Evaluation of weight loss one and two years post-laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding

Hassan, Ahmed M.; Hussein, Ahmed M.; Ibrahim, Mohamed Y.

doi:10.4103/ejs.ejs_71_18

Evaluation of weight loss one and two years post-laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding

Authors

Abstract

Background
Being a major health problem, surgical management of obesity has become a successful variant. Many laparoscopic procedures are readily available with their advantages and drawbacks. One of the major determinants of the choice of procedure is the expected weight loss. Laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) are well-known procedures with a good reputation regarding postoperative weight loss.
Aim
The aim of this study was to compare excess weight loss (EWL) percentage between both procedures after 1 and 2 years postoperatively.
Patients and methods
This study included 60 morbidly obese patients divided equally into two groups: group A patients underwent LSG and group B patients underwent LAGB. %EWL was compared between both groups after 1 and 2 years in the postoperative period.
Results
All LSG cases continued follow-up for 2 years while four cases of the LAGB group discontinued follow-up due to band removal. Both procedures achieved a satisfactory weight loss over 1 and 2 years with better results in LSG.
Conclusion
Both LSG and LAGB are the commonly performed restrictive procedures for morbid obesity with acceptable results. LSG achieved more reduction of BMI and higher %EWL after a follow-up of 12 and 24 months.

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