Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center

Oktay Karaköse; Servet Karagül; Serdar Şenol; Huseyin Eken; Ahmet Akbaş

doi:10.17343/sdutfd.1647673

Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center

Abstract

Objective: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are widely used surgical procedures for morbid obesity. The objective of the study was to present the mid-term results of our first LSG and LRYGB cases. Material and Method: We retrospectively reviewed LSG and LRYGB patients treated at Samsun Training and Research Hospital, Turkey, within the period from January 2016 to December 2020. The demographic data of patients, comprising age, gender, body mass index (BMI), obesity-related diseases, and medications, were registered. The percentage total weight loss (%TWL), percentage excess weight loss (%EWL), and postoperative BMI were evaluated, and the results of both groups were compared. Results: The LSG and LRYGB groups comprised 19 and 43 patients, respectively. Of these, 50 were female and 12 were male. The average age in the LSG group was 30.89 ± 7.56 years, whereas in the LRYGB group it was 42.56 ± 12.18 years (p < 0.05). The mean %EWL was 72.35 ± 35.24 and 76.08 ± 22.84, and the mean %TWL was 30.46 ± 13.37 and 34.70 ± 11.31, respectively (p  0.05). BMI was 31.84 ± 8.76 in the LSG group and 30.14 ± 5.05 in the LRYGB group (p  0.05). B12 and Fe deficiency were observed in LRYGB cases, with a significant difference found between the groups. The mean follow-up was 50.47 ± 10.93 months in the LSG group and 52.21 ± 11.58 months in the LRYGB group (p  0.05). Conclusion: LSG and LRYGB are two bariatric surgical procedures that are safe and effective with adequate weight loss in the medium term. Monitoring for B12 and Fe deficiency is important in patients undergoing LRYGB.

Keywords

Ethical Statement

Approval was obtained from the Samsun Training and Research Hospital Ethics Committee (No: GOKAEK 2024/4/13). The study was conducted in accordance with the principles set forth in the Declaration of Helsinki.

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Details

Primary Language

English

Subjects

General Surgery

Journal Section

Research Article

Authors

Oktay Karaköse ^*
0000-0002-2429-3915
Türkiye

Servet Karagül
0000-0003-1964-2516
Türkiye

Serdar Şenol
0000-0002-6084-2491
Türkiye

Huseyin Eken
0000-0001-6095-6002
Türkiye

Ahmet Akbaş
0000-0002-6333-4919
Türkiye

Publication Date

September 9, 2025

Submission Date

February 27, 2025

Acceptance Date

June 30, 2025

Published in Issue

Year 2025 Volume: 32 Number: 3

DOI

https://doi.org/10.17343/sdutfd.1647673

IZ

https://izlik.org/JA58RW54GB

Cite

RIS / Bibtex

APA

Karaköse, O., Karagül, S., Şenol, S., Eken, H., & Akbaş, A. (2025). Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center. Medical Journal of Süleyman Demirel University, 32(3), 192-197. https://doi.org/10.17343/sdutfd.1647673

AMA

1.Karaköse O, Karagül S, Şenol S, Eken H, Akbaş A. Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center. Med J SDU. 2025;32(3):192-197. doi:10.17343/sdutfd.1647673

Chicago

Karaköse, Oktay, Servet Karagül, Serdar Şenol, Huseyin Eken, and Ahmet Akbaş. 2025. “Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center”. Medical Journal of Süleyman Demirel University 32 (3): 192-97. https://doi.org/10.17343/sdutfd.1647673.

EndNote

Karaköse O, Karagül S, Şenol S, Eken H, Akbaş A (September 1, 2025) Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center. Medical Journal of Süleyman Demirel University 32 3 192–197.

IEEE

[1]O. Karaköse, S. Karagül, S. Şenol, H. Eken, and A. Akbaş, “Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center”, Med J SDU, vol. 32, no. 3, pp. 192–197, Sept. 2025, doi: 10.17343/sdutfd.1647673.

ISNAD

Karaköse, Oktay - Karagül, Servet - Şenol, Serdar - Eken, Huseyin - Akbaş, Ahmet. “Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center”. Medical Journal of Süleyman Demirel University 32/3 (September 1, 2025): 192-197. https://doi.org/10.17343/sdutfd.1647673.

JAMA

1.Karaköse O, Karagül S, Şenol S, Eken H, Akbaş A. Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center. Med J SDU. 2025;32:192–197.

MLA

Karaköse, Oktay, et al. “Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center”. Medical Journal of Süleyman Demirel University, vol. 32, no. 3, Sept. 2025, pp. 192-7, doi:10.17343/sdutfd.1647673.

Vancouver

1.Oktay Karaköse, Servet Karagül, Serdar Şenol, Huseyin Eken, Ahmet Akbaş. Laparoscopic Sleeve Gastrectomy versus Laparoscopic Roux-en-Y Gastric Bypass in Management of Morbid Obesity: Midterm Results in a Single Center. Med J SDU. 2025 Sep. 1;32(3):192-7. doi:10.17343/sdutfd.1647673