Roux-en-Y Gastric Bypass Vs Sleeve Gastrectomy in Super Obesity: a Systematic Review and Meta-Analysis

Data de publicação:

Autores da FMUP

Participantes de fora da FMUP

  • Gomes Rocha, SR
  • Pinho, A.
  • Pais Neto, CC
  • Nogueiro, JPM
  • Carneiro, S.
  • Lima da Costa, EJ
  • Bouca Machado, R
  • Preto, J.

Unidades de investigação

Abstract

Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are safe procedures that may present sub-optimal results in superobesity (SO). A meta-analysis was performed aiming to summarize the available evidence on weight loss (primary outcome) and comorbidities resolution of LRYGB and LSG in patients with SO (BMI >= 50 kg/m(2)). From the 16 included studies, 7 integrated the meta-analysis. LRYGB showed a significantly higher weight loss at 6 to 12-months, but not after 24 months and a higher dyslipidemia resolution at 12 months. When compared with LSG, LRYGB achieved better weight loss after 6 and 12 months and higher dyslipidemia resolution after 1 year. There were no significant differences for resolution of the other co-morbidities studied.

Dados da publicação

ISSN/ISSNe:
0960-8923, 1708-0428

Obesity Surgery  Springer New York

Tipo:
Article
Páginas:
170-185
Link para outro recurso:
www.scopus.com

Citações Recebidas na Scopus: 24

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Keywords

  • Gastrectomy; Gastric Bypass; Humans; Laparoscopy; Obesity; Obesity, Morbid; Treatment Outcome; Weight Loss; body weight loss; comorbidity; diabetes mellitus; dyslipidemia; follow up; human; hypertension; laparoscopic sleeve gastrectomy; meta analysis; obesity; operation duration; quality control; Review; Roux-en-Y gastric bypass; sleep disordered breathing; systematic review; gastrectomy; gastric bypass surgery; laparoscopy; morbid obesity; obesity; procedures; treatment outcome

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