World Journal of Laparoscopic Surgery

Register      Login

VOLUME 14 , ISSUE 1 ( January-April, 2021 ) > List of Articles

Original Article

A Comparative Study of Weight Loss and Reduction in BMI after Gastric Imbrication, Sleeve Gastrectomy, and Roux-en-Y Gastric Bypass

Pankaj Tejasvi, Arvind Ghanghoria, Ruchita Banseria

Citation Information : Tejasvi P, Ghanghoria A, Banseria R. A Comparative Study of Weight Loss and Reduction in BMI after Gastric Imbrication, Sleeve Gastrectomy, and Roux-en-Y Gastric Bypass. World J Lap Surg 2021; 14 (1):26-29.

DOI: 10.5005/jp-journals-10033-1443

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Background: Obesity is a worldwide epidemic and exercise supplemented with pharmacotherapy has poor long-term results; thus, bariatric surgery is the mainstay therapy for morbid obesity. But reduction in weight and BMI after bariatric surgery is not the same and mainly depends on the type of surgery performed. Aim and objective: To study the comparative efficacy among three bariatric surgeries viz. Laparoscopic gastric imbrication (LGI), laparoscopic sleeve gastrectomy (LSG), and laparoscopic Roux-en-Y gastric bypass (LRYGB) in morbid obese patients in relation to weight loss and reduction in BMI. Study design: Prospective study. Materials and methods: Total of 40 morbid obese patients underwent different types of laparoscopic bariatric surgery and were followed for 1 year. Reduction in weight and BMI after 1 year was correlated with the type of bariatric surgery performed. Statistical analysis: Paired t-test, analysis of variance (ANOVA), Bonferroni. Results: Patients undergone LGI, LSG, and LRYGB had a preoperative mean weight/BMI of 105.33 kg/41.07 kg m−2, 104.07 kg/42.76 kg m−2, and 105.8 kg/43.27 kg m−2, respectively; and postoperative mean weight/BMI after 1 year was 87.4 kg/34.08 kg m−2, 81.07 kg/33.32 kg m−2, and 81.2 kg/33.18 kg m−2, respectively. On applying ANOVA and Bonferroni, LSG and LRYGB group had greater weight loss and reduction in BMI as compared to LGI group. Conclusion: LSG and LRYGB are statistically better in weight and BMI reduction in obese as compared to LGI. Although weight and BMI reduction was more in LRYGB as compared to LSG, it was not statistically significant.


HTML PDF Share
  1. Obesity and overweight Fact sheet N°311. WHO. January 2015. Accessed 2 February 2016.
  2. NIH conference. Gastrointestinal surgery of severe obesity. Consensus Development panel. Ann intern Med. 1991;115(12): 956–961. PMID: 1952493.
  3. Bradley D, Magkos F, Klein S. Effects of bariatric surgery on glucose homeostasis and type 2 diabetes. Gastroenterology 2012;143(4):897–912. DOI: 10.1053/j.gastro.2012.07.114.
  4. Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement. Am J Clin Nutr 1992 Feb; 55(2 Suppl):615S-619S. DOI: 10.1093/ajcn/55.2.615s.
  5. WHO Obesity and overweight. Fact sheet. Updated June 2016.
  6. Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg 1998; 8(3):267–282. DOI: 10.1381/096089298765554476.
  7. Marceau P, Hould FS, Simard S, et al. Biliopancreatic diversion with duodenal switch. World J Surg 1998;22(9):947–954. DOI: 10.1007/s002689900498.
  8. Johnston D, Dachtler J, Sue-Ling HM, et al. The Magenstrasse and mill operation for morbid obesity. Obes Surg 2003;13:10–16. DOI: 10.1381/096089203321136520.
  9. Wilkinson LH. Reduction of gastric reservoir capacity. Am J Clin Nutr 1980;33(2 Suppl):515–517. DOI: 10.1093/ajcn/33.2.515.
  10. Wilkinson LH, Peloso OA. Gastric (reservoir) reduction of morbid obesity. Arch Surg 1981;116(5):602–605. DOI: 10.1001/archsurg.1981.01380170082014.
  11. Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. J Laparoendosc Adv Surg Tech 2007;17(6):793–798. DOI: 10.1089/lap.2006.0128.
  12. Mason EE, Ito C. Gastric bypass in obesity. Surg Clin North Am 1967;47:1345–1351. DOI: 10.1016/s0039-6109(16)38384-0.
  13. Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux- en-Y: preliminary report of five cases. Obes Surg 1994;4:353–357. DOI: 10.1381/096089294765558331.
  14. Himpens J, Dapri G, Cadière GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg 2006;16(11):1450–1456. DOI: 10.1381/096089206778869933.
  15. Cutolo PP, Vitolo G, Brancato V, et al. Clinical efficacy of laparoscopic sleeve gastrectomy vs laparoscopic gastric bypass in obese type 2 diabetic patients: a retrospective comparison. Obes Surg 2012;22(10):1535–1539
  16. Skrekas G, Antiochos K, Stafyla VK. Laparoscopic gastric greater curvature plication: results and complications in a series of 135 patients. Obes Surg 2011;21(11):1657–1663. DOI: 10.1007/s11695-011-0499-6.
  17. Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg 2008;247(3):401–407. DOI: 10.1097/SLA.0b013e318156f012.
  18. Kehagias I, Karamanakos SN, Argentou M, et al. Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI < 50 kg/m2. Obes Surg 2011;21(11):1650–1656. DOI: 10.1007/s11695-011-0479-x.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.