Evaluation of the effects of laparoscopic adjustable gastric banding versus laparoscopic sleeve gastrectomy on weight loss

Year 2020, Volume: 6 Issue: 1, 36 - 42, 04.01.2020

Emre Gündoğdu , Celal İsmail Bilgiç , Münevver Moran , Cem Emir Güldoğan , Evren Dilektaşlı , Mehmet Mahir Özmen

https://doi.org/10.18621/eurj.449492

Abstract

Objectives:
Obesity has become one of the
most serious and ever increasing health problems of our times. Diet, exercise
and medical treatment have proven to be insufficient. Operations such as
laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve
gastrectomy (LSG) have gained popularity. The purpose of this study is to
conduct a retrospective comparative analysis of the clinical results gained from
patients treated with LSG and LAGB due to morbid obesity.

Methods: The patients included in the study were selected among those who were
diagnosed with morbid obesity and were operated with LAGB (n = 55) and LSG (n =
52) from May 2007 to December 2012. Both groups were compared in terms of the
demographic characteristics, preoperative and postoperative conditions.

Results: The groups were similar in terms of age, sex and BMI. In the 6^th
month, there was a notable loss of appetite in the LSG group patients compared
to the LAGB patients (69.2% vs. 23.6%, p < 0.001). The rate of
excess weight loss in the LAGB group was 23.93% ± 7.98% and 31.7% ± 7.49% in the LSG group in the
postoperative 6^th months (p
= 0.002). The rate of excess weight loss was 45.36% ± 10.92% in the LAGB group and 60.3% ± 9.81% in the LSG group in the
postoperative 12^th months (p
˂ 0.001).

Conclusions: When the two surgical operations for morbid obesity are compared LSG is found
to be a more successful method in terms of body weight loss. Nevertheless, longer
hospitalization can be associated with the technically more complicated nature of
the operation and the fact that it requires resection. 

Keywords

Obesity, bariatric surgery, sleeve gastrectomy, laparoscopic adjustable gastric banding

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