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MGB Better than the Lap Band

MGB Better than the Lap Band and the Sleeve

2 years after surgery the Mini-Gastric Bypass had better results than other bariatric surgeries (Lapband or sleeve gastrectomy).

P-110 Comparison of Gastrointestinal Quality of Life Following Laparoscopic Mini-Gastric Bypass, Sleeve Gastrectomy and Adjustable Gastric Banding Surgery

Presenter: Y. H. Su (Min-Sheng General Hospital, Taoyuan, Taiwan)

Co-authors: K. Ser1, J. Chen1, W. Lee1

1Min-Sheng General Hospital Taoyuan Taiwan

Background

Laparoscopic Mini-Gastric Bypass (MGB), sleeve gastrectomy (LSG) and adjustable gastric banding (LAGB) surgeries are currently recommended procedures for morbid obesity.

Previous studies disclosed a significant improvement in the health-related and gastrointestinal quality of life among each specific surgery.

However, there has been no comparative data regarding the specific gastrointestinal quality of life between different procedures.

Methods

From October 2001 to Dec 2006, 640 consecutive patients with morbid obesity underwent different procedures

(Mini-Gastric Bypass: 423 patients;

sleeve gastrectomy: 110 patients;

LABG: 107 patients).

The mean body weight (BW), body mass index (BMI), and Gastrointestinal Quality Of Life Index were recorded and compared before operation and at 3, 6, 12 and 24 months after surgery.

Results

All procedures were completed laparoscopically and the three different surgeries were successful in weight loss in morbidly obese patients.

Patients underwent Mini-Gastric Bypass and sleeve gastrectomy had similar mean BW loss and BMI reduction at 1-year after surgery (27.9 kg/m2 and 23.7 kg/m2 respectively).

However, the BMI in sleeve gastrectomy and gastric banding groups began to increase after 1 year and only mini-gastric bypass group showed persistent and steady decrease in BMI.

The overall Gastrointestinal Quality Of Life Index improved significantly 2 years after Mini-Gastric Bypass (106.1 → 115.2; P < 0.05) between groups.

The adjustable gastric banding group only disclosed short-term benefit along with BW loss in one year, then the value returned to similar values before surgery.

Conclusion

The overall Gastrointestinal Quality Of Life Index improved significantly 2 years after Mini-Gastric Bypass.

The adjustable gastric banding group only had short-term benefit

At one year, the quality of life value and the Body Weight values returned to values before surgery.

With follow up of 2 years, the overall values all declined and the sleeve gastrectomy group had the worst result.

2 years after surgery the Mini-Gastric Bypass had better results than other bariatric surgeries (Lapband or sleeve gastrectomy).

However, each patient still should be individualized for the bariatric surgeries according to the patient’s decision.

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