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- Title
Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy for Super Super Obese and Super Obese: Systematic Review and Meta-analysis of Weight Results, Comorbidity Resolution.
- Authors
Wang, Yong; Song, Ying-han; Chen, Jing; Zhao, Rui; Xia, Lin; Cui, Ya-ping; Rao, Zhi-yong; Zhou, Yong; Wu, Xiao-ting
- Abstract
Background: Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) used for super obesity (SO) and super super obesity (SSO) remain controversial. The meta-analysis was to summarize the evidence. Methods: We searched in MEDLINE and PubMed for studies concerning RYGB and SG for SO or SSO and pooled complication, percentage excess weight loss (%EWL), and resolution of comorbidities. Results: Twelve studies were identified. RYGB achieved higher %EWL at 12 months, but no significant difference at 24 months. Resolution of diabetes mellitus and dyslipidemia reached a statistical significance; however, there was no significant difference in hypertension. Conclusions: RYGB was superior in %EWL for SSO and SO at 12 months. However, regarding at 24 months, RYGB was equal to SG, which is from a meta-analysis and cannot be seen as a definitive conclusion.
- Subjects
GASTRIC bypass; SLEEVE gastrectomy; META-analysis; WEIGHT loss; COMORBIDITY; MORBID obesity; TREATMENT effectiveness
- Publication
Obesity Surgery, 2019, Vol 29, Issue 6, p1954
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-019-03817-4