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Mini gastric bypass versus sleeve gastrectomy

Sonja Chiappetta, Christine Stier, Oliver Scheffel, Simone Squillante, Rudolf A Weiner
BACKGROUND: Whether one anastomosis gastric bypass (OAGB) or Roux-en-Y gastric bypass (RYGB) is a better revisional bariatric surgery (RBS) after sleeve gastrectomy (SG) is still under debate. The aim is to compare short-term outcomes of RYGB and OAGB as a RBS after SG, pertaining to their effects on weight loss, resolution of comorbidities, and complications. METHODS: We performed a single-center analysis of 55 patients (n = 34 OAGB, n = 21 RYGB). Indications for revisional surgery included weight regain/loss failure (67%) and intractable gastroesophageal reflux disease (33%)...
December 12, 2018: Obesity Surgery
Fu-Gang Wang, Zhao-Peng Yu, Wen-Mao Yan, Ming Yan, Mao-Min Song
BACKGROUND: The laparoscopic mini-gastric bypass is a newly emerged surgical procedure in recent years. Owe to safe and simple process and effective outcomes, laparoscopic mini-gastric bypass has quickly become one of the most popular procedures in some countries. The safety and effectiveness of laparoscopic mini-gastric bypass versus laparoscopic sleeve gastrectomy remain unclear. METHODS: A systematic literature search was performed in PubMed, Embase, Cochrane library from inception to May 20, 2017...
December 2017: Medicine (Baltimore)
Gaby Kansou, David Lechaux, Jacques Delarue, Bogdan Badic, Morgan Le Gall, Sophie Guillerm, Jean-Pierre Bail, Jérémie Thereaux
PURPOSE: Sleeve gastrectomy (LSG) and mini gastric bypass (LMGB) was considered as emerging procedures but are now considered for many authors as an alternative of the Roux-Y gastric bypass because of similar percentages of weight loss and better postoperative morbidity profiles. However, studies comparing LSG and LMGB are scarce. MATERIALS AND METHODS: From January 2010 to July 2014, 262 and 161 patients underwent LSG or LMGB in two centre of bariatric surgery, respectively...
September 2016: International Journal of Surgery
Andreas Plamper, Philipp Lingohr, Jennifer Nadal, Karl P Rheinwalt
INTRODUCTION: Whereas sleeve gastrectomy (SG) in its beginnings was mainly performed to treat super-obesity, it has become as popular as gastric bypass in the treatment of obesity of any class. In contrast to this, the persisting problems of early staple line leaks and poor long-term results of SG regarding weight loss and new onset of gastroesophageal reflux have become increasingly obvious. The mini-gastric bypass (MGB) with its low complication rates and possibly better long-term results may be a good alternative to SG, especially in super-obesity...
March 2017: Surgical Endoscopy
Giuseppe Currò, Giuseppe La Malfa, Antonio Caizzone, Valentina Rampulla, Giuseppe Navarra
BACKGROUND: To address the issue whether three-dimensional (3D) offers real operative time advantages to the laparoscopic surgical procedure, we have designed a single-surgeon prospective randomized comparison of 3D versus two-dimensional (2D) imaging during two different bariatric procedures. METHODS: Forty morbidly obese patients were randomized on the day of surgery by a random computer-generated allocation list to receive either a 3D high-definition (HD) display or 2D HD imaging system laparoscopic bariatric procedure by a single experienced surgeon...
November 2015: Obesity Surgery
Damiano Tambasco, Marco D'Ettorre, Stefano Gentileschi, Roberto Colletti, Geltrude Mingrone, Roberto Bracaglia
BACKGROUND: Surgical procedures with an extended follow-up and therefore recognized as safe in literature are classified into 2 categories: procedures limiting the introduction of food mechanically (restrictive interventions such as adjustable gastric banding, vertical banded gastroplasty, and sleeve gastrectomy) or functionally (mini gastric bypass or gastric bypass) and procedures limiting absorption (mainly biliopancreatic diversion [BPD]). MATERIALS AND METHODS: Seventy-nine patients who underwent postbariatric abdominoplasty to correct serious flaws resulting from weight loss surgery were included in this retrospective study...
December 2015: Annals of Plastic Surgery
Jill L Colquitt, Karen Pickett, Emma Loveman, Geoff K Frampton
BACKGROUND: Bariatric (weight loss) surgery for obesity is considered when other treatments have failed. The effects of the available bariatric procedures compared with medical management and with each other are uncertain. This is an update of a Cochrane review first published in 2003 and most recently updated in 2009. OBJECTIVES: To assess the effects of bariatric surgery for overweight and obesity, including the control of comorbidities. SEARCH METHODS: Studies were obtained from searches of numerous databases, supplemented with searches of reference lists and consultation with experts in obesity research...
August 8, 2014: Cochrane Database of Systematic Reviews
Wei-Jei Lee, Keong Chong, Yu-Hung Lin, Jih-Hua Wei, Shu-Chun Chen
BACKGROUND: Bariatric surgery may be beneficial in mildly obese patients with poorly controlled diabetes. The optimal procedure to achieve diabetes remission is unknown. In 2011, we published the short-term results of a pilot study designed to evaluate the efficacy of diabetic control and the role of duodenal exclusion in mildly obese diabetic patients undergoing laparoscopic sleeve gastrectomy (SG) vs. a laparoscopic single anastomosis (mini-) gastric bypass (SAGB). This study analyzes the 5-year results and evaluates the incretin effect...
September 2014: Obesity Surgery
Po-Jen Yang, Wei-Jei Lee, Ping-Huei Tseng, Po-Huang Lee, Ming-Tsan Lin, Wei-Shiung Yang
BACKGROUND: Recent studies have shown serum lipopolysaccharide binding protein (LBP) is associated with obesity and related metabolic disorder. Bariatric surgery can significantly reduce weight, but reports about the change of LBP after bariatric surgery are limited. We investigated LBP concentration and its associations with clinical variables. METHODS: We enrolled 178 obese patients receiving different bariatric surgeries and 38 normal weight individuals. Fasting blood samples were collected at baseline in all and 1 year after surgery in obese individuals...
November 2014: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
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