Comparison of Outcomes Regarding Weight Loss in Laparoscopic Sleeve Gastrectomy vs Laparoscopic Mini Gastric Bypass in Morbidly Obese Patients- A Cohort Study
Introduction: Obesity is defined as abnormal or excessive fat accumulation that may impair health. Body Mass Index (BMI) is a simple index of weight for height (kg/m2) that is commonly used to classify overweight and obesity in adults. Mini Gastric Bypass (MGB) leads to improved quality of life, red...
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JCDR Research and Publications Private Limited
2024-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/19085/67318_CE[Ra1]_F(SHU)_QC(KK_SS)_Ref_Pat(RDW_SS)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdf |
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| author | Sandeep Verma Rituparna Chatterjee Manoj Yadav Vidit Bhavinder Kumar Arora Harpreet Singh Jolly Prafull Arya |
| author_facet | Sandeep Verma Rituparna Chatterjee Manoj Yadav Vidit Bhavinder Kumar Arora Harpreet Singh Jolly Prafull Arya |
| author_sort | Sandeep Verma |
| collection | DOAJ |
| description | Introduction: Obesity is defined as abnormal or excessive fat accumulation that may impair health. Body Mass Index (BMI) is a simple index of weight for height (kg/m2) that is commonly used to classify overweight and obesity in adults. Mini Gastric Bypass (MGB) leads to improved quality of life, reduction in episodes of Gastroesophageal Reflux Disease (GERD), high patient acceptance, early safety, and efficacy. Laparoscopic Sleeve Gastrectomy (LSG) is a restrictive, irreversible procedure in which stomach capacity is markedly reduced by creating a lesser curvature tube. MGB is mildly restrictive but importantly, a malabsorptive operation. Many observational studies have concluded that better weight loss and diabetes remission are the advantages of MGB. However, comparative studies of outcomes and complications between Laparoscopic Sleeve Gastrectomy (LSG) and MGB are still scarce.
Aim: To compare the effectiveness and outcomes regarding weight loss after LSG and MGB in morbidly obese patients.
Materials and Methods: This prospective cohort study was carried out in the Department of Surgery of SPS Hospital, Ludhiana, Punjab, India from 1st June 2018 to 31st May 2019. Adults between 20-70 years of age and with BMI >37.5 without co-morbidities, and BMI >32.5 with co-morbidities Type II Diabetes Mellitus (T2DM) were included. The authors included 59 patients; 34 patients underwent MGB (22 were female and 12 were male) and 25 patients underwent LSG (18 were female and 7 were male). A comparison of continuous variables between the study groups was done using the Student’s t-test. For comparing categorical data, a Chi-square (χ2) test was performed.
Results: The overall % Excess Weight Loss (EWL) after MGB ranged from 27.74 to 62.32% with a mean of 44.88±17.44%. The overall % EWL after LSG ranged from 26.62 to 45.8% with a mean of 36.21±9.59%. (p<0.05) in % EWL at nine months in both procedures as MGB resulted in more % EWL than LSG. Perioperative results regarding the mean operative time for MGB was 3.24 hours and for LSG, 2.43 hours (p<0.05). A total of 50% (5/10) of patients who underwent MGB had remission, and 25% (1/4) of patients who underwent LSG had remission of T2DM after nine months (p>0.05). None of the patients required readmission post LSG, while 3% (1/34) required readmission post MGB. None of the patients had postoperative leakage in both groups.
Conclusion: The better outcome was associated with MGB in terms of the percentage of Excess Weight Loss (EWL). |
| first_indexed | 2024-03-07T23:32:30Z |
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| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-07T23:32:30Z |
| publishDate | 2024-02-01 |
| publisher | JCDR Research and Publications Private Limited |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-528929cf6cde45e5b8c9634d185de4232024-02-20T11:30:09ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-02-011802050810.7860/JCDR/2024/67318.19085Comparison of Outcomes Regarding Weight Loss in Laparoscopic Sleeve Gastrectomy vs Laparoscopic Mini Gastric Bypass in Morbidly Obese Patients- A Cohort StudySandeep Verma0Rituparna Chatterjee1Manoj Yadav2Vidit3Bhavinder Kumar Arora4Harpreet Singh Jolly5Prafull Arya6Assistant Professor, Department of General Surgery, Maharishi Markandeshwar College of Medical Science and Research (MMCMSR), Ambala, India.Emergency Medical Officer, Department of Emergency, SPS Hospital, Ludhiana, Punjab, India.Junior Resident, Department of General Surgery, PGIMS, Rohtak, Haryana, India.Junior Resident, Department of General Surgery, PGIMS, Rohtak, Haryana, India.Senior Resident, Department of General Surgery, PGIMS, Rohtak, Haryana, India.Senior Consultant, Department of General Surgery, SPS Hospital, Ludhiana, Punjab, India.Senior Consultant, Department of General Surgery, SPS Hospital, Ludhiana, Punjab, India.Introduction: Obesity is defined as abnormal or excessive fat accumulation that may impair health. Body Mass Index (BMI) is a simple index of weight for height (kg/m2) that is commonly used to classify overweight and obesity in adults. Mini Gastric Bypass (MGB) leads to improved quality of life, reduction in episodes of Gastroesophageal Reflux Disease (GERD), high patient acceptance, early safety, and efficacy. Laparoscopic Sleeve Gastrectomy (LSG) is a restrictive, irreversible procedure in which stomach capacity is markedly reduced by creating a lesser curvature tube. MGB is mildly restrictive but importantly, a malabsorptive operation. Many observational studies have concluded that better weight loss and diabetes remission are the advantages of MGB. However, comparative studies of outcomes and complications between Laparoscopic Sleeve Gastrectomy (LSG) and MGB are still scarce. Aim: To compare the effectiveness and outcomes regarding weight loss after LSG and MGB in morbidly obese patients. Materials and Methods: This prospective cohort study was carried out in the Department of Surgery of SPS Hospital, Ludhiana, Punjab, India from 1st June 2018 to 31st May 2019. Adults between 20-70 years of age and with BMI >37.5 without co-morbidities, and BMI >32.5 with co-morbidities Type II Diabetes Mellitus (T2DM) were included. The authors included 59 patients; 34 patients underwent MGB (22 were female and 12 were male) and 25 patients underwent LSG (18 were female and 7 were male). A comparison of continuous variables between the study groups was done using the Student’s t-test. For comparing categorical data, a Chi-square (χ2) test was performed. Results: The overall % Excess Weight Loss (EWL) after MGB ranged from 27.74 to 62.32% with a mean of 44.88±17.44%. The overall % EWL after LSG ranged from 26.62 to 45.8% with a mean of 36.21±9.59%. (p<0.05) in % EWL at nine months in both procedures as MGB resulted in more % EWL than LSG. Perioperative results regarding the mean operative time for MGB was 3.24 hours and for LSG, 2.43 hours (p<0.05). A total of 50% (5/10) of patients who underwent MGB had remission, and 25% (1/4) of patients who underwent LSG had remission of T2DM after nine months (p>0.05). None of the patients required readmission post LSG, while 3% (1/34) required readmission post MGB. None of the patients had postoperative leakage in both groups. Conclusion: The better outcome was associated with MGB in terms of the percentage of Excess Weight Loss (EWL).https://www.jcdr.net/articles/PDF/19085/67318_CE[Ra1]_F(SHU)_QC(KK_SS)_Ref_Pat(RDW_SS)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdfbody mass indexexcess weight lossglycosylated haemoglobinmorbid obesity |
| spellingShingle | Sandeep Verma Rituparna Chatterjee Manoj Yadav Vidit Bhavinder Kumar Arora Harpreet Singh Jolly Prafull Arya Comparison of Outcomes Regarding Weight Loss in Laparoscopic Sleeve Gastrectomy vs Laparoscopic Mini Gastric Bypass in Morbidly Obese Patients- A Cohort Study Journal of Clinical and Diagnostic Research body mass index excess weight loss glycosylated haemoglobin morbid obesity |
| title | Comparison of Outcomes Regarding Weight Loss in Laparoscopic Sleeve Gastrectomy vs Laparoscopic Mini Gastric Bypass in Morbidly Obese Patients- A Cohort Study |
| title_full | Comparison of Outcomes Regarding Weight Loss in Laparoscopic Sleeve Gastrectomy vs Laparoscopic Mini Gastric Bypass in Morbidly Obese Patients- A Cohort Study |
| title_fullStr | Comparison of Outcomes Regarding Weight Loss in Laparoscopic Sleeve Gastrectomy vs Laparoscopic Mini Gastric Bypass in Morbidly Obese Patients- A Cohort Study |
| title_full_unstemmed | Comparison of Outcomes Regarding Weight Loss in Laparoscopic Sleeve Gastrectomy vs Laparoscopic Mini Gastric Bypass in Morbidly Obese Patients- A Cohort Study |
| title_short | Comparison of Outcomes Regarding Weight Loss in Laparoscopic Sleeve Gastrectomy vs Laparoscopic Mini Gastric Bypass in Morbidly Obese Patients- A Cohort Study |
| title_sort | comparison of outcomes regarding weight loss in laparoscopic sleeve gastrectomy vs laparoscopic mini gastric bypass in morbidly obese patients a cohort study |
| topic | body mass index excess weight loss glycosylated haemoglobin morbid obesity |
| url | https://www.jcdr.net/articles/PDF/19085/67318_CE[Ra1]_F(SHU)_QC(KK_SS)_Ref_Pat(RDW_SS)_PF1(RI_KM)_PFA(RI_KM)_PN(KM).pdf |
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