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2011, Number 1

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Rev Mex Cir Endoscop 2011; 12 (1)

Laparoscopic gastric bypass versus laparoscopic vertical sleeve gastrectomy. Short-term results at an obesity clinic of the Mexico City government

Rodríguez AA, Ponce LM, Spaventa A, Liceaga A, Castañeda M, Pérez R, Romay K, Campos F

Language: Spanish
References: 30
Page: 15-22
PDF size: 75.91 Kb.


ABSTRACT

Introduction: Mexico occupies the second place worldwide in obesity, for this reason the government of Mexico City created the first clinic for surgical treatment of these patients. The most frequently used procedures are Laparoscopic Roux in Y Gastric Bypass (LRYGB) and Laparoscopic Sleeve Gastrectomy (LSG). The first proven to be safe and effective, with good long term results, and the second relatively easy to perform with good short term results. There are very few studies, none in Mexico, that compare these procedures. Objective: The objective of the present study is to describe and compare the results we obtained during the first year of experience at this clinic. Methods: From March 2009 to April 2010, 61 patients were operated. LRYGB (n = 40) and LSG (n = 21). We compared age, gender, BMI, morbidity, comorbidity outcome, operative time, length of stay, complications and percentage of excess body weight loss during an average follow up period of one year. Results: Difference in age, gender, morbidity and length of stay was not statistically significant. Preoperative BMI was higher in LSG patients. There was no statistical difference in remission of diabetes or hypertension, however LRYGB patients showed significant remission of mixed dyslipidemia, as well as greater loss of mean excess body weight after a 1 year mean follow up, 70.2 ± 19 for LRYGB group vs 41 ± 10 for LSG group (p = 0.00029383). The rate of complications for LRYGB patients 27.5 vs 24% in LSG patients. We had no mortality in either of the groups. Conclusions: LRYGB was more effective for short term loss of excess body weight, as well as remission of mixed dyslipidemia. The complications we experienced were relatively high in both groups, yet very similar to results of initial cases of bariatric procedures published in worldwide literature.


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