Comparative study between the complications of laparoscopic sleeve gastrectomy and laparoscopic mini-gastric bypass

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Abstract

Background
Obesity is considered a preventable worldwide epidemic. It can cause high rates of morbidity and mortality. Laparoscopic sleeve gastrectomy (LSG) and laparoscopic mini-gastric bypass (LMGB) are both safe and effective procedures for the surgical management of morbid obesity. Bleeding and leakage are the most fearful life-threatening complications.
Patient and methods
This prospective study comprised 150 morbidly obese patients. The study was conducted between July 2015 and March 2016, after which there was a follow-up for 12 months among all the patients. The patients were divided equally into two groups: group A comprised LSG patients, whereas group B comprised LMGB patients.
Results
Among the Group A patients, four (5.3%) exhibited complications: hemorrhage (1.3%), gastric leakage (1.3%), and gall-bladder stones (2.6%). In group B, five (6.6%) patients had complications: biliary reflux (1.3%), deep venous thrombosis (1.3%), and gall-bladder stones (3.9%). No mortality occurred in the study.
Conclusion
Both LSG and LMGB are safe and effective procedures. The study found no statistically significant difference between either procedure, in the incidence of complications.

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