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Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis

Abstract Background Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the current “gold standard” bariatric procedure in the United States. Laparoscopic sleeve gastrectomy (LSG) has recently become a commonly performed procedure for many reasons, including patients' perception that LSG has less compl... Full description

Journal Title: The American journal of surgery 2014, Vol.208 (6), p.903-910
Main Author: Zellmer, Jonathan D., M.D
Other Authors: Mathiason, Michelle A., M.S , Kallies, Kara J., M.S , Kothari, Shanu N., M.D., F.A.C.S
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9610
Link: https://www.ncbi.nlm.nih.gov/pubmed/25435298
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title: Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis
format: Article
creator:
  • Zellmer, Jonathan D., M.D
  • Mathiason, Michelle A., M.S
  • Kallies, Kara J., M.S
  • Kothari, Shanu N., M.D., F.A.C.S
subjects:
  • Abridged Index Medicus
  • Anastomotic leak
  • Anastomotic Leak - epidemiology
  • Bariatric surgery
  • Bleeding
  • Comparative analysis
  • Gastrectomy - methods
  • Gastric bypass
  • Gastric Bypass - methods
  • Gastrointestinal surgery
  • Health aspects
  • Hernias
  • Humans
  • Laparoscopic sleeve gastrectomy
  • Laparoscopic surgery
  • Laparoscopy
  • Laparoscopy - methods
  • Mortality
  • Obesity
  • Obesity, Morbid - surgery
  • Patients
  • Postoperative complications
  • Postoperative Complications - epidemiology
  • Publications
  • Risk
  • Roux-en-Y gastric bypass
  • Surgery
  • Ulcers
  • Weight control
ispartof: The American journal of surgery, 2014, Vol.208 (6), p.903-910
description: Abstract Background Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the current “gold standard” bariatric procedure in the United States. Laparoscopic sleeve gastrectomy (LSG) has recently become a commonly performed procedure for many reasons, including patients' perception that LSG has less complexity and invasiveness, and lower risk. Our objective was to review the literature and compare the leak rates, morbidity, and mortality for LRYGB versus LSG. Methods Publications from 2002 to 2012 with n greater than or equal to 25 and postoperative leak rate reported were included. Statistical analysis included chi-square according to patient number. Results Twenty-eight (10,906 patients) LRYGB and 33 (4,816 patients) LSG articles were evaluated. Leak rates after LRYGB versus LSG were 1.9% ( n = 206) versus 2.3% ( n = 110), respectively ( P = .077). Mortality rates were .4% (27/7,117) for LRYGB and .2% (7/3,594) for LSG ( P  = .110). Timing from surgery to leak ranged from 1 to 12 days for LRYGB versus 1 to 35 days for LSG. Conclusions Leak and mortality rates after LRYGB and LSG were comparable. The appropriate procedure should be tailored based on patient factors, comorbidities, patient and surgeon comfort level, surgeon experience, and institutional outcomes.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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titleIs laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis
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creatorZellmer, Jonathan D., M.D ; Mathiason, Michelle A., M.S ; Kallies, Kara J., M.S ; Kothari, Shanu N., M.D., F.A.C.S
creatorcontribZellmer, Jonathan D., M.D ; Mathiason, Michelle A., M.S ; Kallies, Kara J., M.S ; Kothari, Shanu N., M.D., F.A.C.S
descriptionAbstract Background Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the current “gold standard” bariatric procedure in the United States. Laparoscopic sleeve gastrectomy (LSG) has recently become a commonly performed procedure for many reasons, including patients' perception that LSG has less complexity and invasiveness, and lower risk. Our objective was to review the literature and compare the leak rates, morbidity, and mortality for LRYGB versus LSG. Methods Publications from 2002 to 2012 with n greater than or equal to 25 and postoperative leak rate reported were included. Statistical analysis included chi-square according to patient number. Results Twenty-eight (10,906 patients) LRYGB and 33 (4,816 patients) LSG articles were evaluated. Leak rates after LRYGB versus LSG were 1.9% ( n = 206) versus 2.3% ( n = 110), respectively ( P = .077). Mortality rates were .4% (27/7,117) for LRYGB and .2% (7/3,594) for LSG ( P  = .110). Timing from surgery to leak ranged from 1 to 12 days for LRYGB versus 1 to 35 days for LSG. Conclusions Leak and mortality rates after LRYGB and LSG were comparable. The appropriate procedure should be tailored based on patient factors, comorbidities, patient and surgeon comfort level, surgeon experience, and institutional outcomes.
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subjectAbridged Index Medicus ; Anastomotic leak ; Anastomotic Leak - epidemiology ; Bariatric surgery ; Bleeding ; Comparative analysis ; Gastrectomy - methods ; Gastric bypass ; Gastric Bypass - methods ; Gastrointestinal surgery ; Health aspects ; Hernias ; Humans ; Laparoscopic sleeve gastrectomy ; Laparoscopic surgery ; Laparoscopy ; Laparoscopy - methods ; Mortality ; Obesity ; Obesity, Morbid - surgery ; Patients ; Postoperative complications ; Postoperative Complications - epidemiology ; Publications ; Risk ; Roux-en-Y gastric bypass ; Surgery ; Ulcers ; Weight control
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descriptionAbstract Background Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the current “gold standard” bariatric procedure in the United States. Laparoscopic sleeve gastrectomy (LSG) has recently become a commonly performed procedure for many reasons, including patients' perception that LSG has less complexity and invasiveness, and lower risk. Our objective was to review the literature and compare the leak rates, morbidity, and mortality for LRYGB versus LSG. Methods Publications from 2002 to 2012 with n greater than or equal to 25 and postoperative leak rate reported were included. Statistical analysis included chi-square according to patient number. Results Twenty-eight (10,906 patients) LRYGB and 33 (4,816 patients) LSG articles were evaluated. Leak rates after LRYGB versus LSG were 1.9% ( n = 206) versus 2.3% ( n = 110), respectively ( P = .077). Mortality rates were .4% (27/7,117) for LRYGB and .2% (7/3,594) for LSG ( P  = .110). Timing from surgery to leak ranged from 1 to 12 days for LRYGB versus 1 to 35 days for LSG. Conclusions Leak and mortality rates after LRYGB and LSG were comparable. The appropriate procedure should be tailored based on patient factors, comorbidities, patient and surgeon comfort level, surgeon experience, and institutional outcomes.
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abstractAbstract Background Laparoscopic Roux-en-Y gastric bypass (LRYGB) is the current “gold standard” bariatric procedure in the United States. Laparoscopic sleeve gastrectomy (LSG) has recently become a commonly performed procedure for many reasons, including patients' perception that LSG has less complexity and invasiveness, and lower risk. Our objective was to review the literature and compare the leak rates, morbidity, and mortality for LRYGB versus LSG. Methods Publications from 2002 to 2012 with n greater than or equal to 25 and postoperative leak rate reported were included. Statistical analysis included chi-square according to patient number. Results Twenty-eight (10,906 patients) LRYGB and 33 (4,816 patients) LSG articles were evaluated. Leak rates after LRYGB versus LSG were 1.9% ( n = 206) versus 2.3% ( n = 110), respectively ( P = .077). Mortality rates were .4% (27/7,117) for LRYGB and .2% (7/3,594) for LSG ( P  = .110). Timing from surgery to leak ranged from 1 to 12 days for LRYGB versus 1 to 35 days for LSG. Conclusions Leak and mortality rates after LRYGB and LSG were comparable. The appropriate procedure should be tailored based on patient factors, comorbidities, patient and surgeon comfort level, surgeon experience, and institutional outcomes.
copUnited States
pubElsevier Inc
pmid25435298
doi10.1016/j.amjsurg.2014.08.002