Roux-en-Y Gastric Bypass Vs Sleeve Gastrectomy in Super Obesity: a Systematic Review and Meta-Analysis

被引：21

作者：

Gomes-Rocha, Sofia Raquel ^{[1
]}

Costa-Pinho, Andre Manuel ^{[1
,2
]}

Pais-Neto, Carolina Coelho ^{[1
]}

de Araujo Pereira, Andre ^{[1
,3
]}

Nogueiro, Jorge Pedro Martins ^{[1
,3
]}

Carneiro, Silvestre Porfirio Ramos ^{[1
,3
]}

Santos-Sousa, Hugo Miguel Teixeira Ferraz ^{[1
,2
]}

Lima-da-Costa, Eduardo Jorge ^{[1
,2
]}

Bouca-Machado, Raquel ^{[4
]}

Preto, John Rodrigues ^{[1
,2
]}

机构：

[1] Univ Porto, Fac Med, P-4200319 Porto, Portugal

[2] Sao Joao Univ, Med Ctr, Obes Integrated Responsibil Unit CRI O, P-4099001 Porto, Portugal

[3] Sao Joao Univ, Med Ctr, Surg Dept, P-4099001 Porto, Portugal

[4] Inst Med Mol Joao Lobo Antunes, P-1649028 Lisbon, Portugal

来源：

OBESITY SURGERY | 2022年 / 32卷 / 01期

关键词：

Bariatric surgery; Laparoscopic Roux-en-Y gastric bypass; LRYGB; Laparoscopic sleeve gastrectomy; LSG; Super obesity; Weight loss; Comorbidity resolution; Meta-analysis; BARIATRIC SURGERY; DUODENAL SWITCH; MORBID-OBESITY; WEIGHT-LOSS; OUTCOMES; IMPACT; RISK;

D O I：

10.1007/s11695-021-05745-8

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are safe procedures that may present sub-optimal results in superobesity (SO). A meta-analysis was performed aiming to summarize the available evidence on weight loss (primary outcome) and comorbidities resolution of LRYGB and LSG in patients with SO (BMI >= 50 kg/m(2)). From the 16 included studies, 7 integrated the meta-analysis. LRYGB showed a significantly higher weight loss at 6 to 12-months, but not after 24 months and a higher dyslipidemia resolution at 12 months. When compared with LSG, LRYGB achieved better weight loss after 6 and 12 months and higher dyslipidemia resolution after 1 year. There were no significant differences for resolution of the other co-morbidities studied.

引用

页码：170 / 185

页数：16

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