Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study
Background. Weight regain after laparoscopic sleeve gastrectomy (LSG) is nowadays a growing concern. Sleeve dilatation and loss of food restriction is considered the main mechanism. The placement of a silicon ring around the gastric tube seems to give benefits in the short term. We report the result...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2020-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2020/9792518 |
| _version_ | 1798033033922609152 |
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| author | Paolo Gentileschi Emanuela Bianciardi Leandro Siragusa Valeria Tognoni Domenico Benavoli Stefano D’Ugo |
| author_facet | Paolo Gentileschi Emanuela Bianciardi Leandro Siragusa Valeria Tognoni Domenico Benavoli Stefano D’Ugo |
| author_sort | Paolo Gentileschi |
| collection | DOAJ |
| description | Background. Weight regain after laparoscopic sleeve gastrectomy (LSG) is nowadays a growing concern. Sleeve dilatation and loss of food restriction is considered the main mechanism. The placement of a silicon ring around the gastric tube seems to give benefits in the short term. We report the results of a randomized study comparing LSG and laparoscopic banded sleeve gastrectomy (LBSG) over a 4-year follow-up. Objectives. To evaluate the efficacy of banded sleeve gastrectomy compared to standard sleeve in the midterm. Methods. Between 01/2014 and 01/2015, we randomly assigned 50 patients to receive one of the two procedures. Patients’ management was exactly the same, apart from the band placement. We analyzed differences in weight loss, operative time, complication rate, and mortality, with a median follow-up of 4 years. Results. Twenty five patients were assigned to receive LSG (Group A) and 25 LBSG (Group B). The mean preoperative BMI (body mass index) was 47.3 ± 6.58 kg/m2 and 45.95 ± 5.85 kg/m2, respectively. There was no significant difference in the operative time. No intraoperative or postoperative complications occurred. At 12-month follow-up, the mean BMI was 29.72 ± 4.40 kg/m2 in Group A and 27.42 ± 4.47 kg/m2 in Group B (p=0.186). After a median follow-up of 4 years, the mean BMI in Group B was significantly lower than Group A (24.10 ± 4.52 kg/m2 vs 28.80 ± 4.62 kg/m2; p=0.00199). Conclusions. LBSG is a safe procedure, with no impact on postoperative complications. The banded sleeve showed a significant greater weight loss in the midterm follow-up. Considering the issue of weight regain observed after LSG, the placement of a perigastric ring during the first procedure may be a strategy to improve the results. This trial is registered with NCT04228185. |
| first_indexed | 2024-04-11T20:23:41Z |
| format | Article |
| id | doaj.art-57eb76da3b14485f8b7aa5ae2e7f8bb3 |
| institution | Directory Open Access Journal |
| issn | 2090-0708 2090-0716 |
| language | English |
| last_indexed | 2024-04-11T20:23:41Z |
| publishDate | 2020-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj.art-57eb76da3b14485f8b7aa5ae2e7f8bb32022-12-22T04:04:44ZengHindawi LimitedJournal of Obesity2090-07082090-07162020-01-01202010.1155/2020/97925189792518Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized StudyPaolo Gentileschi0Emanuela Bianciardi1Leandro Siragusa2Valeria Tognoni3Domenico Benavoli4Stefano D’Ugo5Department of Surgery, Obesity Unit, Tor Vergata University Hospital, Viale Oxford 81–00133, Rome, ItalyDepartment of Systems Medicine, Tor Vergata University Hospital, Viale Oxford 81–00133, Rome, ItalyDepartment of Surgery, Tor Vergata University Hospital, Viale Oxford 81–00133, Rome, ItalyDepartment of Surgery, Tor Vergata University Hospital, Viale Oxford 81–00133, Rome, ItalyDepartment of Surgery, Tor Vergata University Hospital, Viale Oxford 81–00133, Rome, ItalyDepartment of General Surgery, “Vito Fazzi” Hospital, Piazza Muratore 1–73100, Lecce, ItalyBackground. Weight regain after laparoscopic sleeve gastrectomy (LSG) is nowadays a growing concern. Sleeve dilatation and loss of food restriction is considered the main mechanism. The placement of a silicon ring around the gastric tube seems to give benefits in the short term. We report the results of a randomized study comparing LSG and laparoscopic banded sleeve gastrectomy (LBSG) over a 4-year follow-up. Objectives. To evaluate the efficacy of banded sleeve gastrectomy compared to standard sleeve in the midterm. Methods. Between 01/2014 and 01/2015, we randomly assigned 50 patients to receive one of the two procedures. Patients’ management was exactly the same, apart from the band placement. We analyzed differences in weight loss, operative time, complication rate, and mortality, with a median follow-up of 4 years. Results. Twenty five patients were assigned to receive LSG (Group A) and 25 LBSG (Group B). The mean preoperative BMI (body mass index) was 47.3 ± 6.58 kg/m2 and 45.95 ± 5.85 kg/m2, respectively. There was no significant difference in the operative time. No intraoperative or postoperative complications occurred. At 12-month follow-up, the mean BMI was 29.72 ± 4.40 kg/m2 in Group A and 27.42 ± 4.47 kg/m2 in Group B (p=0.186). After a median follow-up of 4 years, the mean BMI in Group B was significantly lower than Group A (24.10 ± 4.52 kg/m2 vs 28.80 ± 4.62 kg/m2; p=0.00199). Conclusions. LBSG is a safe procedure, with no impact on postoperative complications. The banded sleeve showed a significant greater weight loss in the midterm follow-up. Considering the issue of weight regain observed after LSG, the placement of a perigastric ring during the first procedure may be a strategy to improve the results. This trial is registered with NCT04228185.http://dx.doi.org/10.1155/2020/9792518 |
| spellingShingle | Paolo Gentileschi Emanuela Bianciardi Leandro Siragusa Valeria Tognoni Domenico Benavoli Stefano D’Ugo Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study Journal of Obesity |
| title | Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study |
| title_full | Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study |
| title_fullStr | Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study |
| title_full_unstemmed | Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study |
| title_short | Banded Sleeve Gastrectomy Improves Weight Loss Compared to Nonbanded Sleeve: Midterm Results from a Prospective Randomized Study |
| title_sort | banded sleeve gastrectomy improves weight loss compared to nonbanded sleeve midterm results from a prospective randomized study |
| url | http://dx.doi.org/10.1155/2020/9792518 |
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