Comparative effectiveness of 3 bariatric surgery procedures: Roux-en-Y gastric bypass, laparoscopic adjustable gastric band, and sleeve gastrectomy

May 26, 2016Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Comparing the effectiveness of three weight-loss surgeries: gastric bypass, adjustable band, and sleeve removal

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Abstract

At 12 months, RYGB patients lost an average of 40.7 kg, significantly more than those undergoing SG or LAGB.

  • Roux-en-Y gastric bypass (RYGB) led to a weight loss of 40.7±14.5 kg compared to 24.4±22.1 kg for sleeve gastrectomy (SG) and 15.3±15.7 kg for laparoscopic adjustable gastric band (LAGB).
  • Body mass index (BMI) reduction was 13.4±4.1 kg/m² for RYGB, while it was 7.9±7.3 kg/m² for SG and 5.0±5.0 kg/m² for LAGB.
  • Percentage weight loss (%WL) was 31.5±8.5% for RYGB, compared to 20.2±21.5% for SG and 12.0±11.7% for LAGB.
  • Percentage excess weight loss (%EWL) for RYGB was 41.4±11.6%, while SG and LAGB showed 26.7±27.6% and 16.1±15.9%, respectively.
  • RYGB also resulted in a significant reduction in the number of medications and improvements in total cholesterol and low-density lipoprotein (LDL) levels.

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Full Text

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