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                                                              LSG vs LRYGB Surgery in Obese and Morbidly Obese Patients
                                                              online literature search from Medline, PubMed, and
                    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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          World Journal of Laparoscopic Surgery, September-December 2017;10(3):129-132                     131
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