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
收藏
页码：1528 / 1535
页数：8
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