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Subject Area

Family Medicine

Article Type

Original Study

Abstract

Background Laparoscopic mini-gastric bypass (MGBP) is gaining popularity among the bariatric procedures today, and laparoscopic sleeve gastrectomy (SG) as a single-stage procedure for the treatment of morbid obesity is becoming increasingly popular. Patients and methods Between October 2016 and July 2018, 50 obese patients were randomized, operated upon, and followed up for 12 months in Al Zahraa Hospital and Shebin El-Kom teaching Hospital. A total of 25 patients underwent SG, and 25 patients underwent MGBP. The mean BMI of all patients was 47.8 ± 5.5 kg/m2, their mean age was 30 ± 8.3 years, and 80% of them were female. Patients were followed up at 1, 3, 6, 9, and 12 months. Operative time, length of hospital stays, weight loss, comorbidity improvement or resolution, postoperative complications, reinterventions, and mortality were evaluated. Results Age, sex, BMI, and comorbidities were equal. The mean operative time for SG was 86.9 ± 51.6 min and that for MGBP was 108.4 ± 41.8 min; the percentage of 1-year excess weight loss was similar (76.2 ± 4.49% for SG and 80.3 ± 8.3% for MGBP). The comorbidities were significantly improved after both procedures, except for type 2 diabetes mellitus, which showed a higher resolution rate after MGBP. Conclusion Laparoscopic SG regarding excess weight loss is comparable to laparoscopic MGBP in short-term follow-up (1 year) with less metabolic effect. Further long-term studies are needed.

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