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A Review of Studies Comparing Three Laparoscopic Procedures in Bariatric Surgery: Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and Adjustable Gastric Banding
Obesity Surgery, 04/12/2011
Franco JVA et al. – The three procedures have acceptable efficacy and safety. Patients should be informed in detail on the advantages and disadvantages of each available procedure, possibly in several interviews and always accompanied by a specialized interdisciplinary team, warranting long–term follow–up.
- The MEDLINE database (cutoff date September 2010), LILACS, and the Cochrane Library were searched using the key words “gastric bypass,” “sleeve gastrectomy,” and “gastric banding.”
- Only studies that compared at least two of the laparoscopic procedures were included.
- Reviews and meta-analysis, editorial letters or comments, case reports, animal or in vitro studies, comparisons with medical treatment, comparisons with open (non-laparoscopic) procedures were excluded.
- Most studies indicated that laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy could be more effective achieving weight loss than laparoscopic adjustable gastric banding (LAGB).
- LAGB seems to be a safer procedure with frequent, but less severe, long-term complications.
- Although not uniformly reported, a resolution of obesity-related comorbidities was achieved with most bariatric procedures.
