Better weight loss, resolution of diabetes, and quality of life for laparoscopic gastric bypass vs banding: results of a 2-cohort pair-matched study

Guilherme M Campos; Charlotte Rabl; Garrett R Roll; Sofia Peeva; Kris Prado; Jessica Smith; Eric Vittinghoff

doi:10.1001/archsurg.2010.316

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Better weight loss, resolution of diabetes, and quality of life for laparoscopic gastric bypass vs banding: results of a 2-cohort pair-matched study

Journal article

Open access

Peer reviewed

Better weight loss, resolution of diabetes, and quality of life for laparoscopic gastric bypass vs banding: results of a 2-cohort pair-matched study

Guilherme M Campos, Charlotte Rabl, Garrett R Roll, Sofia Peeva, Kris Prado, Jessica Smith and Eric Vittinghoff

Archives of surgery (Chicago. 1960), Vol.146(2), pp.149-155

02/2011

DOI: 10.1001/archsurg.2010.316

PMID: 21339424

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Abstract

Laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic gastric banding (LB) are the 2 most common operations used to treat morbid obesity, but few controlled comparative studies have reported perioperative and long-term outcomes. Two-cohort pair-matched study. Academic tertiary referral center. One hundred consecutive morbidly obese patients treated with LB were pair-matched by sex, race, age, initial body mass index, and presence of type 2 diabetes mellitus with 100 patients who were treated with RYGB. Perioperative and postoperative complications, reoperations, and 1-year outcomes, including weight loss, type 2 diabetes resolution, and quality of life. The RYGB and LB groups had similar characteristics. One-year outcomes were available for 93 patients in the LB group and 92 in the RYGB group. The overall rate of complications was similar in both groups (11 patients in the LB group [12%] vs 14 in the RYGB group [15%]; P = .83), with a higher rate of early complications (≤ 30 days) after RYGB (11 patients [11%] vs 2 [2%] for LB; P = .01) and a higher rate of reoperations after LB (12 patients [13%] vs 2 for RYGB [2%]; P = .009). No deaths occurred. Excess weight loss (36% vs 64%; P < .01), resolution of diabetes (17 patients [50%] vs 26 [76%]; P = .04), and quality-of-life measures were better in the RYGB group. When performed in high-volume centers by expert surgeons, RYGB has a similar rate of overall complications and lower rate of reoperations than LB. With the benefit of greater weight loss, increased resolution of diabetes, and improved quality of life, RYGB, in these circumstances, has a better risk-benefit profile than LB.

Body Mass Index

Follow-Up Studies

Obesity, Morbid - surgery

Humans

Middle Aged

Male

Treatment Outcome

Laparoscopy

Obesity, Morbid - complications

Young Adult

Gastroplasty - methods

Weight Loss

Matched-Pair Analysis

Quality of Life

Adult

Female

Surveys and Questionnaires

Aged

Gastric Bypass - methods

Retrospective Studies

Diabetes Mellitus, Type 2 - complications

Diabetes Mellitus, Type 2 - surgery

Details

Title: Subtitle: Better weight loss, resolution of diabetes, and quality of life for laparoscopic gastric bypass vs banding: results of a 2-cohort pair-matched study
Creators: Guilherme M Campos - Department of Surgery, University of California, San Francisco, USA. campos@surgery.wisc.edu
Charlotte Rabl
Garrett R Roll
Sofia Peeva
Kris Prado
Jessica Smith
Eric Vittinghoff
Resource Type: Journal article
Publication Details: Archives of surgery (Chicago. 1960), Vol.146(2), pp.149-155
DOI: 10.1001/archsurg.2010.316
PMID: 21339424
NLM abbreviation: Arch Surg
ISSN: 0004-0010
eISSN: 1538-3644
Publisher: American Medical Association
Grant note: KL2 RR024130 / NCRR NIH HHS
Language: English
Date published: 02/2011
Academic Unit: Surgery
Record Identifier: 9984083263202771

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