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Roux-en-Y gastric bypass vs. sleeve gastrectomy vs. gastric banding: The first multicenter retrospective comparative cohort study in obese Korean patients

Title
Roux-en-Y gastric bypass vs. sleeve gastrectomy vs. gastric banding: The first multicenter retrospective comparative cohort study in obese Korean patients
Authors
Lee S.K.Heo Y.Park J.-M.Kim Y.-J.Kim S.-M.Park D.-J.Han S.-M.Shim K.W.Lee Y.-J.Lee J.Y.Kwon J.-W.
Ewha Authors
심경원
SCOPUS Author ID
심경원scopus
Issue Date
2016
Journal Title
Yonsei Medical Journal
ISSN
0513-5796JCR Link
Citation
vol. 57, no. 4, pp. 956 - 962
Keywords
Bariatric surgeryComparative studyKoreansMorbid obesityOutcomes
Publisher
Yonsei University College of Medicine
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
Purpose: Bariatric surgery is relatively new in Korea, and studies comparing different bariatric procedures in Koreans are lacking. This study aimed to compare the clinical outcomes of laparoscopic adjustable gastric banding (LAGB), Roux-en-Y gastric bypass (RYGB), and sleeve gastrectomy (SG) for treating morbidly obese Korean adults. Materials and Methods: In this multicenter retrospective cohort study, we reviewed the medical records of 261 obese patients who underwent different bariatric procedures. Clinical outcomes were measured in terms of weight loss and resolution of comorbidities, such as diabetes, hypertension, and dyslipidemia. Safety profiles for the procedures were also evaluated. Results: In terms of weight loss, the three procedures showed similar results at 18 months (weight loss in 52.1% for SG, 61.0% for LAGB, and 69.2% for RYGB). Remission of diabetes, hypertension, and dyslipidemia was more frequent in patients who underwent RYGB (65.9%, 63.6%, and 100% of patients, respectively). Safety profiles were similar among groups. Early complications occurred in 26 patients (9.9%) and late complications in 32 (12.3%). In the LAGB group, five bands (6.9%) were removed. Among all patients, one death (1/261=0.38%) occurred in the RYGB group due to aspiration pneumonia. Conclusion: The three bariatric procedures were comparable in regards to weight-loss outcomes; nevertheless, RYGB showed a higher rate of comorbidity resolution. Bariatric surgery is effective and relatively safe; however, due to complications, some bands had to be removed in the LAGB group and a relatively high rate of reoperations was observed in the RYGB group. © Yonsei University College of Medicine 2016.
DOI
10.3349/ymj.2016.57.4.956
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의학전문대학원 > 의학과 > Journal papers
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