Cargando…
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...
Autores principales: | , , , , , , , , |
---|---|
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 |
_version_ | 1782339757315981312 |
---|---|
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. |
format | Online Article Text |
id | pubmed-4198654 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT lehmannandrzej comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding AT bobowiczmaciej comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding AT lechpaweł comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding AT orłowskimichał comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding AT siczewskiwiaczesław comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding AT pawlakmaciej comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding AT swietlikdariusz comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding AT witzlingmieczysław comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding AT michalikmaciej comparisonofpercentageexcessweightlossafterlaparoscopicsleevegastrectomyandlaparoscopicadjustablegastricbanding |