A Meta-analysis of 2-Year Effect After Surgery: Laparoscopic Roux-en-Y Gastric Bypass Versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity and Diabetes Mellitus

被引：40

作者：

Zhang, Chengda ^{[1
]}

Yuan, Yuan ^{[2
]}

Qiu, Cuiqiong ^{[3
]}

Zhang, Weidong ^{[4
]}

机构：

[1] Chinese Acad Med Sci, Peking Union Med Coll, Beijing 100730, Peoples R China

[2] Zhengzhou Hlth Sch, Dept Prevent Med, Zhengzhou, Henan, Peoples R China

[3] Guang Dong Food & Drug Vocat Coll, Sch Nursing, Guangzhou, Guangdong, Peoples R China

[4] Zhengzhou Univ, Dept Epidemiol, Sch Publ Hlth, Zhengzhou 450001, Henan, Peoples R China

来源：

OBESITY SURGERY | 2014年 / 24卷 / 09期

关键词：

Laparoscopic gastric bypass; Laparoscopic sleeve gastrectomy; Diabetes; Obesity; Bariatric surgery; Meta-analysis; VERTICAL BANDED GASTROPLASTY; BARIATRIC-SURGERY; INSULIN-RESISTANCE; WEIGHT-LOSS; FOLLOW-UP; RISK;

D O I：

10.1007/s11695-014-1303-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Literature search was performed for bariatric surgery from inception to September 2013, in which the effects of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) on body mass index (BMI), percentage of excess weight loss (EWL%), and diabetes mellitus (DM) were compared 2 years post-surgery. A total of 9,756 cases of bariatric surgery from 16 studies were analyzed. Patients receiving LRYGB had significantly lower BMI and higher EWL% compared with those receiving LSG (BMI mean difference (MD) = -1.38, 95 % confidence interval (CI) = -1.72 to -1.03; EWL% MD = 5.06, 95 % CI = 0.24 to 9.89). Improvement rate of DM was of no difference between the two types of bariatric surgeries (RR = 1.05, 95 % CI = 0.90 to 1.23). LRYGB had better long-term effect on body weight, while both LRYGB and LSG showed similar effects on DM.

引用

页码：1528 / 1535

页数：8

共 53 条

[1] Short- and Midterm Results between Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy for the Treatment of Morbid Obesity [J].

Albeladi, Bandar ;

Bourbao-Tournois, Celine ;

Huten, Noel .

JOURNAL OF OBESITY, 2013, 2013

[2] First-phase insulin secretion, insulin sensitivity, ghrelin, GLP-1, and PYY changes 72 h after sleeve gastrectomy in obese diabetic patients: the gastric hypothesis [J].

Basso, N. ;

Capoccia, D. ;

Rizzello, M. ;

Abbatini, F. ;

Mariani, P. ;

Maglio, C. ;

Coccia, F. ;

Borgonuovo, G. ;

De Luca, M. L. ;

Asprino, R. ;

Alessandri, G. ;

Casella, G. ;

Leonetti, F. .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (11) :3540-3550

[3] Laparoscopic Sleeve Gastrectomy, 529 Cases Without a Leak: Short-Term Results and Technical Considerations [J].

Bellanger, Drake Eric ;

Greenway, Frank L. .

OBESITY SURGERY, 2011, 21 (02) :146-150

[4] Sleeve gastrectomy and Roux-en-Y gastric bypass are equally effective in correcting insulin resistance [J].

Benaiges, David ;

Flores Le-Roux, Juana A. ;

Pedro-Botet, Juan ;

Chillaron, Juan J. ;

Renard, Marine ;

Parri, Alejandra ;

Ramon, Jose M. ;

Pera, Manuel ;

Goday, Alberto .

INTERNATIONAL JOURNAL OF SURGERY, 2013, 11 (04) :309-313

[5] Psychiatric diagnosis and weight loss following gastric surgery for obesity [J].

Black, DW ;

Goldstein, RB ;

Mason, EE .

OBESITY SURGERY, 2003, 13 (05) :746-751

[6] Sleeve Gastrectomy as Sole and Definitive Bariatric Procedure: 5-Year Results for Weight Loss and Ghrelin [J].

Bohdjalian, Arthur ;

Langer, Felix B. ;

Shakeri-Leidenmuehler, Soheila ;

Gfrerer, Lisa ;

Ludvik, Bernhard ;

Zacherl, Johannes ;

Prager, Gerhard .

OBESITY SURGERY, 2010, 20 (05) :535-540

[7] Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy: a case-control study and 3 years of follow-up [J].

Boza, Camilo ;

Gamboa, Cristian ;

Salinas, Jose ;

Achurra, Pablo ;

Vega, Andrea ;

Perez, Gustavo .

SURGERY FOR OBESITY AND RELATED DISEASES, 2012, 8 (03) :243-249

[8] Bariatric Surgery for Morbid Obesity: Pre-operative Assessment, Surgical Techniques and Post-operative Monitoring [J].

Breznikar, B. ;

Dinevski, D. .

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2009, 37 (05) :1632-1645

[9] The Comparative Effectiveness of Sleeve Gastrectomy, Gastric Bypass, and Adjustable Gastric Banding Procedures for the Treatment of Morbid Obesity [J].

Carlin, Arthur M. ;

Zeni, Telal M. ;

English, Wayne J. ;

Hawasli, Abdelkader A. ;

Genaw, Jeffrey A. ;

Krause, Kevin R. ;

Schram, Jon L. ;

Kole, Kerry L. ;

Finks, Jonathan F. ;

Birkmeyer, John D. ;

Share, David ;

Birkmeyer, Nancy J. O. .

ANNALS OF SURGERY, 2013, 257 (05) :791-797

[10] Clinical Efficacy of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Gastric Bypass in Obese Type 2 Diabetic Patients: a Retrospective Comparison [J].

Cutolo, P. P. ;

Nosso, G. ;

Vitolo, G. ;

Brancato, V. ;

Capaldo, B. ;

Angrisani, L. .

OBESITY SURGERY, 2012, 22 (10) :1535-1539

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