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Laparoscopic Roux-en-Y Gastric Bypass Versus Laparoscopic Sleeve Gastrectomy to Treat Morbid Obesity-Related Comorbidities: a Systematic Review and Meta-analysis
Comparing two key weight-loss surgeries for improving health problems linked to severe obesity
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Abstract
A total of 18,455 patients were included in the comparison of laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy for morbid obesity.
- Patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) experienced a higher percentage of excess weight loss than those receiving laparoscopic sleeve gastrectomy (LSG).
- LRYGB was associated with better resolution of hypertension compared to LSG.
- Improvements in dyslipidemia, gastroesophageal reflux disease, and arthritis were also more pronounced in patients treated with LRYGB.
- Both LRYGB and LSG had similar effects on type 2 diabetes mellitus.
- Sleep apnea outcomes were comparable between the two procedures.
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