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Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding

INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) are acceptable options for primary bariatric procedures in patients with body mass index (BMI) 35–55 kg/m(2). AIM: The aim of this study is to compare the effects of these two bariatric procedures...

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Autores principales: Lehmann, Andrzej, Bobowicz, Maciej, Lech, Paweł, Orłowski, Michał, Siczewski, Wiaczesław, Pawlak, Maciej, Świetlik, Dariusz, Witzling, Mieczysław, Michalik, Maciej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198654/
https://www.ncbi.nlm.nih.gov/pubmed/25337157
http://dx.doi.org/10.5114/wiitm.2014.44257
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author Lehmann, Andrzej
Bobowicz, Maciej
Lech, Paweł
Orłowski, Michał
Siczewski, Wiaczesław
Pawlak, Maciej
Świetlik, Dariusz
Witzling, Mieczysław
Michalik, Maciej
author_facet Lehmann, Andrzej
Bobowicz, Maciej
Lech, Paweł
Orłowski, Michał
Siczewski, Wiaczesław
Pawlak, Maciej
Świetlik, Dariusz
Witzling, Mieczysław
Michalik, Maciej
author_sort Lehmann, Andrzej
collection PubMed
description INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) are acceptable options for primary bariatric procedures in patients with body mass index (BMI) 35–55 kg/m(2). AIM: The aim of this study is to compare the effects of these two bariatric procedures 6, 12 and 24 months after surgery. MATERIAL AND METHODS: Two hundred and two patients were included 72 LSG and 130 LAGB patients. The average age was 38.8 ±11.9 and 39.4 ±10.4 years in LSG and LAGB groups, with initial BMI of 44.1 kg/m(2) and 45.2 kg/m(2), p = NS. RESULTS: The mean percentage of excess weight loss (%EWL) at 6 months for LSG vs. LAGB was 36.3% vs. 30.1% (p = 0.01) and at 12 months was 43.8% vs. 34.6% (p = 0.005). The greatest difference in the mean %EWL at 12 months was observed in patients with initial BMI of 40–49.9 kg/m(2) in favor of LSG (47.5% vs. 35.6%; p = 0.01). Two years after surgery there was no advantage of LSG and in the subgroup of patients with BMI 50–55 kg/m(2) there was a trend in favor of LAGB (57.2% vs. 30%; p = 0.07). The multiple regression model of independent variables (age, gender, initial BMI and the presence of comorbidities) proved insignificant in prediction of the best outcome in means of %EWL for either operative modality. None of these factors in the logistic regression model could determine the type of surgery that should be used in particular patients. CONCLUSIONS: During the first 2 years after surgery, the best results were obtained in women with lower BMI undergoing LSG surgery. The LSG provides greater %EWL after a shorter period of time though the difference decreases in time.
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spelling pubmed-41986542014-10-21 Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding Lehmann, Andrzej Bobowicz, Maciej Lech, Paweł Orłowski, Michał Siczewski, Wiaczesław Pawlak, Maciej Świetlik, Dariusz Witzling, Mieczysław Michalik, Maciej Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) are acceptable options for primary bariatric procedures in patients with body mass index (BMI) 35–55 kg/m(2). AIM: The aim of this study is to compare the effects of these two bariatric procedures 6, 12 and 24 months after surgery. MATERIAL AND METHODS: Two hundred and two patients were included 72 LSG and 130 LAGB patients. The average age was 38.8 ±11.9 and 39.4 ±10.4 years in LSG and LAGB groups, with initial BMI of 44.1 kg/m(2) and 45.2 kg/m(2), p = NS. RESULTS: The mean percentage of excess weight loss (%EWL) at 6 months for LSG vs. LAGB was 36.3% vs. 30.1% (p = 0.01) and at 12 months was 43.8% vs. 34.6% (p = 0.005). The greatest difference in the mean %EWL at 12 months was observed in patients with initial BMI of 40–49.9 kg/m(2) in favor of LSG (47.5% vs. 35.6%; p = 0.01). Two years after surgery there was no advantage of LSG and in the subgroup of patients with BMI 50–55 kg/m(2) there was a trend in favor of LAGB (57.2% vs. 30%; p = 0.07). The multiple regression model of independent variables (age, gender, initial BMI and the presence of comorbidities) proved insignificant in prediction of the best outcome in means of %EWL for either operative modality. None of these factors in the logistic regression model could determine the type of surgery that should be used in particular patients. CONCLUSIONS: During the first 2 years after surgery, the best results were obtained in women with lower BMI undergoing LSG surgery. The LSG provides greater %EWL after a shorter period of time though the difference decreases in time. Termedia Publishing House 2014-07-23 2014-09 /pmc/articles/PMC4198654/ /pubmed/25337157 http://dx.doi.org/10.5114/wiitm.2014.44257 Text en Copyright © 2014 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Lehmann, Andrzej
Bobowicz, Maciej
Lech, Paweł
Orłowski, Michał
Siczewski, Wiaczesław
Pawlak, Maciej
Świetlik, Dariusz
Witzling, Mieczysław
Michalik, Maciej
Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding
title Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding
title_full Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding
title_fullStr Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding
title_full_unstemmed Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding
title_short Comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding
title_sort comparison of percentage excess weight loss after laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198654/
https://www.ncbi.nlm.nih.gov/pubmed/25337157
http://dx.doi.org/10.5114/wiitm.2014.44257
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