Our Summary
This research paper looks at the results of two different weight loss surgeries: laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG). These surgeries were performed on patients who were still obese after previously undergoing a different type of weight loss surgery (laparoscopic adjustable gastric banding, or LAGB) that didn’t work. The study compared the findings from eight different reports involving 635 patients.
Both LRYGB and LSG surgeries yielded similar results in terms of complications, conversions, hospital stay duration, and weight loss after 6 and 12 months. However, after 24 months, patients who underwent the LRYGB surgery showed a greater percentage of weight loss and a larger reduction in their Body Mass Index (BMI).
The researchers concluded that more well-designed studies are needed to further compare the long-term outcomes of these two surgeries.
FAQs
- What are the clinical outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) procedures after failed laparoscopic adjustable gastric banding (LAGB)?
- How do the complications, conversions, hospital stay times, and weight loss of LRYGB and LSG compare after 6 and 12 months?
- What are the differences in % excess weight loss (%EWL) and BMI reduction between LRYGB and LSG patients after 24 months?
Doctor’s Tip
One helpful tip a doctor might tell a patient about gastric bypass is to follow a healthy diet and exercise regularly to maximize weight loss and overall success of the procedure. It’s important to stick to post-operative guidelines provided by your healthcare team to ensure optimal outcomes.
Suitable For
Patients who are typically recommended for gastric bypass surgery include those who are severely obese with a body mass index (BMI) of 40 or higher, or those with a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea. Additionally, patients who have not had success with other weight loss methods such as diet and exercise, or who have experienced complications from previous weight loss surgeries such as adjustable gastric banding, may also be recommended for gastric bypass.
Timeline
Before gastric bypass:
- Patient consults with healthcare provider about weight loss options.
- Patient undergoes evaluation and assessment by healthcare team.
- Patient attends informational sessions about gastric bypass surgery.
- Patient undergoes pre-operative preparation, including dietary changes and medical tests.
- Patient undergoes laparoscopic Roux-en-Y gastric bypass surgery.
After gastric bypass:
- Patient stays in hospital for a few days for monitoring and recovery.
- Patient follows a strict post-operative diet and exercise regimen.
- Patient attends follow-up appointments with healthcare team for monitoring and support.
- Patient experiences weight loss and improvement in obesity-related health conditions.
- Patient continues to make lifestyle changes to maintain weight loss and overall health.
What to Ask Your Doctor
- What are the potential risks and complications associated with gastric bypass surgery?
- How will my diet and eating habits need to change after surgery?
- What kind of follow-up care will I need after surgery?
- How much weight can I expect to lose after gastric bypass surgery?
- How long will it take for me to recover from the surgery?
- Will I need to take any supplements or medications after surgery?
- What are the long-term effects of gastric bypass surgery?
- How will gastric bypass surgery affect my overall health and well-being?
- What are the chances of the surgery being successful in helping me lose weight and improve my health?
- Are there any specific lifestyle changes I should make before and after surgery to ensure the best outcomes?
Reference
Authors: Magouliotis DE, Tasiopoulou VS, Svokos AA, Svokos KA, Sioka E, Zacharoulis D. Journal: Obes Surg. 2017 May;27(5):1365-1373. doi: 10.1007/s11695-017-2644-3. PMID: 28303508