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

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dc.contributor.authorBoza, Camilo
dc.contributor.authorGamboa, Cristian
dc.contributor.authorSalinas, Jose
dc.contributor.authorAchurra, Pablo
dc.contributor.authorVega, Andrea
dc.contributor.authorPerez, Gustavo
dc.date.accessioned2024-01-10T12:40:01Z
dc.date.available2024-01-10T12:40:01Z
dc.date.issued2012
dc.description.abstractBackground: Laparoscopic sleeve gastrectomy (LSG) has become a popular surgical procedure among bariatric surgeons. Few studies have compared the efficacy of the procedure to laparoscopic Roux-en-Y gastric bypass (LRYGB). We performed a case-control study to assess the surgical results, weight progression, and remission of co-morbid conditions.
dc.description.abstractMethods: From January 2006 to September 2009, we selected 811 patients undergoing LSG as a primary procedure. These patients were matched by age, body mass index, and gender to 786 patients undergoing LRYGB. The complication rate, mortality, and percentage of excess weight loss after 1, 2, and 3 years were analyzed.
dc.description.abstractResults: The mean age for the LRYGB and LSG groups was 37.0 +/- 10.3 and 36.4 +/- 11.7 years, respectively (P = .120). Most of the patients were women (LRYGB 76.6% versus LSG 76.2%; P = .855). The preoperative body mass index before surgery was similar in both groups (LRYGB 38.0 +/- 3.2 versus LSG 37.9 +/- 4.6 kg/m(2); P = .617). The mean operative, time was longer for LRYGB (106.2 +/- 33.2 versus 76.6 +/- 28.0 min; P < .001), and the hospital stay was longer for LRYGB (3.4 +/- 4.4 versus 2.8.8 for LSG; P < .001). The early complication rate was 7.1% for LRYGB and 2.9% for LSG (P < .001), and the suture leak rate was .7% for LRYGB and .5% for LSG (P = NS). The percentage of excess weight loss for LRYGB versus LSG at 1, 2, and 3 years was 97.2% +/- 24.3% versus 86.4% +/- 26.4% (P < .001), 94.6% +/- 30.2% versus 84.1% +/- 28.3% (P < .001), and 93.1% +/- 25.0% versus 86.8% +/- 27.1% (P = .082), respectively. The total cholesterol level at 1 year for LRYGB versus LSG was 169.0 +/- 32.9 versus 193.6 +/- 38.7 mg/dL, respectively (P < .001), and the rate of diabetes remission was similar in both groups (LRYGB 86.6% versus LSG 90.9%).
dc.description.abstractConclusion: LSG has become an acceptable primary bariatric procedure for obesity, with results comparable to LRYGB in this population. (Surg Obes Relat Dis 2012;8:243-249.) (C) 2012 Published by Elsevier Inc. on behalf of American Society for Metabolic and Bariatric Surgery.
dc.fechaingreso.objetodigital09-04-2024
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.soard.2011.08.023
dc.identifier.eissn1878-7533
dc.identifier.issn1550-7289
dc.identifier.pubmedidMEDLINE:22285881
dc.identifier.urihttps://doi.org/10.1016/j.soard.2011.08.023
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/77261
dc.identifier.wosidWOS:000304520900001
dc.information.autorucMedicina;Achurra P ;S/I;156236
dc.information.autorucMedicina;Boza C ;S/I;761
dc.information.autorucMedicina;Perez G ;S/I;5510
dc.information.autorucMedicina;Salinas J;S/I;119068
dc.information.autorucMedicina;Vega A ;S/I;142474
dc.issue.numero3
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final249
dc.pagina.inicio243
dc.publisherELSEVIER SCIENCE INC
dc.revistaSURGERY FOR OBESITY AND RELATED DISEASES
dc.rightsacceso restringido
dc.subjectLaparoscopic sleeve gastrectomy
dc.subjectLaparoscopic gastric bypass
dc.subjectObesity surgery
dc.subjectExcess weight loss
dc.subjectHIGH-RISK PATIENTS
dc.subjectBARIATRIC SURGERY
dc.subjectBILIOPANCREATIC DIVERSION
dc.subjectWEIGHT-LOSS
dc.subject1ST STAGE
dc.subjectTHROMBOSIS
dc.subjectOPERATION
dc.subjectGHRELIN
dc.subjectOBESITY
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleLaparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy: a case-control study and 3 years of follow-up
dc.typeartículo
dc.volumen8
sipa.codpersvinculados156236
sipa.codpersvinculados761
sipa.codpersvinculados5510
sipa.codpersvinculados119068
sipa.codpersvinculados142474
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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