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

Autores da FMUP

• 

  Altamiro Manuel Rodrigues Da Costa Pereira

  Autor

• Hugo Miguel Teixeira Ferraz Santos Sousa

  Autor

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

• Cirurgia e Fisiologia

• Laboratório Associado RISE- Rede de Investigação em Saúde

  

  Investigador

  Fernando Carlos De Landér Schmitt

• Medicina da Comunidade, Informação e Decisão em Saúde

• RISE-Health

  

  Investigador

  Fernando Carlos De Landér Schmitt

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.

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