[Our metabolic surgical activity, 2010-2016]

Area of Science:

• Bariatric Surgery
• Metabolic Surgery
• Obesity Treatment

Background:

• Rising prevalence of morbid obesity and type 2 diabetes necessitates effective interventions.
• Conservative weight loss methods often lack long-term efficacy.
• Increasing demand for metabolic surgical procedures.

Purpose of the Study:

• To compare the effectiveness and complication rates of laparoscopic Roux-Y gastric bypass (LRYGB) and laparoscopic gastric sleeve resection (LGSR).
• To evaluate the impact of these procedures on weight loss and comorbidities like type 2 diabetes, hypertension, and gastro-esophageal reflux.

Main Methods:

• Retrospective analysis of 40 patients undergoing primary LRYGB and 15 patients undergoing LGSR.
• Data collected on surgical indications, pre- and post-operative care, outcomes, and complications.
• Procedures performed laparoscopically over a 6.5-year period.

Main Results:

• Both LRYGB and LGSR demonstrated long-term effectiveness in weight loss and comorbidity resolution with low complication rates.
• LRYGB resulted in more significant excess weight loss (88% vs. 68%) compared to LGSR.
• Higher rates of resolution for type 2 diabetes, hypertension, and gastro-esophageal reflux were observed after LRYGB.

Conclusions:

• Laparoscopic Roux-Y gastric bypass (LRYGB) is the preferred bariatric procedure based on superior outcomes.
• Laparoscopic gastric sleeve resection (LGSR) is considered when LRYGB is not feasible or carries high risk.
• Patient-specific factors guide the choice between LRYGB and LGSR.