22Nov 2018

COMPARATIVE STUDY BETWEEN LAPAROSCOPIC SLEEVE GASTRECTOMY AND LAPAROSCOPIC MINI GASTRIC BYPASS FOR TREATMENT OF MORBID OBESITY.

  • Department of Clinical and Experimental surgery, Medical Research Institute, University of Alexandria, Egypt.
Crossref Cited-by Linking logo

  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Background:Bariatric surgery proved to be the only successful treatment option leading to long-term weight loss with improvement of obesity related comorbidities. The Laparoscopic Sleeve Gastrectomy (LSG) is now one of the most popular bariatric procedure worldwide with rising prevalence over last decade, while the Mini Gastric Bypass (MGB) is now gaining some popularity as a relatively new bariatric procedure Methods:The study involved forty patients; twenty of them had Laparoscopic Sleeve Gastrectomy (LSG), and twenty of them had Laparoscopic Mini Gastric Bypass (MGB). The patients were selected according to National Institute of Health (NIH) guidelines. All procedures were performed by the same team of experienced bariatric surgeons. all the patients had a one-year period of follow up after surgery and were evaluated for weight loss, morbidity (early, and late), impact on obesity associated diseases and effect on quality of life (QoL). Results:The two groups were matched considering the demographic data. Operative time was significantly longer in MGB group (P = 0.001), with mean operative time in MGB group was 74.75, while in LSG group was 53.25 min. One patient (5%) from LSG group developed stenosis and was managed by endoscopic balloon dilatation. Mean excess weight loss % after one year was 66.99% (? 1.739%) for LSG group and 67.76% (? 1.813%) for MGB group. The QoL after one year was varied between good and very good in both groups, with 70% of LSG group lie in very good category, and 75% of MGB group lie in the very good category. Conclusion:Both studied laparoscopic techniques; LSG and MGB were safe and effective, with similar results as regards significant weight loss and improvement of obesity-associated medical comorbidities and quality of life, with acceptable morbidity.

  1. Yumuk V, Tsigos C, Fried M, Schindler K, Busetto L, Micic D, et al. European guidelines for obesity management in adults. Obesity facts. 2015;8(6):402-24.
  2. Sj?str?m L. Review of the key results from the Swedish Obese Subjects (SOS) trial?a prospective controlled intervention study of bariatric surgery. J Intern Med. 2013;273(3):219-34.
  3. Berrington de Gonzalez A, Hartge P, Cerhan JR, Flint AJ, Hannan L, MacInnis RJ, et al. Body-mass index and mortality among 1.46 million white adults. New England Journal of Medicine. 2010;363(23):2211-9.
  4. Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309(1):71-82.
  5. Neovius M, Narbro K, Keating C, Peltonen M, Sj?holm K, ?gren G, et al. Health care use during 20 years following bariatric surgery. JAMA. 2012;308(11):1132-41.
  6. Posovszky C, Wabitsch M. Regulation of appetite, satiation, and body weight by enteroendocrine cells. Part 2: therapeutic potential of enteroendocrine cells in the treatment of obesity. Horm Res Paediatr. 2015;83(1):11-8.
  7. Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Brethauer SA, Navaneethan SD, et al. Bariatric surgery versus intensive medical therapy for diabetes?3-year outcomes. New England Journal of Medicine. 2014;370(21):2002-13.
  8. Hofs? D, Jenssen T, Bollerslev J, Ueland T, Godang K, Stumvoll M, et al. Beta cell function after weight loss: a clinical trial comparing gastric bypass surgery and intensive lifestyle intervention. European journal of endocrinology. 2011;164(2):231-8.
  9. Angrisani L, Formisano G, Santonicola A, Hasani A, Vitiello A. Bariatric Surgery Worldwide. Bariatric and Metabolic Surgery: Springer; 2017. p. 19-24.
  10. DeMaria EJ. Bariatric surgery for morbid obesity. N Engl J Med. 2007;356(21):2176-83.
  11. S?nchez-Pernaute A, Herrera MAR, P?rez-Aguirre E, P?rez JCG, Cabrerizo L, Valladares LD, et al. Proximal duodenal?ileal end-to-side bypass with sleeve gastrectomy: Proposed technique. Obes Surg. 2007;17(12):1614-8.
  12. Jones KB, Afram JD, Benotti PN, Capella RF, Cooper CG, Flanagan L, et al. Open versus laparoscopic Roux-en-Y gastric bypass: a comparative study of over 25,000 open cases and the major laparoscopic bariatric reported series. Obes Surg. 2006;16(6):721-7.
  13. Rutledge R. The mini-gastric bypass: experience with the first 1,274 cases. Obes Surg. 2001;11(3):276-80.
  14. Baltasar A, Serra C, Perez N, Bou R, Bengochea M, Ferri L. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15:1124-8.
  15. Gagner M. Obesity: Sleeve gastrectomy-the ideal choice for weight-loss surgery. Nat Rev Endocrinol. 2013;9(7):382-4.
  16. Rosenthal RJ. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of > 12,000 cases. Surg Obes Relat Dis. 2012;8(1):8-19.
  17. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H, et al. Bariatric surgery and endoluminal procedures: IFSO Worldwide Survey 2014. Obesity surgery. 2017;27(9):2279-89.
  18. Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5(4):469-75.
  19. Lee WJ, Lin YH. Single-anastomosis gastric bypass (SAGB): appraisal of clinical evidence. Obes Surg. 2014;24(10):1749-56.
  20. Oria HE, Moorehead MK. Updated Bariatric Analysis and Reporting Outcome System (BAROS). Surg Obes Relat Dis. 2009;5(1):60-6.
  21. Moorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE. The validation of the Moorehead-Ardelt quality of life questionnaire II. Obesity Surgery. 2003;13(5):684-92.
  22. Mart?nez Y, Ruiz-L?pez M, Gim?nez R, P?rez de La Cruz A, Ordu?a R. Does bariatric surgery improve the patient's quality of life? Nutr Hosp. 2010;25(6):925-30.
  23. De Luca M, Tie T, Ooi G, Higa K, Himpens J, Carbajo M-A, et al. Mini Gastric Bypass-One Anastomosis Gastric Bypass (MGB-OAGB)-IFSO Position Statement. Obesity surgery. 2018;28(5):1188-206.
  24. Wee CC, Huskey KW, Bolcic-Jankovic D, Colten ME, Davis RB, Hamel M. Sex, race, and consideration of bariatric surgery among primary care patients with moderate to severe obesity. J Gen Intern Med. 2014;29(1):68-75.
  25. Fuchs HF, Broderick RC, Harnsberger CR, Chang DC, Sandler BJ, Jacobsen GR, et al. Benefits of bariatric surgery do not reach obese men. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2015;25(3):196-201.
  26. Miller-Matero LR, Tobin ET, Clark S, Eshelman A, Genaw J. Pursuing bariatric surgery in an urban area: gender and racial disparities and risk for psychiatric symptoms. Obes Res Clin Pract. 2016;10(1):56-62.
  27. Buchwald H. Consensus conference statement: Bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers. Surgery for obesity and related diseases. 2005;1(3):371-81.
  28. McGrice M, Paul KD. Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions. Diabetes, metabolic syndrome and obesity: targets and therapy. 2015;8:263.
  29. Tariq N, Chand B. Presurgical evaluation and postoperative care for the bariatric patient. Gastrointestinal Endoscopy Clinics. 2011;21(2):229-40.
  30. Mechanick JI, Kushner RF, Sugerman HJ, Gonzalez‐Campoy JM, Collazo‐Clavell ML, Spitz AF, et al. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity. 2009;17(S1).
  31. Anderson MA, Gan SI, Fanelli RD, Baron TH, Banerjee S, Cash BD, et al. Role of endoscopy in the bariatric surgery patient. Gastrointestinal endoscopy. 2008;68(1):1-10.
  32. G?mez V, Bhalla R, Heckman MG, Florit PTK, Diehl NN, Rawal B, et al. Routine screening endoscopy before bariatric surgery: is it necessary? Bariatric surgical practice and patient care. 2014;9(4):143-9.
  33. Mu?oz R, Ib??ez L, Salinas J, Escalona A, P?rez G, Pimentel F, et al. Importance of routine preoperative upper GI endoscopy: why all patients should be evaluated? Obesity surgery. 2009;19(4):427-31.
  34. Marceau P, Hould FS, Simard S, Lebel S, Bourque RA, Potvin M, et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22(9):947-54.
  35. Zundel N, Hernandez JD, Gagner M. Laparoscopic sleeve gastrectomy: technique and outcomes. The ASMBS textbook of bariatric surgery: Springer; 2015. p. 205-10.
  36. Rosenthal RJ, Panel ISGE. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of> 12,000 cases. Surgery for Obesity and Related Diseases. 2012;8(1):8-19.
  37. Sethi M, Zagzag J, Patel K, Magrath M, Somoza E, Parikh MS, et al. Intraoperative leak testing has no correlation with leak after laparoscopic sleeve gastrectomy. Surg Endosc. 2016;30(3):883-91.
  38. Bingham J, Kaufman J, Hata K, Dickerson J, Beekley A, Wisbach G, et al. A multicenter study of routine versus selective intraoperative leak testing for sleeve gastrectomy. Surgery for Obesity and Related Diseases. 2017.
  39. Kirby G, Macano C, Nyasavajjala S, Sahloul M, Nijjar R, Daskalakis M, et al. The Birmingham experience of high-pressure methylene blue dye test during primary and revisional bariatric surgery: A retrospective cohort study. Annals of Medicine and Surgery. 2017;23:32-4.
  40. Bingham J, Lallemand M, Barron M, Kuckelman J, Carter P, Blair K, et al. Routine intraoperative leak testing for sleeve gastrectomy: is the leak test full of hot air? The American Journal of Surgery. 2016;211(5):943-7.
  41. Varban OA, Sheetz KH, Cassidy RB, Stricklen A, Carlin AM, Dimick JB, et al. Evaluating the effect of operative technique on leaks after laparoscopic sleeve gastrectomy: a case-control study. Surgery for Obesity and Related Diseases. 2017;13(4):560-7.
  42. Kular K, Manchanda N, Rutledge R. A 6-year experience with 1,054 mini-gastric bypasses?first study from Indian subcontinent. Obesity surgery. 2014;24(9):1430-5.
  43. Kim Z, Hur KY. Laparoscopic mini-gastric bypass for type 2 diabetes: the preliminary report. World journal of surgery. 2011;35(3):631-6.
  44. Lee WJ, Yu PJ, Wang W, Chen TC, Wei PL, Huang MT. Laparoscopic Roux-en-Y versus mini-gastric bypass for the treatment of morbid obesity: a prospective randomized controlled clinical trial. Ann Surg. 2005;242(1):20-8.
  45. Carbajo M, Garc?a-Caballero M, Toledano M, Osorio D, Garc?a-Lanza C, Carmona JA. One-anastomosis gastric bypass by laparoscopy: results of the first 209 patients. Obesity surgery. 2005;15(3):398-404.
  46. Noun R, Skaff J, Riachi E, Daher R, Antoun NA, Nasr M. One thousand consecutive mini-gastric bypass: short-and long-term outcome. Obesity surgery. 2012;22(5):697-703.
  47. Chakhtoura G, Zinzindohou? F, Ghanem Y, Ruseykin I, Dutranoy J-C, Chevallier J-M. Primary results of laparoscopic mini-gastric bypass in a French obesity-surgery specialized university hospital. Obesity surgery. 2008;18(9):1130.
  48. Musella M, Susa A, Greco F, De Luca M, Manno E, Di Stefano C, et al. The laparoscopic mini-gastric bypass: the Italian experience: outcomes from 974 consecutive cases in a multicenter review. Surg Endosc. 2014;28(1):156-63.
  49. Tucker O, Szomstein S, Rosenthal R. Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. Journal of Gastrointestinal Surgery. 2008;12(4):662-7.
  50. Han SM, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obesity Surgery. 2005;15(10):1469-75.
  51. Young MT, Gebhart A, Phelan MJ, Nguyen NT. Use and outcomes of laparoscopic sleeve gastrectomy vs laparoscopic gastric bypass: analysis of the American College of Surgeons NSQIP. J Am Coll Surg. 2015;220(5):880-5.
  52. Mognol P, Chosidow D, Marmuse J-P. Laparoscopic sleeve gastrectomy as an initial bariatric operation for high-risk patients: initial results in 10 patients. Obesity surgery. 2005;15(7):1030-3.
  53. Carbajo MA, Luque-de-Le?n E, Jim?nez JM, Ortiz-de-Sol?rzano J, P?rez-Miranda M, Castro-Alija MJ. Laparoscopic one-anastomosis gastric bypass: technique, results, and long-term follow-up in 1200 patients. Obesity surgery. 2017;27(5):1153-67.
  54. Peraglie C. Laparoscopic mini-gastric bypass in patients age 60 and older. Surg Endosc. 2016;30(1):38-43.
  55. Piazza L, Ferrara F, Leanza S, Coco D, Sarv? S, Bellia A, et al. Laparoscopic mini-gastric bypass: short-term single-institute experience. Updates Surg. 2011;63(4):239-42.
  56. Lee W-J, Ser K-H, Lee Y-C, Tsou J-J, Chen S-C, Chen J-C. Laparoscopic Roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obesity surgery. 2012;22(12):1827-34.
  57. Bellanger DE, Greenway FL. Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations. Obesity surgery. 2011;21(2):146-50.
  58. Gadiot RP, Biter LU, Zengerink HJ, tot Nederveen RJdV, Elte JWF, Cabezas MC, et al. Laparoscopic sleeve gastrectomy with an extensive posterior mobilization: technique and preliminary results. Obesity surgery. 2012;22(2):320-9.
  59. Menenakos E, Stamou KM, Albanopoulos K, Papailiou J, Theodorou D, Leandros E. Laparoscopic sleeve gastrectomy performed with intent to treat morbid obesity: a prospective single-center study of 261 patients with a median follow-up of 1 year. Obesity surgery. 2010;20(3):276-82.
  60. Rosenthal RJ, Szomstein S, Kennedy CI, Soto FC, Zundel N. Laparoscopic surgery for morbid obesity: 1,001 consecutive bariatric operations performed at The Bariatric Institute, Cleveland Clinic Florida. Obesity surgery. 2006;16(2):119-24.
  61. Aggarwal S, Sharma AP, Ramaswamy N. Outcome of laparoscopic sleeve gastrectomy with and without staple line oversewing in morbidly obese patients: a randomized study. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2013;23(11):895-9.
  62. Birch DW, Arya Sharma M, Shahzeer Karmali BSc M. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon's guide. Can J Surg. 2013;56(5):347.
  63. Casella G, Soricelli E, Rizzello M, Trentino P, Fiocca F, Fantini A, et al. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obesity surgery. 2009;19(7):821-6.
  64. Parikh A, Alley JB, Peterson RM, Harnisch MC, Pfluke JM, Tapper DM, et al. Management options for symptomatic stenosis after laparoscopic vertical sleeve gastrectomy in the morbidly obese. Surg Endosc. 2012;26(3):738-46.
  65. Wang W, Wei P-L, Lee Y-C, Huang M-T, Chiu C-C, Lee W-J. Short-term results of laparoscopic mini-gastric bypass. Obesity surgery. 2005;15(5):648-54.
  66. Cottam D, Qureshi F, Mattar S, Sharma S, Holover S, Bonanomi G, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surgical Endoscopy and Other Interventional Techniques. 2006;20(6):859-63.
  67. Lalor PF, Tucker ON, Szomstein S, Rosenthal RJ. Complications after laparoscopic sleeve gastrectomy. Surgery for Obesity and Related Diseases. 2008;4(1):33-8.
  68. Lacy A, Obarzabal A, Pando E, Adelsdorfer C, Delitala A, Corcelles R, et al. Revisional surgery after sleeve gastrectomy. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2010;20(5):351-6.
  69. Dapri G, Cadi?re GB, Himpens J. Laparoscopic seromyotomy for long stenosis after sleeve gastrectomy with or without duodenal switch. Obesity surgery. 2009;19(4):495-9.
  70. Parikh M, Gagner M, Heacock L, Strain G, Dakin G, Pomp A. Laparoscopic sleeve gastrectomy: does bougie size affect mean% EWL? Short-term outcomes. Surgery for Obesity and Related Diseases. 2008;4(4):528-33.
  71. Burgos AM, Csendes A, Braghetto I. Gastric stenosis after laparoscopic sleeve gastrectomy in morbidly obese patients. Obesity surgery. 2013;23(9):1481-6.
  72. Eubanks S, Edwards CA, Fearing NM, Ramaswamy A, Roger A, Thaler KJ, et al. Use of endoscopic stents to treat anastomotic complications after bariatric surgery. J Am Coll Surg. 2008;206(5):935-8.
  73. Shnell M, Fishman S, Eldar S, Goitein D, Santo E. Balloon dilatation for symptomatic gastric sleeve stricture. Gastrointestinal endoscopy. 2014;79(3):521-4.
  74. Howard DD, Caban AM, Cendan JC, Ben-David K. Gastroesophageal reflux after sleeve gastrectomy in morbidly obese patients. Surgery for Obesity and Related Diseases. 2011;7(6):709-13.
  75. Chiu S, Birch DW, Shi X, Sharma AM, Karmali S. Effect of sleeve gastrectomy on gastroesophageal reflux disease: a systematic review. Surgery for Obesity and Related Diseases. 2011;7(4):510-5.
  76. Gagner M, Deitel M, Erickson AL, Crosby RD. Survey on laparoscopic sleeve gastrectomy (LSG) at the Fourth International Consensus Summit on Sleeve Gastrectomy. Obesity surgery. 2013;23(12).
  77. Yehoshua RT, Eidelman LA, Stein M, Fichman S, Mazor A, Chen J, et al. Laparoscopic sleeve gastrectomy?volume and pressure assessment. Obesity surgery. 2008;18(9):1083.
  78. Genco A, Soricelli E, Casella G, Maselli R, Castagneto-Gissey L, Di Lorenzo N, et al. Gastroesophageal reflux disease and Barrett?s esophagus after laparoscopic sleeve gastrectomy: a possible, underestimated long-term complication. Surgery for Obesity and Related Diseases. 2017;13(4):568-74.
  79. Del Genio G, Tolone S, Limongelli P, Brusciano L, D?Alessandro A, Docimo G, et al. Sleeve gastrectomy and development of ?de novo? gastroesophageal reflux. Obesity surgery. 2014;24(1):71-7.
  80. Tolone S, Cristiano S, Savarino E, Lucido FS, Fico DI, Docimo L. Effects of omega-loop bypass on esophagogastric junction function. Surgery for Obesity and Related Diseases. 2016;12(1):62-9.
  81. Saarinen T, R?s?nen J, Salo J, Loimaala A, Pitkonen M, Leivonen M, et al. Bile reflux scintigraphy after mini-gastric bypass. Obesity surgery. 2017;27(8):2083-9.
  82. Jammu GS, Sharma R. A 7-year clinical audit of 1107 cases comparing sleeve gastrectomy, Roux-En-Y gastric bypass, and mini-gastric bypass, to determine an effective and safe bariatric and metabolic procedure. Obesity surgery. 2016;26(5):926-32.
  83. Johnson WH, Fernanadez AZ, Farrell TM, MacDonald KG, Grant JP, McMahon RL, et al. Surgical revision of loop (?mini?) gastric bypass procedure: multicenter review of complications and conversions to Roux-en-Y gastric bypass. Surgery for Obesity and Related Diseases. 2007;3(1):37-41.
  84. Mahawar KK, Carr WR, Balupuri S, Small PK. Controversy surrounding ?mini?gastric bypass. Obesity surgery. 2014;24(2):324-33.
  85. Felsenreich DM, Langer FB, Kefurt R, Panhofer P, Schermann M, Beckerhinn P, et al. Weight loss, weight regain, and conversions to Roux-en-Y gastric bypass: 10-year results of laparoscopic sleeve gastrectomy. Surgery for Obesity and Related Diseases. 2016;12(9):1655-62.
  86. Bohdjalian A, Langer FB, Shakeri-Leidenm?hler S, Gfrerer L, Ludvik B, Zacherl J, et al. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obesity surgery. 2010;20(5):535-40.
  87. Himpens J, Dapri G, Cadi?re GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obesity surgery. 2006;16(11):1450-6.
  88. Fischer L, Hildebrandt C, Bruckner T, Kenngott H, Linke GR, Gehrig T, et al. Excessive weight loss after sleeve gastrectomy: a systematic review. Obesity surgery. 2012;22(5):721-31.
  89. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724-37.
  90. Parikh M, Issa R, McCrillis A, Saunders JK, Ude-Welcome A, Gagner M. Surgical strategies that may decrease leak after laparoscopic sleeve gastrectomy: a systematic review and meta-analysis of 9991 cases. Annals of surgery. 2013;257(2):231-7.
  91. Mahawar KK, Jennings N, Brown J, Gupta A, Balupuri S, Small PK. ?Mini? gastric bypass: systematic review of a controversial procedure. Obesity surgery. 2013;23(11):1890-8.
  92. AbouZeid MM, Talaat M, Taha O. Quality of Life After MGB Compared to Other Operations. Essentials of Mini‒One Anastomosis Gastric Bypass: Springer; 2018. p. 157-62.
  93. Moorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE. The validation of the Moorehead-Ardelt Quality of Life Questionnaire II. Obes Surg. 2003;13(5):684-92.
  94. Major P, Matłok M, Pędziwiatr M, Migaczewski M, Budzyński P, Stanek M, et al. Quality of life after bariatric surgery. Obesity surgery. 2015;25(9):1703-10.
  95. Dejeu V, Dejeu D, Dejeu P, Babeș A. Correlation between excessive weight loss and quality of life improvements 12 months after laparoscopic sleeve gastrectomy. Med Connect. 2016;2:22-8.
  96. Kolotkin RL, Andersen JR. A systematic review of reviews: exploring the relationship between obesity, weight loss and health‐related quality of life. Clinical obesity. 2017;7(5):273-89.
  97. Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world?a growing challenge. 2009.
  98. Christou NV, Sampalis JS, Liberman M, Look D, Auger S, McLean AP, et al. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Annals of surgery. 2004;240(3):416.
  99. Stubbs RS, Wickremesekera SK. Insulin resistance in the severely obese and links with metabolic co-morbidities. Obesity surgery. 2002;12(3):343-8.
  100. Swarbrick M, Austrheim-Smith I, Stanhope K, Van Loan M, Ali M, Wolfe B, et al. Circulating concentrations of high-molecular-weight adiponectin are increased following Roux-en-Y gastric bypass surgery. Diabetologia. 2006;49(11):2552-8.
  101. Perry CD, Hutter MM, Smith DB, Newhouse JP, McNeil BJ. Survival and changes in comorbidities after bariatric surgery. Annals of surgery. 2008;247(1):21-7.
  102. Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Pories WJ, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. The American journal of medicine. 2009;122(3):248-56. e5.Wickremesekera K, Miller G, Naotunne TD, Knowles G, Stubbs RS. Loss of insulin resistance after Roux-en-Y gastric bypass surgery: a time course study. Obesity surgery. 2005;15(4):474-81.
  103. Gumbs AA, Modlin IM, Ballantyne GH. Changes in insulin resistance following bariatric surgery: role of caloric restriction and weight loss. Obesity surgery. 2005;15(4):462-73.
  104. Rutledge R, Walsh TR. Continued excellent results with the mini-gastric bypass: six-year study in 2,410 patients. Obesity surgery. 2005;15(9):1304-8.
  105. Vidal J, Ibarzabal A, Romero F, Delgado S, Mombl?n D, Flores L, et al. Type 2 diabetes mellitus and the metabolic syndrome following sleeve gastrectomy in severely obese subjects. Obesity surgery. 2008;18(9):1077.
  106. Abbatini F, Rizzello M, Casella G, Alessandri G, Capoccia D, Leonetti F, et al. Long-term effects of laparoscopic sleeve gastrectomy, gastric bypass, and adjustable gastric banding on type 2 diabetes. Surg Endosc. 2010;24(5):1005-10.
  107. Milone M, Di Minno MND, Leongito M, Maietta P, Bianco P, Taffuri C, et al. Bariatric surgery and diabetes remission: sleeve gastrectomy or mini-gastric bypass? World Journal of Gastroenterology: WJG. 2013;19(39):6590.
  108. Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obesity surgery. 1998;8(5):487-99.
  109. Costa JM, Soares JB. Bariatric Analysis and Reporting Outcome System (BAROS): Toward the Uniform Assessment of Bariatric Surgery Outcomes. GE Portuguese journal of gastroenterology. 2015;22(3):85.
  110. MARCHESINI JB, NICARETA JR. Comparative study of five different surgical techniques for the treatment of morbid obesity using BAROS. ABCD Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo). 2014;27:17-20.
  111. Al Harakeh AB, Larson CJ, Mathiason MA, Kallies KJ, Kothari SN. BAROS results in 700 patients after laparoscopic Roux-en-Y gastric bypass with subset analysis of age, gender, and initial body mass index. Surgery for Obesity and Related Diseases. 2011;7(1):94-8.
  112. Victorzon M, Tolonen P. Bariatric Analysis and Reporting Outcome System (BAROS) following laparoscopic adjustable gastric banding in Finland. Obesity surgery. 2001;11(6):740-3.
  113. Prevedello CF, Colpo E, Mayer ET, Copetti H. Analysis of the bariatric surgery impact in a population from the center area of Rio Grande do Sul State, Brazil, using the BAROS method. Arq Gastroenterol. 2009;46(3):199-203.
  114. Navez J, Dardamanis D, Thissen J-P, Navez B. Laparoscopic Roux-en-Y gastric bypass for morbid obesity: comparison of primary versus revisional bypass by using the BAROS score. Obesity surgery. 2015;25(5):812-7.
  115. Ribeiro I, Pinho R, Rodrigues A, Fernandes C, Silva J, Ponte A, et al. The importance of alternative diagnostic modalities in the diagnosis of small bowel tumors after a negative capsule endoscopy. GE Portuguese journal of gastroenterology. 2015;22(3):112-6.
  116. Suter M, Donadini A, Romy S, Demartines N, Giusti V. Laparoscopic Roux-en-Y gastric bypass: significant long-term weight loss, improvement of obesity-related comorbidities and quality of life. Annals of surgery. 2011;254(2):267-73.
  117. COSTA RCNdC, YAMAGUCHI N, SANTO MA, RICCIOPPO D, PINTO-JUNIOR PE. Outcomes on quality of life, weight loss, and comorbidities after Roux-en-Y gastric bypass. Arq Gastroenterol. 2014;51(3):165-70.
  118. D?Hondt M, Vanneste S, Pottel H, Devriendt D, Van Rooy F, Vansteenkiste F. Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc. 2011;25(8):2498-504.
  119. Keren D, Matter I, Rainis T, Lavy A. Getting the most from the sleeve: the importance of post-operative follow-up. Obesity surgery. 2011;21(12):1887-93.

[Saad A, Hemida M, AshourM, Ramadan Rand Zidan A. (2018); COMPARATIVE STUDY BETWEEN LAPAROSCOPIC SLEEVE GASTRECTOMY AND LAPAROSCOPIC MINI GASTRIC BYPASS FOR TREATMENT OF MORBID OBESITY. Int. J. of Adv. Res. 6 (Nov). 1011-1029] (ISSN 2320-5407). www.journalijar.com

Ahmed Zidan
Medical Research Institute, Alexandria University

DOI:

Article DOI: 10.21474/IJAR01/8088      
DOI URL: https://dx.doi.org/10.21474/IJAR01/8088

Download Full Paper

Download PDF No. of Downloads: 50 | No. of Views: 168