A meta-analysis of 2-year effect after surgery: laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for morbid obesity and diabetes mellitus.

Abstract:

:Literature search was performed for bariatric surgery from inception to September 2013, in which the effects of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) on body mass index (BMI), percentage of excess weight loss (EWL%), and diabetes mellitus (DM) were compared 2 years post-surgery. A total of 9,756 cases of bariatric surgery from 16 studies were analyzed. Patients receiving LRYGB had significantly lower BMI and higher EWL% compared with those receiving LSG (BMI mean difference (MD) = -1.38, 95% confidence interval (CI) = -1.72 to -1.03; EWL% MD = 5.06, 95% CI = 0.24 to 9.89). Improvement rate of DM was of no difference between the two types of bariatric surgeries (RR = 1.05, 95% CI = 0.90 to 1.23). LRYGB had better long-term effect on body weight, while both LRYGB and LSG showed similar effects on DM.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Zhang C,Yuan Y,Qiu C,Zhang W

doi

10.1007/s11695-014-1303-1

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

1528-35

issue

9

eissn

0960-8923

issn

1708-0428

journal_volume

24

pub_type

杂志文章,meta分析
  • Glycemic Control after Sleeve Gastrectomy and Roux-En-Y Gastric Bypass in Obese Subjects with Type 2 Diabetes Mellitus.

    abstract:BACKGROUND:Roux-en-Y gastric bypass (LRYGB) has weight-independent effects on glycemia in obese type 2 diabetic patients, whereas sleeve gastrectomy (LSG) is less well characterized. This study aims to compare early weight-independent and later weight-dependent glycemic effects of LRYGB and LSG. METHODS:Eighteen LRYGB...

    journal_title:Obesity surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s11695-017-3061-3

    authors: Wallenius V,Dirinck E,Fändriks L,Maleckas A,le Roux CW,Thorell A

    更新日期:2018-06-01 00:00:00

  • Propofol Sedation for Intragastric Balloon Removal: Looking for the Optimal Body Weight Descriptor.

    abstract:AIM:Sedation is considered as a prerequisite for the safe and effective conclusion of Bioenterics Intragastric Balloon (BIB) removal (our aim was to ascertain the most appropriate body size scalars for propofol dosing and assess the efficacy and safety of a sedative approach involving the infusion of propofol for BIB r...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04075-0

    authors: Tsaousi G,Fyntanidou B,Stavrou G,Papakostas P,Kotzampassi K,Grosomanidis V

    更新日期:2019-12-01 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

  • Safety and Effectiveness of an Endoscopically Placed Duodenal-Jejunal Bypass Device (EndoBarrier®): Outcomes in 114 Patients.

    abstract:BACKGROUND:The duodenal-jejunal bypass liner (DJBL) is an endoscopically placed device designed to achieve weight loss and improve glycemic control in obese patients. Previous studies report promising results but typically included small patient numbers and short follow-up. This study aims to determine the safety and e...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2939-4

    authors: Forner PM,Ramacciotti T,Farey JE,Lord RV

    更新日期:2017-12-01 00:00:00

  • A Clinical Study of Protein Sparing Modified Fast (PSMF) Administered Preoperatively to Morbidly Obese Patients: comparison of PSMF with natural food products to originally prepared PSMF.

    abstract::Morbidly obese patients are generally in a malnutritional state with an extremely high operative risk. In order to reduce the operative risk, surgeons should make every effort before the operation. A protein sparing modified fast (PSMF) may exhibit its high effectiveness when taken at least for 2 weeks preoperatively....

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089292765560510

    authors: Kawamura I I,Chen CC,Yamazaki K,Miyazawa Y,Isono K

    更新日期:1992-02-01 00:00:00

  • Association of super-super-obesity and male gender with elevated mortality in patients undergoing the duodenal switch procedure.

    abstract:BACKGROUND:Previous studies have reported that risk factors for elevated mortality after Roux-en-Y gastric bypass include male gender, as well as a very elevated BMI. The present study was aimed at determining whether these same risk factors applied to patients undergoing the duodenal switch (DS) operation. MATERIALS ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892053923699

    authors: Fazylov RM,Savel RH,Horovitz JH,Pagala MK,Coppa GF,Nicastro J,Lazzaro RS,Macura JM

    更新日期:2005-05-01 00:00:00

  • Laparoscopic gastric banding in adolescents.

    abstract:BACKGROUND:Adolescent obesity has undesirable short- and long-term effects. Laparoscopic adjustable gastric banding has been considered a procedure of choice for adolescent morbid obesity. We retrospectively evaluated our single-team banding experience in the adolescent population. METHODS:We reviewed the medical and ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089206778663823

    authors: Yitzhak A,Mizrahi S,Avinoach E

    更新日期:2006-10-01 00:00:00

  • Treatment of morbid obesity and gastroesophageal reflux with hiatal hernia by Lap-Band.

    abstract:BACKGROUND:Esophageal reflux is common in obese patients. Hiatal hernia is considered a potential contraindication to placement of a Lap-Band. METHODS:Esophageal investigation in patients who were candidates for a Lap-Band included clinical evaluation of symptoms (scoring system), endoscopic and radiologic evaluation,...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089299765553007

    authors: Angrisani L,Iovino P,Lorenzo M,Santoro T,Sabbatini F,Claar E,Nicodemi O,Persico G,Tesauro B

    更新日期:1999-08-01 00:00:00

  • Reinforcing the staple line during laparoscopic sleeve gastrectomy: prospective randomized clinical study comparing two different techniques. Preliminary results.

    abstract:BACKGROUND:Sleeve gastrectomy involves the creation of small gastric reservoir based on lesser curvature of the stomach, which is fashioned by a longitudinal gastrectomy that preserves the antrum and pylorus together with its vagal innervation. The main complications in the early postoperative course are bleeding and g...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-011-0421-2

    authors: Albanopoulos K,Alevizos L,Flessas J,Menenakos E,Stamou KM,Papailiou J,Natoudi M,Zografos G,Leandros E

    更新日期:2012-01-01 00:00:00

  • Beneficial effects of humidified, warmed carbon dioxide insufflation during laparoscopic bariatric surgery: a randomized clinical trial.

    abstract:BACKGROUND:Recent data has shown that the use of warmed, humidified carbon dioxide (CO2) insufflation during laparoscopic surgery may be associated with better outcomes. METHODS:We performed a randomized, doubleblind, prospective controlled clinical trial of 30 patients undergoing laparoscopic Roux-en-Y gastric bypass...

    journal_title:Obesity surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1381/0960892052993530

    authors: Savel RH,Balasubramanya S,Lasheen S,Gaprindashvili T,Arabov E,Fazylov RM,Lazzaro RS,Macura JM

    更新日期:2005-01-01 00:00:00

  • Quality of Life and Bariatric Surgery: Cross-Sectional Study and Analysis of Factors Influencing Outcome.

    abstract:PURPOSE:The aims of our study were to compare quality of life (QOL) in obese patients after bariatric surgery with that in controls seeking surgery and to investigate which factors are associated with QOL in the Moorehead-Ardelt Quality of Life Questionnaire II (MA II). MATERIALS AND METHODS:This was a cross-sectional...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2220-2

    authors: Janik MR,Rogula T,Bielecka I,Kwiatkowski A,Paśnik K

    更新日期:2016-12-01 00:00:00

  • Vertical banded gastroplasty in the Aegean Region of Turkey.

    abstract:BACKGROUND:Obesity is increasing in Turkey. The first experience with vertical banded gastroplasty (VBG) with regular intermediate-term follow-up in the Aegean Region of Turkey is presented. METHODS:From November 1993 to August 1999, 40 morbidity obese patients underwent VBG. The patients were evaluated on the basis o...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089201321209387

    authors: Haciyanli M,Erkan N,Bora S,Gulay H

    更新日期:2001-08-01 00:00:00

  • Efficient Decompression and Immediate Enteral Hyperalimentation via Gastrostomy as an Adjunct to Gastroplasty.

    abstract::A triple-lumen Moss(c) gastrostomy tube was advanced into the proximal duodenum as an adjunct to the postoperative management of patients who underwent vertical banded gastroplasty (VBG) for the treatment of morbid obesity. The tube efficiently aspirated the proximal duodenum and stomach to prevent postoperative ileus...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089291765561556

    authors: Nassif AC

    更新日期:1991-03-01 00:00:00

  • Changes in body image disturbance in morbidly obese patients 1 year after laparoscopic adjustable gastric banding.

    abstract:BACKGROUND:The effectiveness of post-surgical weight loss in improving body image disturbance (BID) in morbidly obese patients is still unclear. Providing multidimensional measures of BID and controlling for the effect of co-morbid eating psychopathology may help to clarify this issue. This preliminary study explores w...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9145-8

    authors: De Panfilis C,Cero S,Torre M,Salvatore P,Dall'Aglio E,Adorni A,Maggini C

    更新日期:2007-06-01 00:00:00

  • Gastric pouch adenocarcinoma and tubular adenoma of the pylorus: a field effect of dysplasia following bariatric surgery.

    abstract::There are reports of gastric carcinoma following bariatric surgery, but it is unclear if these procedures predispose to malignancy. We present a case of a 60-year-old man who, 15 years after vertical banded gastroplasty (VBG), had a massive upper GI bleed. Endoscopy revealed a large tumor of the gastric pouch. Histolo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9130-2

    authors: Chebib I,Beck PL,Church NG,Medlicott SA

    更新日期:2007-06-01 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

  • Impact of Laparoscopic Banded Gastric Bypass on Weight Loss Surgery Outcomes: 5 Years' Experience.

    abstract:OBJECTIVE:Evaluate 5-year outcomes of banded gastric bypass (BRYGB) as a primary and conversion bariatric procedure. METHODS:Retrospective review of BRYGB between January 2011and March 2013. Outcomes included percentage of total weight loss (%TWL), weight loss maintenance, and band-related complications. RESULTS:One ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04229-0

    authors: Galal AM,Boerma EJ,Fransen S,Meesters B,Olde-Damink S,Abdelmageed MK,Sabry AA,Elsuity AHM,Greve JW

    更新日期:2020-02-01 00:00:00

  • The Effect of Chest Physiotherapy After Bariatric Surgery on Pulmonary Functions, Functional Capacity, and Quality of Life.

    abstract:PURPOSE:The aim of this study was to investigate the effect of chest physiotherapy (CP) applied to patients undergoing bariatric surgery on pulmonary functions, dyspnea levels, functional capacity, and quality of life. METHODS:The patients were randomized and divided into two groups each comprising 74 patients. CP and...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-019-04165-z

    authors: Duymaz T,Karabay O,Ural IH

    更新日期:2020-01-01 00:00:00

  • The role of cognitive function in postoperative weight loss outcomes: 36-month follow-up.

    abstract:BACKGROUND:Cognitive dysfunction is associated with reduced postoperative weight loss up to 2 years following surgery, though the role of cognition at more extended follow-up is not yet understood. Thirty-six months following bariatric surgery, we retrospectively compared obese and non-obese patients on 12-week postope...

    journal_title:Obesity surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11695-014-1205-2

    authors: Spitznagel MB,Alosco M,Galioto R,Strain G,Devlin M,Sysko R,Crosby RD,Mitchell JE,Gunstad J

    更新日期:2014-07-01 00:00:00

  • Anatomical Quality Criteria for Sleeve Gastrectomy.

    abstract:BACKGROUND:Sleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide. However, without a standardised surgical technique, heterogeneous outcomes and complications such as gastro-oesophageal reflux disease (GERD) have been reported. The aim of this study was to identify reproducible anatomical c...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05156-1

    authors: Frosio F,Suhool A,Ferraz JM,Gayet B,Boutron MC,Pourcher G

    更新日期:2021-01-26 00:00:00

  • Conversional surgery: single-step conversion of laparoscopic adjustable gastric band to laparoscopic sleeve gastrectomy.

    abstract:BACKGROUND:Although some patients attain good outcomes after adjustable gastric band (LAGB), a certain quantity have experienced complications and insufficient weight loss. The objective of this study is to assess the safety and outcome of laparoscopic sleeve gastrectomy (LSG) as a conversion surgery after a failed LAG...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-014-1358-z

    authors: Al Sharqawi N,Al Sabah S,Al Mulla A,Al Anezi K,Jumaa T

    更新日期:2014-10-01 00:00:00

  • Intragastric injection of botulinum toxin A for the treatment of obesity.

    abstract:BACKGROUND:Botulinum toxin A (BTX-A) is a powerful and long-acting inhibitor of muscular contractions in both striated and smooth muscles. Hypothetically, BTX-A should inhibit the acetylcholine-mediated peristalsis, which is mainly responsible for gastric motility, and thereby induce slowed gastric emptying, earlier sa...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-007-9135-x

    authors: Mittermair R,Keller C,Geibel J

    更新日期:2007-06-01 00:00:00

  • Nutrient Deficiency 10 Years Following Roux-en-Y Gastric Bypass: Who's Responsible?

    abstract:OBJECTIVE(S):Monitoring and prevention of long-term nutrient deficiency after laparoscopic Roux-en-Y gastric bypass (LRYGB) remains ill defined due to limited surgical follow-up after bariatric surgery. This study compared nutrient supplementation as well as surgeon and primary care physician (PCP) follow-up between pa...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-016-2364-0

    authors: Mehaffey JH,Mehaffey RL,Mullen MG,Turrentine FE,Malin SK,Schirmer B,Wolf AM,Hallowell PT

    更新日期:2017-05-01 00:00:00

  • Serum magnesium status after gastric bypass surgery in obesity.

    abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGBP) has become a common surgical procedure to treat morbid obesity. Furthermore, it strongly reduces the incidence of type 2 diabetes and mortality. However, there is scant information on how magnesium status is affected by RYGBP surgery. Previous bariatric surgery methods, like ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9536-5

    authors: Johansson HE,Zethelius B,Ohrvall M,Sundbom M,Haenni A

    更新日期:2009-09-01 00:00:00

  • Bariatric Nutrition Guidelines for the Indian Population.

    abstract:BACKGROUND:Bariatric surgery numbers have seen a sharp rise in India in the last decade. A country known for its undernourished population has seen economic growth and with it, greater influence of western culture and foods. The obesity epidemic is on the rise here and India is one of the 10 most obese nations of the w...

    journal_title:Obesity surgery

    pub_type: 共识发展会议,杂志文章

    doi:10.1007/s11695-015-1836-y

    authors: Remedios C,Bhasker AG,Dhulla N,Dhar S,Lakdawala M

    更新日期:2016-05-01 00:00:00

  • König's Syndrome After Roux-en-Y Gastric Bypass: Candy Cane Twist.

    abstract:BACKGROUND:A König's syndrome is referred to abdominal pain in relation to meals with constipation alternated with diarrhea, meteorism, and abdominal distension. A postoperative long-term complication after Roux-en-Y gastric bypass could be the appearance of chronic abdominal pain associated with vomiting, dysphagia, a...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04563-8

    authors: Cartillone M,Kassir R,Mis TC,Falsetti E,D'Alessandro A,Chahine E,Chouillard E

    更新日期:2020-08-01 00:00:00

  • Is Routine Invasive Monitoring Indicated in Surgery for the Morbidly Obese?

    abstract::BACKGROUND: Morbid obesity is generally considered to be a surgical and anesthetic risk. Some surgeons have advised the routine use of invasive monitoring for morbidly obese individuals undergoing surgery. The purpose of this study was to identify morbidly obese individuals undergoing primary gastric bypass procedures...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089296765557268

    authors: Capella JF,Capella RF

    更新日期:1996-02-01 00:00:00

  • Improvement of Body Composition and Quality of Life Following Intragastric Balloon.

    abstract:BACKGROUND:The aim is to evaluate the effects of IGB in overweight or class I obese patients, by analyzing body composition and quality of life (QOL). METHODS:Prospective study including patients with BMI 27-34.9 kg/m2.body composition analysis (BCA) was performed before IGB implantation and its removal, after 6 month...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3209-9

    authors: Reimão SM,da Silva MER,Nunes GC,Mestieri LHM,Dos Santos RF,de Moura EGH

    更新日期:2018-06-01 00:00:00

  • Stapler division of the omentum and small bowel mesentery in morbidly obese patients undergoing gastric bypass surgery.

    abstract:BACKGROUND:Roux-en-Y gastric bypass (RYGB) procedures can be technically demanding because of anatomical factors including fat distribution, organ fixation, and wound depth. We developed a technique using the Multifire Endo GIA 60 2.5 disposable surgical stapler which allows greater mobilization, less blood loss, and d...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089297765555755

    authors: Sapala JA,Wood MH,Sapala MA,Mason DS

    更新日期:1997-06-01 00:00:00

  • Five-Year Outcomes of Laparoscopic Sleeve Gastrectomy in Japanese Patients with Class I Obesity.

    abstract:BACKGROUND:Bariatric surgery is being recognized increasingly as an effective treatment for obesity and related comorbidities. In Japan, the cost of laparoscopic sleeve gastrectomy (LSG) is covered by the national health insurance for adults with a body mass index (BMI) ≥ 35 kg/m2 and specific comorbidities (type 2 dia...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-04789-6

    authors: Seki Y,Kasama K,Kikkawa E,Yokoyama R,Nabekura T,Sano A,Amiki M,Kurokawa Y

    更新日期:2020-11-01 00:00:00