Comparing the outcomes after laparoscopic versus open gastric bypass: a matched paired analysis.

Abstract:

BACKGROUND:Laparoscopic gastric bypass (LGBP) is being performed widely as a treatment of choice for morbid obesity. Advantages over open gastric bypass (OGBP) have not been well documented in controlled studies. The aim of this study is to evaluate the early postoperative outcomes after LGBP and OGBP using a matched paired analysis. METHODS:80 consecutive LGBP patients were matched by age, gender, preoperative BMI, and number of co-morbid medical conditions to 80 OGBP patients. Outcomes included length of stay (LOS), complications, percent excess weight lost (%EWL) and change in BMI over 1 year, time to return to normal activities, and quality of life (QOL). Continuous variables were analyzed using Wilcoxon Signed Ranks and discrete data were analyzed with McNemar tests. RESULTS:Baseline variables were matched (LGBP/OGBP); age 43/42, mean preoperative BMI 44/46, co-morbid conditions 2.5/2.8. LOS was significantly shorter in the LGBP vs. OGBP group (3.6 vs. 4.3 days). There was a trend to more major complications (internal hernias requiring reoperation) in the LGBP group that did not reach significance. Minor complications were comparable. %EWL was significantly better in the LGBP group at 3, 6, and 9 months, but was comparable to the OGBP group at 1 year (LGBP/OGBP, 69%/65%). BMI at 1 year was also similar (29 vs. 31). LGBP patients returned to normal activities sooner and had equivalent QOL outcomes. CONCLUSION:LGBP provides certain advantages over OGBB. LOS and time to return to normal activities are shorter and early weight loss results may be superior.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Courcoulas A,Perry Y,Buenaventura P,Luketich J

doi

10.1381/096089203765887624

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

341-6

issue

3

eissn

0960-8923

issn

1708-0428

journal_volume

13

pub_type

杂志文章
  • Internal hernia as a complication of laparoscopic Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Internal hernia (IH) is a well known complication of Roux-en-Y gastric bypass (RYGBP) which is more frequently encountered when the RYGBP is done laparoscopically. METHODS:Patients with IH were identified from a prospective data-base of morbidly obese patients undergoing bariatric surgery at our center. RE...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9229-5

    authors: Iannelli A,Buratti MS,Novellas S,Dahman M,Amor IB,Sejor E,Facchiano E,Addeo P,Gugenheim J

    更新日期:2007-10-01 00:00:00

  • Regional variations in gastric bypass surgery: results from the 2005 nationwide inpatient sample.

    abstract:BACKGROUND:The purpose of this study is to use nationally representative data to examine regional variations in the use and outcomes of gastric bypass surgery. METHODS:Using data from the Nationwide Inpatient Sample (NIS), we identified adults undergoing gastric bypass surgery (n = 92,910) in 2005. Following descripti...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9524-9

    authors: Weller WE,Rosati C

    更新日期:2008-10-01 00:00:00

  • Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has been used more frequently over the past 10 years. As the population ages, a larger number of older people will suffer from weight-related comorbidities, resulting in bariatric surgery becoming a dominant solution for improving health and quality of life. We assessed ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1735-2

    authors: Keren D,Matter I,Rainis T

    更新日期:2016-02-01 00:00:00

  • Pre-operative Bariatric Clinic Attendance Is a Predictor of Post-operative Clinic Attendance and Weight Loss Outcomes.

    abstract:AIM:Our primary aim was to determine whether non-attendance at pre-operative clinics were associated with non-attendance at post-operative clinics and its influence on weight loss. We also sought to examine the relationship between gender, ethnicity and post-operative clinic attendance with respect to weight loss post-...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03843-2

    authors: Shilton H,Gao Y,Nerlekar N,Evennett N,Ram R,Beban G

    更新日期:2019-07-01 00:00:00

  • Self-Reported Eating Disorder Symptoms Before and After Gastric Bypass and Duodenal Switch for Super Obesity--a 5-Year Follow-Up Study.

    abstract:BACKGROUND:This study assessed eating disorder pathology in persons with obesity before and after Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (DS), in a 5-year follow-up study. METHODS:Sixty participants with BMI 50-60 kg/m(2) were randomly assigned to RYGB (n = 31) or DS (n = 29...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-015-1790-8

    authors: Morseth MS,Hanvold SE,Rø Ø,Risstad H,Mala T,Benth JŠ,Engström M,Olbers T,Henjum S

    更新日期:2016-03-01 00:00:00

  • A comparison of wedge and needle hepatic biopsy in open bariatric surgery.

    abstract:BACKGROUND:Morbidly obese patients, despite normal laboratory tests and no clinical evidence of liver disease, present a high prevalence of hepatic histological changes. Liver biopsy is able to provide the diagnosis, staging and assessment of follow-up of hepatic disease, thus helping to define clinical management. The...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206775565159

    authors: Padoin AV,Mottin CC,Moretto M,Berleze D,Kupski C,Glock L,Reichel CL,da Silva VD,da Silva JB

    更新日期:2006-02-01 00:00:00

  • Relative contribution of modifiable versus non-modifiable factors as predictors of racial variance in roux-en-Y gastric bypass weight loss outcomes.

    abstract::African-Americans have been shown to have poorer weight loss outcomes after bariatric surgery, and many reasons for such outcomes have been postulated, including metabolic and genetic differences, socioeconomic factors, and differences in culture. African-Americans have also been noted to have differences from the maj...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1213-2

    authors: Limbach KE,Ashton K,Merrell J,Heinberg LJ

    更新日期:2014-08-01 00:00:00

  • Analysis of Early Job Market Experiences and Perceptions Among Bariatric Surgery Fellowship Graduates and Bariatric Surgery Program Directors.

    abstract:PURPOSE:Over the past decade, an increasing number of bariatric surgeons are trained in fellowships annually despite only a modest increase in nationwide bariatric surgery volume. The study surveys the bariatric surgery job market trend in order to inform better career-choice decisions for trainees interested in this f...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05150-7

    authors: Lu Y,Juo YY,Martin MJ,Dan AG,Banerjee A,Jones DB,Dakin GF,Jain-Spangler K,Chen Y

    更新日期:2021-01-06 00:00:00

  • Inversion Technique for the Removal of Partially Covered Self-Expandable Metallic Stents.

    abstract:BACKGROUND AND AIMS:Partially covered self-expandable metallic stents (PCSEMS), although an effective treatment for anastomotic/staple line leaks and strictures, can be difficult to remove. This study examines the effectiveness of the inversion technique for the removal of PCSEMS in the treatment of leaks and stricture...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2811-6

    authors: Hill C,Khalil BK,Barola S,Agnihotri A,Moran RA,Chen YI,Ngamruengphong S,Singh VK,Frame LA,Schweitzer MA,Magnuson TH,Khashab MA,Okolo PI 3rd,Kumbhari V

    更新日期:2018-01-01 00:00:00

  • Short- and long-term outcomes of vertical banded gastroplasty converted to Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Vertical banded gastroplasty (VBG) often necessitates revisional surgery for weight regain or symptoms related to gastric outlet obstruction. Roux-en-Y gastric bypass (RYGB) is considered as the revisional procedure of choice. However, revisional bariatric surgery is associated with relatively higher rates o...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0796-8

    authors: Vasas P,Dillemans B,Van Cauwenberge S,De Visschere M,Vercauteren C

    更新日期:2013-02-01 00:00:00

  • Upper Gastrointestinal Endoscopy prior to Bariatric Surgery-Mandatory or Expendable? An Analysis of 801 Cases.

    abstract:BACKGROUND:Upper gastrointestinal pathologies are common in bariatric patients. Preoperative esophagogastroduodenal endoscopy (EGD) should detect and treat pathologies that might alter the type of bariatric surgery. However, clinical consequences of these findings are often insignificant. The aim of this study was to a...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2622-9

    authors: Wolter S,Duprée A,Miro J,Schroeder C,Jansen MI,Schulze-Zur-Wiesch C,Groth S,Izbicki J,Mann O,Busch P

    更新日期:2017-08-01 00:00:00

  • Preoperative Prediction of Small Bowel Length Using CT Scan and Tridimensional Reconstructions: a New Tool in Bariatric Surgery?

    abstract:PURPOSE:During Roux-en-Y-gastric Bypass, the limb lengths are preoperatively determined regardless of individual small bowel length (SBL), which presents a great variability. Few studies highlighted anthropometric factors associated with SBL, and none attempted to predict SBL preoperatively. OBJECTIVE:The aim of this ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-3021-y

    authors: Marie L,Nacache R,Scemama U,Chatta I,Gaborit B,Berdah SV,Moutardier V,Chaumoitre K,Bège T

    更新日期:2018-05-01 00:00:00

  • No Difference in Ghrelin-Producing Cell Expression in Obese Versus Non-obese Stomach: a Prospective Histopathological Case-Control Study.

    abstract:BACKGROUND:To understand the role of ghrelin in the mechanism of action of laparoscopic sleeve gastrectomy (LSG), a prospective cohort case-control study to assess the expression of ghrelin-producing cells (GPC) in two groups of patients was designed. METHODS:Specimens of resected stomach from 26 obese patients who un...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3401-y

    authors: Musella M,Di Capua F,D'Armiento M,Velotti N,Bocchetti A,Di Lauro K,Galloro G,Campione S,Petrella G,D'Armiento FP

    更新日期:2018-11-01 00:00:00

  • Bariatric surgery: low mortality at a high-volume center.

    abstract:BACKGROUND:The American Society of Bariatric Surgery has initiated a Bariatric Surgery Center of Excellence Program and the American College of Surgeons has followed with their Bariatric Surgery Center Network Accreditation Program. These programs postulate that concentration of weight loss operations in high-volume ce...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9357-y

    authors: Ballantyne GH,Belsley S,Stephens D,Saunders JK,Trivedi A,Ewing DR,Iannace V,Davis D,Capella RF,Wasielewski A,Moran S,Schmidt HJ

    更新日期:2008-06-01 00:00:00

  • CoViD-19 Pandemic and Bariatric Surgery in Argentina.

    abstract::Argentina was able to anticipate public health interventions in order to flatten the contagion curve of CoViD-19. Eighty-three surgeons answered an online survey to assess the impact of the pandemic on bariatric surgery (BS) in Argentina. Most of them showed a high economic dependence on BS. Near 90% of health institu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05004-2

    authors: Beskow AF,Martinez-Duartez PR,Behrens Estrada EJ,Fiolo FE,Ramos AC

    更新日期:2020-12-01 00:00:00

  • Early postoperative insulin-resistance changes after sleeve gastrectomy.

    abstract:INTRODUCTION:Biliopancreatic diversion and gastric bypass are associated with a rapid improvement in insulin resistance few days after surgery. The purpose of this study was to evaluate the short-term effects in insulin resistance following sleeve gastrectomy (SG). MATERIALS AND METHODS:Between December 2007 and Septe...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-0017-2

    authors: Rizzello M,Abbatini F,Casella G,Alessandri G,Fantini A,Leonetti F,Basso N

    更新日期:2010-01-01 00:00:00

  • Esophageal Squamous Cell Carcinoma After Adjustable Gastric Banding.

    abstract::The prevalence of morbid obesity has been increasing worldwide. Therefore, multiple laparoscopic adjustable gastric bandings (LAGBs) have been placed in Belgium in the nineties. The procedure was considered as minimal invasive with low morbidity rates. However, some publication cases suggest a possible association bet...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03708-8

    authors: Janse P,Nafteux P,Lannoo M,Steger PH,Sirbu F

    更新日期:2019-03-01 00:00:00

  • Thoracic Duct Narrowing-Innovative Technique Restraining Weight Gain in Rats.

    abstract:BACKGROUND:The lymphatic system is responsible for the absorption of fats from the digestive system, conveying 60-70 % of ingested fat to the blood stream. From the anatomical point of view, all the lymphatic drainage from the lower half of the body converges in the abdomen to enter the thoracic duct. This experimental...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1917-y

    authors: Rosenzweig B,Barshack I,Harats D,Shaish A

    更新日期:2015-12-01 00:00:00

  • Duodenal-Jejunal Bypass Liner (DJBL) Improves Cardiovascular Risk Biomarkers and Predicted 4-Year Risk of Major CV Events in Patients with Type 2 Diabetes and Metabolic Syndrome.

    abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) represents a novel endoscopic minimally invasive treatment option for obesity-associated type 2 diabetes (T2D), affecting body weight and metabolic control. Until now, the effects of DJBL on cardiovascular risk have never been investigated. METHODS:Between 2012 and 2...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04324-2

    authors: Roehlen N,Laubner K,Bettinger D,Schwacha H,Hilger H,Koenig C,Grueninger D,Krebs A,Seufert J

    更新日期:2020-04-01 00:00:00

  • Enhanced Recovery after Surgery (ERAS): a Systematic Review of Randomised Controlled Trials (RCTs) in Bariatric Surgery.

    abstract:OBJECTIVE:Our aim was to conduct an up-to-date systematic review of randomised controlled trials (RCTs) to determine the benefits and harms of enhanced recovery after surgery (ERAS) programme in bariatric surgery. METHODS:MEDLINE, Embase, PubMed, CINAHL and the Cochrane Library were searched for RCTs on ERAS versus st...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-020-05000-6

    authors: Parisi A,Desiderio J,Cirocchi R,Trastulli S

    更新日期:2020-12-01 00:00:00

  • Does anatomy explain the origin of a leak after sleeve gastrectomy?

    abstract:BACKGROUND:Sleeve gastrectomy is a bariatric surgical procedure that may result in particular morbidity or mortality due to gastric fistula in the proximal part of the gastric tube. Two theories are currently proposed to explain this specific leak location. The vascular theory attributes the leaks to reduced perfusion ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1256-4

    authors: Perez M,Brunaud L,Kedaifa S,Guillotin C,Gerardin A,Quilliot D,Grosdidier G,Reibel N

    更新日期:2014-10-01 00:00:00

  • Erosive Esophagitis and Symptoms of Gastroesophageal Reflux Disease in Patients with Morbid Obesity with and without Type 2 Diabetes: a Cross-sectional Study.

    abstract:BACKGROUND:Type 2 diabetes (T2DM) is associated with gastroesophageal reflux disease (GERD) in the general population, but the relationship between these conditions in candidates for bariatric surgery is uncertain. We compared the prevalence of GERD and the association between GERD symptoms and esophagitis among bariat...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04545-w

    authors: Lorentzen J,Medhus AW,Hertel JK,Borgeraas H,Karlsen TI,Kolotkin RL,Sandbu R,Sifrim D,Svanevik M,Hofsø D,Seip B,Hjelmesæth J

    更新日期:2020-07-01 00:00:00

  • Laparoscopic Greater Curvature Plication for the Treatment of Obesity: a Systematic Review.

    abstract:BACKGROUND:During the last decade, laparoscopic greater curvature plication (LGCP) has been used as a bariatric procedure for the treatment of obesity, regarded as less invasive and less expensive than other surgical bariatric procedures. We aimed to systematically review the literature and highlight recent clinical da...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05112-z

    authors: El Soueidy T,Kassir R,Nakhoul M,Balian A,Nunziante M,Safieddine M,Perlemuter G,Lainas P,Dagher I

    更新日期:2020-11-19 00:00:00

  • Laparotomic vs laparoscopic lap-band: 4-year results with early and intermediate complications.

    abstract:BACKGROUND:Adjustable banding is safe, low invasive, and effective for losing weight. METHODS:69 patients underwent this procedure by laparotomy or laparoscopy. RESULTS:Patients operated by laparotomy lost more weight than those operated by laparoscopy, but in 4 patients we were forced to re-operate in order to remov...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089200321643584

    authors: De Luca M,de Werra C,Formato A,Formisano C,Loffredo A,Naddeo M,Forestieri P

    更新日期:2000-06-01 00:00:00

  • Laparoscopic Roux-en-Y Double Fistulo-Jejunostomy for Chronic Gastric Leaks After Converted Vertical Banded Gastroplasty to Sleeve Gastrectomy.

    abstract:BACKGROUND:As laparoscopic sleeve gastrectomy (LSG) is becoming the most popular bariatric procedure worldwide, treatment options for managing complications, in particular gastric leaks, are also emerging. Staple line leak is a major short-term complication of the procedure. Patients with persistent gastric leaks after...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04255-y

    authors: Amor IB,Lainas P,Kassir R,Etienne JH,Casanova V,Dagher I,Gugenheim J

    更新日期:2020-01-01 00:00:00

  • Trends in Bariatric Surgery: Procedure Selection, Revisional Surgeries, and Readmissions.

    abstract:BACKGROUND:There are limited data quantifying national trends, post-operative readmissions, and revisional surgeries for bariatric procedures. We hypothesized that there is a trend away from Roux en Y gastric bypass (RYGB) and laparoscopic adjustable gastric bands (LAGB) in favor of vertical sleeve gastrectomies (VSG)....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1974-2

    authors: Abraham A,Ikramuddin S,Jahansouz C,Arafat F,Hevelone N,Leslie D

    更新日期:2016-07-01 00:00:00

  • Jejunojejunal anastomotic obstruction following laparoscopic Roux-en-Y gastric bypass due to non-absorbable suture: a report of seven cases.

    abstract:INTRODUCTION:Small bowel obstruction (SBO) is a well-known complication of laparoscopic Roux-en-Y gastric bypass (LRYGBP). We describe 7 cases of jejunojejunal anastomotic obstruction related to adhesion formation after closure of the mesenteric "leaves" defect with non-absorbable suture. METHODS:All patients undergoi...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206775222131

    authors: Gumbs AA,Duffy AJ,Chandwani R,Bell RL

    更新日期:2006-01-01 00:00:00

  • Analysis of Predictors of Type 2 Diabetes Mellitus Remission After Roux-en-Y Gastric Bypass in 101 Chinese Patients.

    abstract:BACKGROUND:To investigate prognostic factors for complete remission in type 2 diabetes mellitus (T2DM) patients who underwent gastric bypass (GBP) and to establish a prognostic model for risk stratification. METHODS:We evaluated the baseline clinical features of patients with T2DM who received at Beijing Tian Tan Hosp...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03783-x

    authors: Yan W,Bai R,Li Y,Xu J,Zhong Z,Xing Y,Yan M,Lin Y,Song M

    更新日期:2019-06-01 00:00:00

  • Oral liquid L-thyroxine (L-t4) may be better absorbed compared to L-T4 tablets following bariatric surgery.

    abstract::Drug malabsorption is a potential concern after bariatric surgery. We present four case reports of hypothyroid patients who were well replaced with thyroxine tablets to euthyroid thyrotropin (TSH) levels prior to Roux-en-Y gastric bypass surgery. These patients developed elevated TSH levels after the surgery, the TSH ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-1015-y

    authors: Pirola I,Formenti AM,Gandossi E,Mittempergher F,Casella C,Agosti B,Cappelli C

    更新日期:2013-09-01 00:00:00

  • Primary hyperparathyroidism after Roux-en-Y gastric bypass.

    abstract:BACKGROUND:Primary hyperparathyroidism (PHPT) in the setting of previous roux-en-Y gastric bypass (RYGBP) is not well described. The diagnosis can be difficult, as secondary hyperparathyroidism (SHPT) commonly occurs in patients after RYGBP due to calcium malabsorption and vitamin D deficiency. METHODS:All patients fr...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1444-2

    authors: Chen Y,Lubitz CC,Shikora SA,Hodin RA,Gaz RD,Moore FD Jr,McKenzie TJ

    更新日期:2015-04-01 00:00:00