The effects of bariatric surgical procedures on the improvement of metabolic syndrome in morbidly obese patients: Comparison of laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass
Mehmet Ertuğrul Kafalı, Mustafa Şahin, İlhan Ece, Fahrettin Acar, Hüseyin Yılmaz, Hüsnü Alptekin, Leyla Ateş
Department of General Surgery, Selçuk University School of Medicine, Konya, Turkey
Abstract
Objective: The objective of this study was to evaluate patients who underwent laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy in terms of weight loss, metabolic parameters, and postoperative complications.
Material and Methods: Data on patients who underwent laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy with a diagnosis of morbid obesity between January 2012 and June 2014 were retrospectively evaluated. Patients were compared in terms of age, sex, body mass index, duration of operation, American Society of Anesthesiologists score, perioperative complications, length of hospital stay, and long term follow-up results.
Results: During the study period, 91 patients (45 laparoscopic Roux-en-Y gastric bypass and 46 laparoscopic sleeve gastrectomy) underwent bariatric surgery. There was no difference between the two groups in terms of preoperative patient characteristics. Both groups showed statistically significant weight loss and improvement in co-morbidities when compared with the preoperative period. Weight loss and improvement in metabolic parameters were similar in both groups. The duration of operation and hospital stay was longer in the laparoscopic Roux-en-Y gastric bypass group. Furthermore, the rate of total complications was significantly lower in the laparoscopic sleeve gastrectomy group.
Conclusion: Laparoscopic sleeve gastrectomy is a safe and effective method with a significantly lower complication rate and length of hospital stay than laparoscopic Roux-en-Y gastric bypass, with similar improvement rates in metabolic syndrome.
Keywords: Morbid obesity, weight loss, metabolic syndrome, surgical complication
Kafalı ME, Şahin M, Ece İ, Acar F, Yılmaz H, Alptekin H, Ateş L. The effects of bariatric surgical procedures on the improvement of metabolic syndrome in morbidly obese patients: Comparison of laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass. Turk J Surg 2017; 33: 142-146.
Authors declared that the research was conducted according to the principles of the World Medical Association Declaration of Helsinki “Ethical Principles for Medical Research Involving Human Subjects” (amended in October 2013).
Informed consent was not received due to the retrospective nature of the study.
Externally peer-reviewed.
Concept - M.Ş.; Design - İ.E.; Supervision - M.Ş.; Resource - M.E.K., L.A.; Materials - İ.E., M..E.K.; Data Collection and/or Processing - İ.E., M..E.K., F.A. .; Analysis and/or Interpretation - M.E.K., İ.E.; Literature Search - İ.E., H.A, H.Y.; Writing Manuscript - M.Ş., İ.E.; Critical Reviews - M.Ş.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.