Advertisement

Obesity Surgery

, Volume 21, Issue 9, pp 1458–1468 | Cite as

A Review of Studies Comparing Three Laparoscopic Procedures in Bariatric Surgery: Sleeve Gastrectomy, Roux-en-Y Gastric Bypass and Adjustable Gastric Banding

  • Juan Victor A. Franco
  • Pablo Adrian Ruiz
  • Mariano Palermo
  • Michel Gagner
Review

Abstract

Obesity is a major worldwide problem in public health, reaching epidemic proportions in many countries, especially in urbanized regions. Bariatric procedures have been shown to be more effective in the management of morbid obesity, compared to medical treatments in terms of weight loss and its sustainability. The two most commonly performed procedures are laparoscopic Roux-en-Y gastric bypass (LRYGB), laparoscopic adjustable gastric banding (LAGB), and the novel laparoscopic sleeve gastrectomy (LSG). The MEDLINE database (cutoff date September 2010), LILACS, and the Cochrane Library were searched using the key words “gastric bypass,” “sleeve gastrectomy,” and “gastric banding.” Only studies that compared at least two of the laparoscopic procedures were included. Reviews and meta-analysis, editorial letters or comments, case reports, animal or in vitro studies, comparisons with medical treatment, comparisons with open (non-laparoscopic) procedures were excluded. Most studies indicated that LRYGB and LSG could be more effective achieving weight loss than LAGB. However, LAGB seems to be a safer procedure with frequent, but less severe, long-term complications. Although not uniformly reported, a resolution of obesity-related comorbidities was achieved with most bariatric procedures. The three procedures have acceptable efficacy and safety. We believe that patients should be informed in detail on the advantages and disadvantages of each available procedure, possibly in several interviews and always accompanied by a specialized interdisciplinary team, warranting long-term follow-up.

Keywords

Laparoscopic Roux-en-Y gastric bypass Laparoscopic adjustable gastric banding Laparoscopic sleeve gastrectomy 

Notes

Conflicts of Interest

None of the authors have a conflict of interest.

References

  1. 1.
    Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303(3):235–41. Epub 2010 Jan 13.PubMedCrossRefGoogle Scholar
  2. 2.
    Bautista LE, Casas JP, Herrera VM, et al. The Latin American Consortium of Studies in Obesity (LASO). Obes Rev. 2009;10(3):364–70.PubMedCrossRefGoogle Scholar
  3. 3.
    NIH. Gastrointestinal surgery for severe obesity. NIH Consensus Statement. 1991;9(1):1–20.Google Scholar
  4. 4.
    Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4(4):353–7.PubMedCrossRefGoogle Scholar
  5. 5.
    Belachew M, Legrand MJ, Defechereux TH, et al. Laparoscopic adjustable silicone gastric banding in the treatment of morbid obesity. A preliminary report. Surg Endosc. 1994;8(11):1354–6.PubMedCrossRefGoogle Scholar
  6. 6.
    Biertho L, Steffen R, Ricklin T, et al. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding: a comparative study of 1,200 cases. J Am Coll Surg. 2003;197(4):536–44. Discussion 544–5.PubMedCrossRefGoogle Scholar
  7. 7.
    Boza C, Gamboa C, Awruch D, et al. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic adjustable gastric banding: five years of follow-up. Surg Obes Relat Dis. 2010 Sep–Oct;6:470–5. Epub 2010 Mar 6.PubMedCrossRefGoogle Scholar
  8. 8.
    Wong SK, Kong AP, Mui WL, et al. Laparoscopic bariatric surgery: a five-year review. Hong Kong Med J. 2009;15(2):100–9.PubMedGoogle Scholar
  9. 9.
    Himpens J, Dapri G, Cadière GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;16(11):1450–6.PubMedCrossRefGoogle Scholar
  10. 10.
    Langer FB, Reza Hoda MA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005;15(7):1024–9.PubMedCrossRefGoogle Scholar
  11. 11.
    Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg. 1998;8(3):267–82.PubMedCrossRefGoogle Scholar
  12. 12.
    Marceau P, Hould FS, Simard S, et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22(9):947–54.PubMedCrossRefGoogle Scholar
  13. 13.
    Johnston D, Dachtler J, Sue-Ling HM, et al. The Magenstrasse and Mill operation for morbid obesity. Obes Surg. 2003;13(1):10–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Nguyen NT, Slone JA, Nguyen XMT, et al. A prospective randomized trial of laparoscopic gastric bypass versus laparoscopic adjustable gastric banding for the treatment of morbid obesity: outcomes, quality of life, and costs. Ann Surg. 2009;250(4):631–41.PubMedGoogle Scholar
  15. 15.
    Turner-Bowker DM, Bartley PJ, Ware Jr JE. SF-36® health survey & “SF” bibliography: third edition (1988–2000). Lincoln: QualityMetric Incorporated; 2002.Google Scholar
  16. 16.
    Angrisani L, Lorenzo M, Borrelli V. Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 5-year results of a prospective randomized trial. Surg Obes Relat Dis. 2007;3(2):127–32. Discussion 132–3. Epub 2007 Feb 27.PubMedCrossRefGoogle Scholar
  17. 17.
    Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247(3):401–7.PubMedCrossRefGoogle Scholar
  18. 18.
    Peterli R, Wölnerhanssen B, Peters T, et al. Improvement in glucose metabolism after bariatric surgery: comparison of laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: a prospective randomized trial. Ann Surg. 2009;250(2):234–41.PubMedCrossRefGoogle Scholar
  19. 19.
    Christou N, Efthimiou E. Five-year outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in a comprehensive bariatric surgery program in Canada. Can J Surg. 2009;52(6):E249–58.PubMedGoogle Scholar
  20. 20.
    Jan JC, Hong D, Pereira N, et al. Laparoscopic adjustable gastric banding versus laparoscopic gastric bypass for morbid obesity: a single-institution comparison study of early results. J Gastrointest Surg. 2005;9(1):30–9. Discussion 40–1.PubMedCrossRefGoogle Scholar
  21. 21.
    Jan JC, Hong D, Bardaro SJ, et al. Comparative study between laparoscopic adjustable gastric banding and laparoscopic gastric bypass: single-institution, 5-year experience in bariatric surgery. Surg Obes Relat Dis. 2007;3(1):42–50. discussion 50–1.PubMedCrossRefGoogle Scholar
  22. 22.
    Kim TH, Daud A, Ude AO, et al. Early U.S. outcomes of laparoscopic gastric bypass versus laparoscopic adjustable silicone gastric banding for morbid obesity. Surg Endosc. 2006;20(2):202–9. Epub 2005 Dec 6.PubMedCrossRefGoogle Scholar
  23. 23.
    Lakdawala MA, Bhasker A, Mulchandani D, et al. Comparison between the results of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass in the Indian population: a retrospective 1 year study. Obes Surg. 2010;20(1):1–6. Epub 2009 Oct 3.PubMedCrossRefGoogle Scholar
  24. 24.
    Lee H, Kim D, Lee S, et al. Initial evaluation of laparoscopic Roux-en-Y gastric bypass and adjustable gastric banding in Korea: a single institution study. Obes Surg. 2010;20(8):1096–101. Epub 2008 Apr 29.PubMedCrossRefGoogle Scholar
  25. 25.
    Weber M, Müller MK, Bucher T, et al. Laparoscopic gastric bypass is superior to laparoscopic gastric banding for treatment of morbid obesity. Ann Surg. 2004;240(6):975–82. Discussion 982–3.PubMedCrossRefGoogle Scholar
  26. 26.
    Bessler M, Daud A, DiGiorgi MF, et al. Frequency distribution of weight loss percentage after gastric bypass and adjustable gastric banding. Surg Obes Relat Dis. 2008;4(4):486–91. Epub 2008 Jun 30.PubMedCrossRefGoogle Scholar
  27. 27.
    Mognol P, Chosidow D, Marmuse JP. Laparoscopic gastric bypass versus laparoscopic adjustable gastric banding in the super-obese: a comparative study of 290 patients. Obes Surg. 2005;15(1):76–81.PubMedCrossRefGoogle Scholar
  28. 28.
    Strain GW, Gagner M, Pomp A, et al. Comparison of weight loss and body composition changes with four surgical procedures. Surg Obes Relat Dis. 2009;5(5):582–7. Epub 2009 Apr 14.PubMedCrossRefGoogle Scholar
  29. 29.
    Ballantyne GH, Farkas D, Laker S, et al. Short-term changes in insulin resistance following weight loss surgery for morbid obesity: laparoscopic adjustable gastric banding versus laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2006;16(9):1189–97.PubMedCrossRefGoogle Scholar
  30. 30.
    Ballantyne GH, Wasielewski A, Saunders JK. The surgical treatment of type II diabetes mellitus: changes in HOMA Insulin resistance in the first year following laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB). Obes Surg. 2009;19(9):1297–303. Epub 2009 Jul 23.PubMedCrossRefGoogle Scholar
  31. 31.
    Lee WJ, Lee YC, Ser KH, et al. Improvement of insulin resistance after obesity surgery: a comparison of gastric banding and bypass procedures. Obes Surg. 2008;18(9):1119–25. Epub 2008 Mar 4.PubMedCrossRefGoogle Scholar
  32. 32.
    Abbatini F, Rizzello M, Casella G, et al. Long-term effects of laparoscopic sleeve gastrectomy, gastric bypass, and adjustable gastric banding on type 2 diabetes. Surg Endosc. 2010;24(5):1005–10. Epub 2009 Oct 29.PubMedCrossRefGoogle Scholar
  33. 33.
    Korner J, Inabnet W, Conwell IM, et al. Differential effects of gastric bypass and banding on circulating gut hormone and leptin levels. Obesity (Silver Spring). 2006;14(9):1553–61.CrossRefGoogle Scholar
  34. 34.
    Korner J, Inabnet W, Febres G, et al. Prospective study of gut hormone and metabolic changes after adjustable gastric banding and Roux-en-Y gastric bypass. Int J Obes (Lond). 2009;33(7):786–95. Epub 2009 May 5.CrossRefGoogle Scholar
  35. 35.
    Rodieux F, Giusti V, D'Alessio DA, et al. Effects of gastric bypass and gastric banding on glucose kinetics and gut hormone release. Obesity (Silver Spring). 2008;16(2):298–305.CrossRefGoogle Scholar
  36. 36.
    Buchwald H, Estok R, Fahrbach K, et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery. 2007;142(4):621–35.PubMedCrossRefGoogle Scholar
  37. 37.
    Farrell TM, Haggerty SP, Overby DW, et al. Clinical application of laparoscopic bariatric surgery: an evidence-based review. Surg Endosc. 2009;23(5):930–49. Epub 2009 Jan 6.PubMedCrossRefGoogle Scholar
  38. 38.
    Tice JA, Karliner L, Walsh J, et al. Gastric banding or bypass: a systematic review comparing the two most popular bariatric procedures. Am J Med. 2008;121(10):885–93.PubMedCrossRefGoogle Scholar
  39. 39.
    Garb J, Welch G, Zagarins S, et al. Bariatric surgery for the treatment of morbid obesity: a meta-analysis of weight loss outcomes for laparoscopic adjustable gastric banding and laparoscopic gastric bypass. Obes Surg. 2009;19(10):1447–55. Epub 2009 Aug 5.PubMedCrossRefGoogle Scholar
  40. 40.
    Stoeckli R, Chanda R, Langer I, et al. Changes of body weight and plasma ghrelin levels after gastric banding and gastric bypass. Obes Res. 2004;12(2):346–50.PubMedCrossRefGoogle Scholar
  41. 41.
    Leonetti F, Silecchia G, Iacobellis G, et al. Different plasma ghrelin levels after laparoscopic gastric bypass and adjustable gastric banding in morbid obese subjects. J Clin Endocrinol Metab. 2003;88(9):4227–31.PubMedCrossRefGoogle Scholar
  42. 42.
    Parikh M, Ayoung-Chee P, Romanos E, et al. Comparison of rates of resolution of diabetes mellitus after gastric banding, gastric bypass, and biliopancreatic diversion. J Am Coll Surg. 2007;205(5):631–5. Epub 2007 Sep 18.PubMedCrossRefGoogle Scholar
  43. 43.
    Omana JJ, Nguyen SQ, Herron D, et al. Comparison of comorbidity resolution and improvement between laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding. Surg Endosc. 2010 Oct;24:2513–7. Epub 2010 Mar 26.CrossRefGoogle Scholar
  44. 44.
    Sasse KC, Ganser JH, Kozar MD, et al. Outpatient weight loss surgery: initiating a gastric bypass and gastric banding ambulatory weight loss surgery center. JSLS. 2009;13(1):50–5.PubMedGoogle Scholar
  45. 45.
    Müller MK, Wenger C, Schiesser M, et al. Quality of life after bariatric surgery—a comparative study of laparoscopic banding vs. bypass. Obes Surg. 2008;18(12):1551–7. Epub 2008 May 7.PubMedCrossRefGoogle Scholar
  46. 46.
    Salem L, Devlin A, Sullivan SD, et al. Cost-effectiveness analysis of laparoscopic gastric bypass, adjustable gastric banding, and nonoperative weight loss interventions. Surg Obes Relat Dis. 2008;4(1):26–32. Epub 2007 Dec 19.PubMedCrossRefGoogle Scholar
  47. 47.
    Campbell J, McGarry LA, Shikora SA, et al. Cost-effectiveness of laparoscopic gastric banding and bypass for morbid obesity. Am J Manag Care. 2010;16(7):e174–87.PubMedGoogle Scholar
  48. 48.
    Treadwell JR, Sun F, Schoelles K. Systematic review and meta-analysis of bariatric surgery for pediatric obesity. Ann Surg. 2008;248(5):763–76.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of SurgeryMount Sinai Medical CenterMiami BeachUSA
  2. 2.Department of SurgeryUniversity of Buenos Aires (UBA)Buenos AiresArgentina

Personalised recommendations