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 PalermoEmail author
  • Michel GagnerEmail author


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.


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


Conflicts of Interest

None of the authors have a conflict of interest.


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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

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