlowski, Michal [1 ]
Siczewski, Wiaczeslaw [1 ]
Pawlak, Maciej [1 ]
Swietlik, Dariusz [4 ]
Witzling, Mieczyslaw [1 ]
Michalik, Maciej [1 ,3 ]
机构
[1] Ceynowa Hosp, Gen & Vasc Surg Dept, PL-84200 Wejherowo, Poland
[2] Med Univ Gdansk, Dept Surg Oncol, Gdansk, Poland
[3] Univ Warmia & Mazury, Dept Gen & Minimally Invas Surg, Olsztyn, Poland
[4] Med Univ Gdansk, Fac Med Informat & Biostat, Gdansk, Poland
关键词
obesity; laparoscopic sleeve gastrectomy; excess weight loss; comparison; laparoscopic adjustable gastric banding; treatment outcomes; MORBID-OBESITY; BILIOPANCREATIC DIVERSION; DUODENAL SWITCH; FOLLOW-UP; COMPLICATIONS; EXPERIENCE; SURGERY;
D O I
10.5114/wiitm.2014.44257
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) are acceptable options for primary bariatric procedures in patients with body mass index (BMI) 35-55 kg/m(2). Aim: The aim of this study is to compare the effects of these two bariatric procedures 6, 12 and 24 months after surgery. Material and methods: Two hundred and two patients were included 72 LSG and 130 LAGB patients. The average age was 38.8 +/- 11.9 and 39.4 +/- 10.4 years in LSG and LAGB groups, with initial BMI of 44.1 kg/m(2) and 45.2 kg/m(2), p = NS. Results: The mean percentage of excess weight loss (%EWL) at 6 months for LSG vs. LAGB was 36.3% vs. 30.1% (p = 0.01) and at 12 months was 43.8% vs. 34.6% (p = 0.005). The greatest difference in the mean %EWL at 12 months was observed in patients with initial BMI of 40-49.9 kg/m(2) in favor of LSG (47.5% vs. 35.6%; p = 0.01). Two years after surgery there was no advantage of LSG and in the subgroup of patients with BMI 50-55 kg/m(2) there was a trend in favor of LAGB (57.2% vs. 30%; p = 0.07). The multiple regression model of independent variables (age, gender, initial BMI and the presence of comorbidities) proved insignificant in prediction of the best outcome in means of %EWL for either operative modality None of these factors in the logistic regression model could determine the type of surgery that should be used in particular patients. Conclusions: During the first 2 years after surgery, the best results were obtained in women with lower BMI undergoing LSG surgery. The LSG provides greater %EWL after a shorter period of time though the difference decreases in time.
引用
收藏
页码:351 / 356
页数:6
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