Laparoscopic sleeve gastrectomy versus laparoscopic mini-gastric bypass in obesity | ||||
Minia Journal of Medical Research | ||||
Volume 31, Issue 1, January 2020, Page 231-235 PDF (271.64 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.221507 | ||||
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Authors | ||||
Tantawi A. Mohamed1; Salah Abdel- Razik2; Ayman M. Hassanien1; Tohamy A. Tohamy1; Ashraf Abdel Azeem1; Mohamed M. Taha Zaazou3 | ||||
1Department of General Surgery, Faculty of Medicine ,El Minia UniversityHospital, Egypt | ||||
2Department of General Surgery, Faculty of Medicine ,El Minia UniversityHospital, Egyp | ||||
3Department of General Surgery,Faculty of Medicine, Misr University for Science and Technology; Egypt | ||||
Abstract | ||||
Background: Laparoscopic mini‑gastric bypass (MGBP) is gaining popularity among the bariatric procedures today, andlaparoscopic sleevegastrectomy(SG) as a single‑stageprocedure forthe treatment of morbid obesity is becoming increasingly popular. Patients and methods: Between October 2014 and July 2018, 100 obese patients were randomized, operated upon, and followed up for 24 months in Al Minia University Hospital. A total of 50 patients underwent SG, and 50 patients underwent MGBP. The mean BMI of all patients was 47.8 ± 5.5 kg/m2, their mean age was 30 ± 8.3 years, and 80% of them were female. Patients were followed up at 1, 3, 6, 9, 12, 15, 18, 21 and 24 months. Results: Age, sex, BMI, and comorbidities were equal. The mean operative time for SG was 86.9 ± 51.6 min and that for MGBP was 108.4 ± 41.8 min; the percentage of 1‑year excess weight loss was similar (76.2 ± 4.49% for SG and 80.3 ± 8.3% for MGBP). The comorbidities were significantly improved after both procedures, except for type 2 diabetes mellitus, which showed a higher resolution rate after MGBP. Conclusion: Laparoscopic SG regarding excess weight loss is comparable to laparoscopic MGBP in short‑termfollow‑up (2 year) with less metabolic effect. Further long‑termstudies are needed. | ||||
Keywords | ||||
comorbidities; diabetes mellitus; mini‑gastric bypass | ||||
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