Clinical efficacy of laparoscopic sleeve gastrectomy vs laparoscopic gastric bypass in obese type 2 diabetic patients: a retrospective comparison.

Abstract:

BACKGROUND:Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are performed in patients with obesity and type 2 diabetes mellitus (T2DM). The aim of this study is to evaluate retrospectively the clinical efficacy of RYGB and SG in two groups of obese T2DM patients. METHODS:From the hospital database, we extracted the clinical records of 31 obese T2DM patients, of whom 15 (7 F/8 M) had undergone laparoscopic SG (LSG) and 16 (7 F/9 M) laparoscopic RYGB (LRYGB) in the period 2005-2008. The groups were comparable for age (range 33-59 years) and BMI (range 38-57 kg/m(2)). LRYGB alimentary limb was 150 cm, and biliopancreatic limb was 150 cm from the Treitz ligament. LSG vertical transection was calibrated on a 40-Fr orogastric bougie. Data were analysed at 6, 12 and 18-24 months with reference to weight loss and remission of comorbidities. RESULTS:The reduction in body weight was comparable in the two groups. At 18-24 months the percent BMI reduction was 29 ± 8 and 33 ± 11 % in LSG and LRYGB, respectively. Percent excess weight loss was 53 ± 16 and 52 ± 19 % in LSG and LRYGB, respectively. Thirteen patients in LSG and 14 patients in LRYGB discontinued their hypoglycaemic medications. Five (55 %) patients in LSG and eight (89 %) in LRYGB discontinued antihypertensive drugs. Three out of five patients in LSG and one out of two patients in LRYGB withdrew lipid-lowering agents. CONCLUSIONS:LSG and LRYGB are equally effective in terms of weight loss and remission of obesity-related comorbidities. Controlled long-term comparisons are needed to establish the optimal procedure in relation to patients' characteristics.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Cutolo PP,Nosso G,Vitolo G,Brancato V,Capaldo B,Angrisani L

doi

10.1007/s11695-012-0657-5

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1535-9

issue

10

eissn

0960-8923

issn

1708-0428

journal_volume

22

pub_type

杂志文章
  • Prediction of successful weight reduction after bariatric surgery by data mining technologies.

    abstract:BACKGROUND:Surgery is the only long-lasting effective treatment for morbid obesity. Prediction on successful weight loss after surgery by data mining technologies is lacking. We analyze the available information during the initial evaluation of patients referred to bariatric surgery by data mining methods for predictor...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9322-9

    authors: Lee YC,Lee WJ,Lee TS,Lin YC,Wang W,Liew PL,Huang MT,Chien CW

    更新日期:2007-09-01 00:00:00

  • Pre- and postoperative nutritional deficiencies in obese patients undergoing laparoscopic sleeve gastrectomy.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) has been identified as an innovative surgical approach for the treatment of obesity and is increasingly applied worldwide. However, data on outcome of LSG regarding nutrient deficiencies, protein status, and body composition are scarce. METHODS:Obese subjects (54; f:m =...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0609-0

    authors: Damms-Machado A,Friedrich A,Kramer KM,Stingel K,Meile T,Küper MA,Königsrainer A,Bischoff SC

    更新日期:2012-06-01 00:00:00

  • Effectiveness of intragastric balloon treatment for obese patients: one-year follow-up after balloon removal.

    abstract:BACKGROUND:The Bioenterics Intragastric Balloon (BIB) is effective for weight loss. However, comparisons of its effectiveness between groups with different body mass index (BMI) are rare. This study compared the effectiveness of BIB treatment in patients with BMI <32 kg/m(2) and those with BMI ≥ 32 kg/m(2) at the time ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-013-1027-7

    authors: Tai CM,Lin HY,Yen YC,Huang CK,Hsu WL,Huang YW,Chang CY,Wang HP,Mo LR

    更新日期:2013-12-01 00:00:00

  • Fluid-Filled Versus Gas-Filled Intragastric Balloons as Obesity Interventions: a Network Meta-analysis of Randomized Trials.

    abstract:BACKGROUND:Four commercially available intragastric balloons have been used for the management of obesity and underwent randomized controlled trials (RCTs), and we aimed to compare them using a network meta-analysis approach. METHODS:Several databases were queried from inception to May 26, 2017, and we included RCTs e...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11695-018-3227-7

    authors: Bazerbachi F,Haffar S,Sawas T,Vargas EJ,Kaur RJ,Wang Z,Prokop LJ,Murad MH,Abu Dayyeh BK

    更新日期:2018-09-01 00:00:00

  • The effect of Roux-en-Y gastric bypass on zinc nutritional status.

    abstract:BACKGROUND:Researchers have found that zinc nutritional status in obese and diabetic subjects is altered: low zinc concentrations in plasma and erythrocytes, with high urinary zinc excretion, were observed. This study evaluated the effect of Roux-en-Y gastric bypass (RYGBP) on plasma, erythrocyte and urinary zinc conce...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9105-3

    authors: Pires LV,Martins LM,Geloneze B,Tambascia MA,Hadad do Monte SJ,do Nascimento Nogueira N,Santos de Sousa G,Marreiro DN

    更新日期:2007-05-01 00:00:00

  • Elipse™, a Procedureless Gastric Balloon for Weight Loss: a Proof-of-Concept Pilot Study.

    abstract:BACKGROUND:Endoscopic gastric balloons have been used effectively as weight loss devices for decades, but the requirement for endoscopy and sedation poses several limitations. The goal of this pilot study was to evaluate the safety and performance of a prototype version of Elipse™, a procedureless gastric balloon. MET...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1783-7

    authors: Machytka E,Chuttani R,Bojkova M,Kupka T,Buzga M,Stecco K,Levy S,Gaur S

    更新日期:2016-03-01 00:00:00

  • The Positive Effects of the Human Amniotic Membrane on the Healing of Staple Line After Sleeve Gastrectomy Applied Long-Evans Rat Model.

    abstract:BACKGROUND:The staple line leakage is a dangerous complication of sleeve gastrectomy. Various strategies have been tried to reduce the leakage risk. The amniotic membrane (AmM) is the inner layer of the placental membranes and has anti-inflammatory, anti-fibrosis, and anti-scarring effects, and it also has lower immune...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04027-8

    authors: Ferhatoglu MF,Kıvılcım T,Senol K,Vural G,Kartal A,İncir S,Filiz Aİ,Kebudi A

    更新日期:2019-11-01 00:00:00

  • Improving the diagnostic accuracy of hiatal hernia in patients undergoing bariatric surgery.

    abstract:BACKGROUND:Surgical correction of hiatal hernia (HH) during bariatric surgery has been found to improve patient outcomes and decrease reoperation rate. Although barium esophagram is more sensitive than endoscopy for detection of HH, accurate preoperative diagnosis remains a challenge. The aim of this study is to determ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0721-1

    authors: Heacock L,Parikh M,Jain R,Balthazar E,Hindman N

    更新日期:2012-11-01 00:00:00

  • Long-term results of vertical banded gastroplasty: Marlex versus Dacron banding.

    abstract:BACKGROUND:The VBG was originally performed with a Marlex band and characterized by a satisfactory weight loss and low morbidity. The effect of the material used for the banding procedure (Marlex vs Dacron) in vertical banded gastroplasty (VBG) is evaluated. METHODS:In 49 consecutive obese patients treated with a VBG,...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765556015

    authors: van Gemert WG,Greve JW,Soeters PB

    更新日期:1997-04-01 00:00:00

  • Laparoscopic adjustable gastric banding in a morbidly obese 18-year-old with hypertrophic cardiomyopathy.

    abstract::In this case report, we present an 18-year-old morbidly obese male with complicating hypertensive cardiomyopathy who underwent laparoscopic adjustable gastric band surgery. The patient had multiple comorbidities associated with his obesity, including obstructive sleep apnea, systemic hypertension, asthma, and depressi...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9330-9

    authors: Waipa J,Dutta S,Albanese CT,Morton JM

    更新日期:2008-03-01 00:00:00

  • Efficacy and Safety of the Over-the-Scope Clip (OTSC) System in the Management of Leak and Fistula After Laparoscopic Sleeve Gastrectomy: a Systematic Review.

    abstract:BACKGROUND:Endoscopic management of leaks/fistulas after laparoscopic sleeve gastrectomy (LSG) is gaining popularity in the bariatric surgery. OBJECTIVES:This study aimed to review the efficacy and safety of over-the-scope-clip (OTSC) system in endoscopic closure of post-LSG leak/fistula. METHODS:PubMed/Medline and m...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-017-2651-4

    authors: Shoar S,Poliakin L,Khorgami Z,Rubenstein R,El-Matbouly M,Levin JL,Saber AA

    更新日期:2017-09-01 00:00:00

  • Update: Why diabetes does not resolve in some patients after bariatric surgery.

    abstract::Bariatric surgery provides resolution of co-morbidities of morbid obesity-importantly diabetes type 2. This is initiated by immediate postoperative decrease in intake or assimilation of glucose and is continued by the substantial loss of adipose tissue. Greater weight loss and greater resolution of type 2 diabetes occ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0329-2

    authors: Deitel M

    更新日期:2011-06-01 00:00:00

  • Bariatric Surgery Impact on Reproductive Hormones, Semen Analysis, and Sperm DNA Fragmentation in Men with Severe Obesity: Prospective Study.

    abstract:PURPOSE:Growing evidence in the literature suggests that obesity is capable of altering reproductive hormone levels and male fertility. Effects on classic semen parameters and sperm DNA fragmentation (SDF), however, have not been properly established. Additionally, the impact of bariatric surgery (BS) on those paramete...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04851-3

    authors: Wood GJA,Tiseo BC,Paluello DV,de Martin H,Santo MA,Nahas W,Srougi M,Cocuzza M

    更新日期:2020-12-01 00:00:00

  • An assessment of patient behavioral requirements pre- and post-surgery at accredited weight loss surgical centers.

    abstract:BACKGROUND:Without changes to diet and exercise behaviors, weight losses achieved through surgical procedures may be short lived. There is no data currently available on how accredited bariatric facilities are implementing best-practice guidelines related to behavioral and psychological care to help patients make long-...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0366-5

    authors: Peacock JC,Zizzi SJ

    更新日期:2011-12-01 00:00:00

  • Metabolic Outcomes of Laparoscopic Diverted Sleeve Gastrectomy with Ileal Transposition (DSIT) in Obese Type 2 Diabetic Patients.

    abstract:BACKGROUND:Bariatric surgical techniques are based on mechanical restriction rather than functional restriction. Our purpose is to analyze the outcomes of diverted sleeve gastrectomy with ileal transposition (DSIT) as a mode of functional restrictive therapeutic option for class II and class III obese type 2 diabetes m...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1671-1

    authors: Celik A,Ugale S,Ofluoglu H,Vural E,Cagiltay E,Cat H,Asci M,Celik BO

    更新日期:2015-11-01 00:00:00

  • Gastric Bypass-Related Effects on Glucose Control, β Cell Function and Morphology in the Obese Zucker Rat.

    abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGB) may improve beta cell function by mechanisms other than caloric restriction and body weight loss. We aimed to assess the impact of anatomical and hormonal alterations specific to RYGB on glucose homeostasis, β cell function and morphology. METHODS:Male Zucker(fa/fa) rats unde...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1882-5

    authors: Seyfried F,Miras AD,Rotzinger L,Nordbeck A,Corteville C,Li JV,Schlegel N,Hankir M,Fenske W,Otto C,Jurowich C

    更新日期:2016-06-01 00:00:00

  • Assessment of the effects of a taped cognitive behavior message on postoperative complications (therapeutic suggestions under anesthesia).

    abstract:BACKGROUND:The authors studied whether playing a taped cognitive-behavior message during and immediately following bariatric surgery will improve performance of a postoperative regimen designed to enhance recovery. METHODS:The double-blinded placebo-controlled study consisted of 27 morbidly obese bariatric surgical pa...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1381/09608920160556779

    authors: Cowan GS Jr,Buffington CK,Cowan GS 3rd,Hathaway D

    更新日期:2001-10-01 00:00:00

  • Incidence of cancer following bariatric surgery: systematic review and meta-analysis.

    abstract::Obesity is linked to the development of cancer. Previous studies have suggested that there is a relationship between bariatric surgery and reduced cancer risk. Data sources were from Medline, Embase, and Cochrane Library. From 951 references, 13 studies met the inclusion criteria (54,257 participants). In controlled s...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11695-014-1276-0

    authors: Casagrande DS,Rosa DD,Umpierre D,Sarmento RA,Rodrigues CG,Schaan BD

    更新日期:2014-09-01 00:00:00

  • Sleeve Gastrectomy Reversed Obesity-Induced Hypogonadism in a Rat Model by Regulating Inflammatory Responses in the Hypothalamus and Testis.

    abstract:BACKGROUND:Obesity is a metabolic disease with a serious health burden in children and adults, and it induces a variety of conditions including subfecundity. Sleeve gastrectomy showed encouraging results in terms of weight loss and improve quality of life, and this study aimed to determine whether sleeve gastrectomy co...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3150-y

    authors: Xiang J,Bian C,Wan X,Zhang Q,Huang S,Wu D

    更新日期:2018-08-01 00:00:00

  • γ-Glutamyltransferase Fractions in Obese Subjects with Type 2 Diabetes: Relation to Insulin Sensitivity and Effects of Bariatric Surgery.

    abstract:BACKGROUND/OBJECTIVES:Gamma-glutamyltranspeptidase (GGT) levels are an independent risk marker for the development of type 2 diabetes (T2DM). We investigated the relationship between the newly identified serum GGT fractions and glucose metabolism in obese subjects before and after bariatric surgery. SUBJECTS/METHODS:T...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-3017-7

    authors: Franzini M,Musetti V,Guarino D,Caponi L,Paolicchi A,Emdin M,Ferrannini E,Nannipieri M

    更新日期:2018-05-01 00:00:00

  • 42-month preliminary follow-up of the silastic ring vertical banded gastroplasty.

    abstract:BACKGROUND:The authors review preliminary experience with silastic ring vertical gastroplasty (SRVG). METHODS:Of 202 patients who underwent SRVG, 191 are more than 3 months postoperation and of these 165 were accessible for review. RESULTS:Pouch volume could not be readily measured. The TA90BN stapler was occasionall...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765555278

    authors: Stoner J,Stoner P,Sytsma J

    更新日期:1997-12-01 00:00:00

  • Effects of modified biliopancreatic diversion on glucose tolerance of GK rats.

    abstract:BACKGROUND:The purpose of this study was to investigate the hypoglycemic effect of new biliopancreatic diversion and duodenal-jejunal bypass in Goto-Kakizaki rats and observe effects of the new surgical procedure on the glucose tolerance of GK rats. METHODS:Twenty-four 10-week-old rats (SPF grade) were randomly divide...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-012-0830-x

    authors: Weng SG,Zhang B,Feng S,Xu CG,Lin CZ

    更新日期:2013-04-01 00:00:00

  • Incidence of regurgitation after the banded gastric bypass.

    abstract:BACKGROUND:Frequent regurgitation is a common complication following Roux-en-Y gastric bypass (RYGBP). This study investigated the risk of becoming a chronic regurgitator, by considering silicone ring size and lower esophageal sphincter (LES) function, and their relationship with weight loss. METHODS:80 morbidly obese...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1381/096089205774859209

    authors: Arasaki CH,Del Grande JC,Yanagita ET,Alves AK,Oliveira DR

    更新日期:2005-11-01 00:00:00

  • Surgical treatment of morbid obesity by adjustable gastric band: the case for a conservative strategy in the case of failure - a 9-year series.

    abstract:BACKGROUND:Lapaparoscopic adjustable gastric banding (LAGB) has become a widespread method to treat morbid obesity. Long-term complications and failures require a strategy for reoperation. METHODS:1,180 patients have been operated on from April 1995 to December 2003. 151 had reoperation for complications (12.7%) exclu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892041719545

    authors: Dargent J

    更新日期:2004-08-01 00:00:00

  • Prediction of whole-body and segmental body composition by bioelectrical impedance in morbidly obese subjects.

    abstract:BACKGROUND:Validated equations for body composition analysis using bioelectrical impedance (BIA) in morbidly obese (MO) subjects are scarce. Thus, our aim was todevelop new equations from physical and BIA parameters to estimate whole-body and segmental body composition inMO subjects, with dual-energy X-ray absorptiomet...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0570-3

    authors: Jiménez A,Omaña W,Flores L,Coves MJ,Bellido D,Perea V,Vidal J

    更新日期:2012-04-01 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

  • Weight reduction after an early version of the open gastric bypass for morbid obesity: results after 23 years.

    abstract:BACKGROUND:While numerous promising short-term results of open gastric bypass for morbid obesity were published, the long-term outcome of earlier versions was somewhat disappointing. Thus, it was not until 1993 that this procedure was reintroduced with current modifications and now performed laparoscopically. Published...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206776116543

    authors: Günther K,Vollmuth J,Weissbach R,Hohenberger W,Husemann B,Horbach T

    更新日期:2006-03-01 00:00:00

  • Helicobacter pylori-induced Diarrhea Ileogastrostomy.

    abstract::A retrospective study of all ileogastrostomy procedures (n = 26) performed in 1993 by one surgeon (IGMC) was carried out to investigate the hypothesis that Helicobacter pylori may be implicated in certain severe cases of postoperation nausea and diarrhea. Ten of 26 persons (38.5%) displayed nausea and notable diarrhea...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089294765558548

    authors: Cleator IG,Rae AJ,Birmingham CL

    更新日期:1994-08-01 00:00:00

  • Development of a porcine Roux-en-Y gastric bypass survival model for the study of post-surgical physiology.

    abstract:BACKGROUND:Rodents have been used to examine physiologic changes after bariatric surgery, but differences in gastric/vagal anatomy may limit their utility. Swine may be a more appropriate animal model because of anatomic and physiologic similarities to humans. The aim of this study was to establish a survival model of ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9237-5

    authors: Flum DR,Devlin A,Wright AS,Figueredo E,Alyea E,Hanley PW,Lucas MK,Cummings DE

    更新日期:2007-10-01 00:00:00

  • Examining Nutrition Knowledge of Bariatric Surgery Patients: What Happens to Dietary Knowledge over Time?

    abstract:BACKGROUND:Nutrition education is a standard of care in bariatric surgery clinical practice guidelines. Despite its known importance, no studies have documented the trajectory of nutrition knowledge over the course of the bariatric surgery process. Primary objectives included determining changes in bariatric surgery nu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-015-1846-9

    authors: Taube-Schiff M,Chaparro M,Gougeon L,Shakory S,Weiland M,Warwick K,Plummer C,Sockalingam S

    更新日期:2016-05-01 00:00:00