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WJOLS
LSG vs LRYGB Surgery in Obese and Morbidly Obese Patients
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Excess weight loss better with LRYGB and comorbidity resolution similar efficacy at end of 1 year. But at 5 years, similar excess weight loss in both groups. More complications in Both LRYGB and LSG safe procedures for weight loss and resolution of comorbidities at 18 months Similar long-term weight loss between LRYGB and LSG. No difference in two procedures in EWL after 2 years LRYGB provides better weight loss and resolution to diab
Cochrane central. The article was to see if the popular
procedure of LRYGB was better than or comparable to
complex operative procedure, which entails longer
operative time compared with LSG and, in some studies,
comparatively longer hospital stay. The incidence of
postoperative complications has not been much in both
Conclusion LSG group at 5 years postsurgery study groups since surgeons who have achieved a good
learning curve in bariatric surgery have done the above
studies. The studies detailed above show that with
LRYGB, there is a sustained excessive weight loss even on
prolonged follow-up compared with LSG. On a limited
One-year follow-up and 5 year-follow-up Follow-up at 6, 12, and 18 months done. Weight loss better in LRYGB at 18 months Yearly follow-up for up to 5-year period Follow-up period of follow-up, both LSG and LRYGB show similar excessive
weight loss and resolution of comorbidities. The need of
long-term follow-up is emphasized and also to ensure that
Follow-up done 1 year patients are not lost to follow-up to ensure data collection.
CONCLUSION
Operative outcome Operative time marginally higher for LRYGB group Operative time longer in LRYGB Operative time longer for LRYGB than LSG No adverse postoperative outcome in either group The LRYGB shows better excessive weight loss on long-
term follow-up compared with LSG. Resolution of comor-
bidities in both procedures has similar efficacy. More
studies which have 5-year and longer follow-up will be
useful in this regard.
117 patients of whom 75 were assigned to LRYGB and 42 to 36 LRYGB and 34 LSG 226 patients assigned to LRYGB and 208 to LSG 74 patients underwent LSG and 285 patients underwent REFERENCES
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