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Titre du Document
Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: A comparative study of 290 patients
Auteur(s)
MOGNOL Philippe ; CHOSIDOW Denis ; MARMUSE Jean-Pierre
Résumé
Background: Controversy exists regarding the best surgical treatment for super-obesity (BMI >50 kg/m2). The two most common bariatric procedures performed worldwide are laparoscopic adjustable gastric banding (LAGB) and laparoscopic Roux-en-Y gastric bypass (LRYGBP). We undertook a retrospective single-center study to compare the safety and efficacy of these two operations In super-obese patients. Methods: 290 super-obese patients underwent laparoscopic bariatric surgery: 179 LAGS and 111 LRYGBP. Results: There were one death in both groups. The early complication rate was higher in the LAGS group (10% vs 2.8%, P<0.01). Late complication rate was higher In the LAGB group (26% vs 15.3%, P<0.05). Operating time and hospital stay were significantly higher in the LRYGBP group. LRYGBP had significantly better excess weight loss than LAGB (63% vs 41% at 1 year, and 73% vs 46% at 2 years), as well as lower BMI than LAGS (35 vs 41 at 18 months). Conclusion: LRYGBP results in significantly greater weight loss than LAGS in super-obese patients, but is associated with a higher early complication rate.
Editeur
Springer
Identifiant
PMID : 15760503 ISSN : 0960-8923
Source
Obesity surgery A. 2005, vol. 15, n° 1, pp. 76-81 [6 pages]
Langue
Anglais
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