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The bariatric surgery and weight losing: a meta-analysis in the long- and very long-term effects of laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy on weight loss in adults

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Abstract

Background

Several studies have been investigated to find the long-term effect of bariatric surgery on weight loss; nevertheless, a meta-analysis can detailedly demonstrate the effect of bariatric surgery on weight in morbidly obese patients. This study aimed to assess the long- and very long-term effects of laparoscopic adjustable gastric banding (LAGB), laparoscopic Roux-en-Y gastric bypass (LRYGB), and laparoscopic sleeve gastrectomy (LSG) on weight loss in adults.

Methods

An electronic search using PubMed, Scopus, and Google scholar databases was performed for all English-language articles up to May 15, 2016 with no publication date restriction. Outcome was long-term (≥5–10 years) and very long-term (≥10 years) weight reduction that reported as the mean %EWL and changes in BMI from baseline.

Results

Eighty articles with 87 arms were included in this meta-analysis. The excess weight loss percentage (%EWL) was 47.94% and 47.43% after LAGB at ≥5 and ≥10 years, respectively. After LRYGB the %EWL was 62.58% at ≥5 years and 63.52% at ≥10 years. It was 53.25% at ≥5 years after LSG. Results of subgroup analyses have indicated that LRYGB leads to higher %EWL in America and Asia compared with Europe. Meta-regression analyses have shown that there is no significant association between %EWL and baseline age, BMI and length of follow-up after three procedures. However, there is a positive association between gender and %EWL after LRYGB (β = 1.24). No publication bias was found.

Conclusions

These findings suggest that LRYGB is an effective procedure in morbidly obese patients that leads to sustainable weight loss over the long- and very long-term periods in compared with LAGB and LSG.

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References

  1. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292:1724–1737

    Article  CAS  PubMed  Google Scholar 

  2. Ogden CL, Carroll MD, Kit BK, Flegal KM (2014) Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 311:806–814

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Boza C, Gamboa C, Awruch D, Perez G, Escalona A, Ibanez L (2010) Laparoscopic Roux-en-Y gastric bypass versus laparoscopic adjustable gastric banding: five years of follow-up. Surg Obes Relat Dis 6:470–475

    Article  PubMed  Google Scholar 

  4. Admiraal WM, Celik F, Gerdes VE, Dallal RM, Hoekstra JB, Holleman F (2012) Ethnic differences in weight loss and diabetes remission after bariatric surgery: a meta-analysis. Diabetes Care 35:1951–1958

    Article  PubMed  PubMed Central  Google Scholar 

  5. Gloy VL, Briel M, Bhatt DL, Kashyap SR, Schauer PR, Mingrone G, Bucher HC, Nordmann AJ (2013) Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ 347:f5934

    Article  PubMed  PubMed Central  Google Scholar 

  6. Garb J, Welch G, Zagarins S, Kuhn J, Romanelli J (2009) 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 19:1447–1455

    Article  PubMed  Google Scholar 

  7. Aarts EO, Dogan K, Koehestanie P, Aufenacker TJ, Janssen IM, Berends FJ (2014) Long-term results after laparoscopic adjustable gastric banding: a mean fourteen year follow-up study. Surg Obes Relat Dis 10:633–640

    Article  CAS  PubMed  Google Scholar 

  8. Alhamdani A, Wilson M, Jones T, Taqvi L, Gonsalves P, Boyle M, Mahawar K, Balupuri S, Small PK (2012) Laparoscopic adjustable gastric banding: a 10-year single-centre experience of 575 cases with weight loss following surgery. Obes Surg 22:1029–1038

    Article  CAS  PubMed  Google Scholar 

  9. Angrisani L, Cutolo PP, Formisano G, Nosso G, Vitolo G (2013) Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 10-year results of a prospective, randomized trial. Surg Obes Relat Dis 9:405–413

    Article  PubMed  Google Scholar 

  10. Arapis K, Chosidow D, Lehmann M, Bado A, Polanco M, Kamoun-Zana S, Pelletier AL, Kousouri M, Marmuse JP (2012) Long-term results of adjustable gastric banding in a cohort of 186 super-obese patients with a BMI>/= 50 kg/m2. J Visc Surg 149:e143–e152

    Article  CAS  PubMed  Google Scholar 

  11. Ayloo SM, Fernandes E, Masrur MA, Giulianotti PC (2014) Adjustable gastric banding: a comparison of models. Surg Obes Relat Dis 10:1097–1103

    Article  PubMed  Google Scholar 

  12. Balash PR, Wilson NA, Bruns NE, Luu MB, Francescatti AB, Maroulis B, Autajay KM, Myers JA (2014) Insurance status and outcomes in laparoscopic adjustable gastric banding. Surg Laparosc Endosc Percutan Tech 24:457–460

    Article  PubMed  Google Scholar 

  13. Balsiger BM, Ernst D, Giachino D, Bachmann R, Glaettli A (2007) Prospective evaluation and 7-year follow-up of Swedish adjustable gastric banding in adults with extreme obesity. J Gastrointest Surg 11:1470–1476 (discussion 1446–1477)

    Article  PubMed  Google Scholar 

  14. Biagini J, Karam L (2008) Ten years experience with laparoscopic adjustable gastric banding. Obes Surg 18:573–577

    Article  PubMed  Google Scholar 

  15. Boza C, Gamboa C, Perez G, Crovari F, Escalona A, Pimentel F, Raddatz A, Guzman S, Ibanez L (2011) Laparoscopic adjustable gastric banding (LAGB): surgical results and 5-year follow-up. Surg Endosc 25:292–297

    Article  PubMed  Google Scholar 

  16. Brethauer SA, Aminian A, Romero-Talamas H, Batayyah E, Mackey J, Kennedy L, Kashyap SR, Kirwan JP, Rogula T, Kroh M, Chand B, Schauer PR (2013) Can diabetes be surgically cured? Long-term metabolic effects of bariatric surgery in obese patients with type 2 diabetes mellitus. Ann Surg 258:628–636

    PubMed  PubMed Central  Google Scholar 

  17. Burton P, Brown W, Chen R, Shaw K, Packiyanathan A, Bringmann I, Smith A, Nottle P (2015) Outcomes of high-volume bariatric surgery in the public system. ANZ J Surg 86:572–577

    Article  PubMed  Google Scholar 

  18. Busetto L, Mirabelli D, Petroni ML, Mazza M, Favretti F, Segato G, Chiusolo M, Merletti F, Balzola F, Enzi G (2007) Comparative long-term mortality after laparoscopic adjustable gastric banding versus nonsurgical controls. Surg Obes Relat Dis 3:496–502

    Article  PubMed  Google Scholar 

  19. Caiazzo R, Lassailly G, Leteurtre E, Baud G, Verkindt H, Raverdy V, Buob D, Pigeyre M, Mathurin P, Pattou F (2014) Roux-en-Y gastric bypass versus adjustable gastric banding to reduce nonalcoholic fatty liver disease: a 5-year controlled longitudinal study. Ann Surg 260:893–898

    Article  PubMed  Google Scholar 

  20. Christou N, Efthimiou E (2009) 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 52:E249–E258

    PubMed  PubMed Central  Google Scholar 

  21. Clough A, Layani L, Shah A, Wheatley L, Taylor C (2011) Laparoscopic gastric banding in over 60 s. Obes Surg 21:10–17

    Article  PubMed  Google Scholar 

  22. Favretti F, Segato G, Ashton D, Busetto L, De Luca M, Mazza M, Ceoloni A, Banzato O, Calo E, Enzi G (2007) Laparoscopic adjustable gastric banding in 1791 consecutive obese patients: 12-year results. Obes Surg 17:168–175

    Article  PubMed  Google Scholar 

  23. Fielding GA (2003) Laparoscopic adjustable gastric banding for massive superobesity (> 60 body mass index kg/m2). Surg Endosc 17:1541–1545

    Article  CAS  PubMed  Google Scholar 

  24. Gutschow CA, Collet P, Prenzel K, Holscher AH, Schneider PM (2005) Long-term results and gastroesophageal reflux in a series of laparoscopic adjustable gastric banding. J Gastrointest Surg 9:941–948

    Article  PubMed  Google Scholar 

  25. Helmio M, Salminen P, Sintonen H, Ovaska J, Victorzon M (2011) A 5-year prospective quality of life analysis following laparoscopic adjustable gastric banding for morbid obesity. Obes Surg 21:1585–1591

    Article  PubMed  Google Scholar 

  26. Himpens J, Cadiere GB, Bazi M, Vouche M, Cadiere B, Dapri G (2011) Long-term outcomes of laparoscopic adjustable gastric banding. Arch Surg 146:802–807

    Article  PubMed  Google Scholar 

  27. Jan JC, Hong D, Bardaro SJ, July LV, Patterson EJ (2007) Comparative study between laparoscopic adjustable gastric banding and laparoscopic gastric bypass: single-institution, 5-year experience in bariatric surgery. Surg Obes Relat Dis 3:42–50

    Article  PubMed  Google Scholar 

  28. Jenkins JT, Modak P, Galloway DJ (2006) Prospective study of laparoscopic adjustable gastric banding in the west of Scotland. Scott Med J 51:37–41

    Article  CAS  PubMed  Google Scholar 

  29. Lanthaler M, Aigner F, Kinzl J, Sieb M, Cakar-Beck F, Nehoda H (2010) Long-term results and complications following adjustable gastric banding. Obes Surg 20:1078–1085

    Article  PubMed  Google Scholar 

  30. Liu XZ, Yin K, Fan J, Shen XJ, Xu MJ, Wang WH, Zhang YG, Zheng CZ, Zou da J (2015) Long-Term outcomes and experience of laparoscopic adjustable gastric banding: one center’s results in China. Surg Obes Relat Dis 11:855–859

    Article  CAS  PubMed  Google Scholar 

  31. Loy JJ, Youn HA, Schwack B, Kurian MS, Fielding GA, Ren-Fielding CJ (2014) Safety and efficacy of laparoscopic adjustable gastric banding in patients aged seventy and older. Surg Obes Relat Dis 10:284–289

    Article  PubMed  Google Scholar 

  32. Matlach J, Adolf D, Benedix F, Wolff S (2011) Small-diameter bands lead to high complication rates in patients after laparoscopic adjustable gastric banding. Obes Surg 21:448–456

    Article  PubMed  Google Scholar 

  33. Miller K, Pump A, Hell E (2007) Vertical banded gastroplasty versus adjustable gastric banding: prospective long-term follow-up study. Surg Obes Relat Dis 3:84–90

    Article  PubMed  Google Scholar 

  34. Mittermair RP, Obermuller S, Perathoner A, Sieb M, Aigner F, Margreiter R (2009) Results and complications after Swedish adjustable gastric banding-10 years experience. Obes Surg 19:1636–1641

    Article  PubMed  Google Scholar 

  35. Naef M, Mouton WG, Naef U, Kummer O, Muggli B, Wagner HE (2010) Graft survival and complications after laparoscopic gastric banding for morbid obesity–lessons learned from a 12-year experience. Obes Surg 20:1206–1214

    Article  PubMed  Google Scholar 

  36. O’Brien PE, MacDonald L, Anderson M, Brennan L, Brown WA (2013) Long-term outcomes after bariatric surgery: fifteen-year follow-up of adjustable gastric banding and a systematic review of the bariatric surgical literature. Ann Surg 257:87–94

    Article  PubMed  Google Scholar 

  37. Ohta M, Kitano S, Kai S, Shiromizu A, Iwashita Y, Endo Y, Kawano Y, Masaki T, Kakuma T, Yoshimatsu H (2013) Initial Japanese experience with the LAP-BAND system. Asian J Endosc Surg 6:39–43

    Article  PubMed  Google Scholar 

  38. Polat F, Poyck PP, Dickhoff C, Gouma DJ, Hesp WL (2010) Outcome of 232 morbidly obese patients treated with laparoscopic adjustable gastric banding between 1995–2003. Dig Surg 27:397–402

    Article  CAS  PubMed  Google Scholar 

  39. Ray JB, Ray S (2011) Safety, efficacy, and durability of laparoscopic adjustable gastric banding in a single surgeon U.S. community practice. Surg Obes Relat Dis 7:140–144

    Article  PubMed  Google Scholar 

  40. Rutledge T, Braden AL, Woods G, Herbst KL, Groesz LM, Savu M (2012) Five-year changes in psychiatric treatment status and weight-related comorbidities following bariatric surgery in a veteran population. Obes Surg 22:1734–1741

    Article  PubMed  Google Scholar 

  41. Scozzari G, Farinella E, Bonnet G, Toppino M, Morino M (2009) Laparoscopic adjustable silicone gastric banding vs laparoscopic vertical banded gastroplasty in morbidly obese patients: long-term results of a prospective randomized controlled clinical trial. Obes Surg 19:1108–1115

    Article  PubMed  Google Scholar 

  42. Spivak H, Abdelmelek MF, Beltran OR, Ng AW, Kitahama S (2012) Long-term outcomes of laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass in the United States. Surg Endosc 26:1909–1919

    Article  PubMed  Google Scholar 

  43. Steffen R, Biertho L, Ricklin T, Piec G, Horber FF (2003) Laparoscopic Swedish adjustable gastric banding: a five-year prospective study. Obes Surg 13:404–411

    Article  PubMed  Google Scholar 

  44. Suter M, Calmes JM, Paroz A, Giusti V (2006) A 10-year experience with laparoscopic gastric banding for morbid obesity: high long-term complication and failure rates. Obes Surg 16:829–835

    Article  CAS  PubMed  Google Scholar 

  45. Tolonen P, Victorzon M, Makela J (2008) 11-year experience with laparoscopic adjustable gastric banding for morbid obesity–what happened to the first 123 patients? Obes Surg 18:251–255

    Article  PubMed  Google Scholar 

  46. Toolabi K, Golzarand M, Farid R (2015) Laparoscopic adjustable gastric banding: efficacy and consequences over a 13-year period. Am J Surg 212:62–68

    Article  PubMed  Google Scholar 

  47. Toouli J, Kow L, Collins J, Schloithe A, Oppermann C (2008) Efficacy of a low-pressure laparoscopic adjustable gastric band for morbid obesity: patients at long term in a multidisciplinary center. Surg Obes Relat Dis 4:S31–S38

    Article  PubMed  Google Scholar 

  48. Victorzon M, Tolonen P (2013) Mean fourteen-year, 100% follow-up of laparoscopic adjustable gastric banding for morbid obesity. Surg Obes Relat Dis 9:753–757

    Article  PubMed  Google Scholar 

  49. Weichman K, Ren C, Kurian M, Heekoung AY, Casciano R, Stern L, Fielding G (2011) The effectiveness of adjustable gastric banding: a retrospective 6-year U.S. follow-up study. Surg Endosc 25:397–403

    Article  PubMed  Google Scholar 

  50. Zehetner J, Holzinger F, Triaca H, Klaiber C (2005) A 6-year experience with the Swedish adjustable gastric band Prospective long-term audit of laparoscopic gastric banding. Surg Endosc 19:21–28

    Article  CAS  PubMed  Google Scholar 

  51. Aaseth E, Fagerland MW, Aas AM, Hewitt S, Risstad H, Kristinsson J, Bohmer T, Mala T, Aasheim ET (2015) Vitamin concentrations 5 years after gastric bypass. Eur J Clin Nutr 69:1249–1255

    Article  CAS  PubMed  Google Scholar 

  52. Aftab H, Risstad H, Sovik TT, Bernklev T, Hewitt S, Kristinsson JA, Mala T (2014) Five-year outcome after gastric bypass for morbid obesity in a Norwegian cohort. Surg Obes Relat Dis 10:71–78

    Article  PubMed  Google Scholar 

  53. Balsa JA, Botella-Carretero JI, Gomez-Martin JM, Peromingo R, Arrieta F, Santiuste C, Zamarron I, Vazquez C (2011) Copper and zinc serum levels after derivative bariatric surgery: differences between Roux-en-Y Gastric bypass and biliopancreatic diversion. Obes Surg 21:744–750

    Article  PubMed  Google Scholar 

  54. Gracia-Solanas JA, Elia M, Aguilella V, Ramirez JM, Martinez J, Bielsa MA, Martinez M (2011) Metabolic syndrome after bariatric surgery. Results depending on the technique performed. Obes Surg 21:179–185

    Article  PubMed  Google Scholar 

  55. Gullick AA, Graham LA, Richman J, Kakade M, Stahl R, Grams J (2015) Association of race and socioeconomic status with outcomes following laparoscopic Roux-en-Y gastric bypass. Obes Surg 25:705–711

    Article  PubMed  Google Scholar 

  56. Hauser DL, Titchner RL, Wilson MA, Eid GM (2010) Long-term outcomes of laparoscopic Roux-en-Y gastric bypass in US veterans. Obes Surg 20:283–289

    Article  PubMed  Google Scholar 

  57. Higa K, Ho T, Tercero F, Yunus T, Boone KB (2011) Laparoscopic Roux-en-Y gastric bypass: 10-year follow-up. Surg Obes Relat Dis 7:516–525

    Article  PubMed  Google Scholar 

  58. Jimenez A, Casamitjana R, Flores L, Viaplana J, Corcelles R, Lacy A, Vidal J (2012) Long-term effects of sleeve gastrectomy and Roux-en-Y gastric bypass surgery on type 2 diabetes mellitus in morbidly obese subjects. Ann Surg 256:1023–1029

    Article  PubMed  Google Scholar 

  59. Langer FB, Prager G, Poglitsch M, Kefurt R, Shakeri-Leidenmuhler S, Ludvik B, Schindler K, Bohdjalian A (2013) Weight loss and weight regain-5-year follow-up for circular- vs. linear-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass. Obes Surg 23:776–781

    Article  CAS  PubMed  Google Scholar 

  60. Lee WJ, Ser KH, Lee YC, Tsou JJ, Chen SC, Chen JC (2012) Laparoscopic Roux-en-Y vs. mini-gastric bypass for the treatment of morbid obesity: a 10-year experience. Obes Surg 22:1827–1834

    Article  PubMed  Google Scholar 

  61. Leyba JL, Llopis SN, Aulestia SN (2014) Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. a prospective study with 5 years of follow-up. Obes Surg 24:2094–2098

    Article  PubMed  Google Scholar 

  62. Risstad H, Sovik TT, Engstrom M, Aasheim ET, Fagerland MW, Olsen MF, Kristinsson JA, le Roux CW, Bohmer T, Birkeland KI, Mala T, Olbers T (2015) Five-year outcomes after laparoscopic gastric bypass and laparoscopic duodenal switch in patients with body mass index of 50 to 60: a randomized clinical trial. JAMA Surg 150:352–361

    Article  PubMed  Google Scholar 

  63. Smith C, Garren M, Gould J (2011) Impact of gastrojejunostomy diameter on long-term weight loss following laparoscopic gastric bypass: a follow-up study. Surg Endosc 25:2164–2167

    Article  PubMed  Google Scholar 

  64. Suter M, Donadini A, Romy S, Demartines N, Giusti V (2011) Laparoscopic Roux-en-Y gastric bypass: significant long-term weight loss, improvement of obesity-related comorbidities and quality of life. Ann Surg 254:267–273

    Article  PubMed  Google Scholar 

  65. Thereaux J, Czernichow S, Corigliano N, Poitou C, Oppert JM, Bouillot JL (2015) Five-year outcomes of gastric bypass for super-super-obesity (BMI>/=60 kg/m(2)): a case matched study. Surg Obes Relat Dis 11:32–37

    Article  PubMed  Google Scholar 

  66. Ties JS, Zlabek JA, Kallies KJ, Al-Hamadini M, Kothari SN (2014) The effect of laparoscopic gastric bypass on dyslipidemia in severely obese patients: a 5-year follow-up analysis. Obes Surg 24:549–553

    Article  PubMed  Google Scholar 

  67. Zarate X, Arceo-Olaiz R, Montalvo Hernandez J, Garcia-Garcia E, Pablo Pantoja J, Herrera MF (2013) Long-term results of a randomized trial comparing banded versus standard laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 9:395–397

    Article  PubMed  Google Scholar 

  68. Abbatini F, Capoccia D, Casella G, Soricelli E, Leonetti F, Basso N (2013) Long-term remission of type 2 diabetes in morbidly obese patients after sleeve gastrectomy. Surg Obes Relat Dis 9:498–502

    Article  PubMed  Google Scholar 

  69. Abd Ellatif ME, Abdallah E, Askar W, Thabet W, Aboushady M, Abbas AE, El Hadidi A, Elezaby AF, Salama AF, Dawoud IE, Moatamed A, Wahby M (2014) Long term predictors of success after laparoscopic sleeve gastrectomy. Int J Surg 12:504–508

    Article  CAS  PubMed  Google Scholar 

  70. Alexandrou A, Athanasiou A, Michalinos A, Felekouras E, Tsigris C, Diamantis T (2015) Laparoscopic sleeve gastrectomy for morbid obesity: 5-year results. Am J Surg 209:230–234

    Article  PubMed  Google Scholar 

  71. Catheline JM, Fysekidis M, Bachner I, Bihan H, Kassem A, Dbouk R, Bdeoui N, Boschetto A, Cohen R (2013) Five-year results of sleeve gastrectomy. J Visc Surg 150:307–312

    Article  PubMed  Google Scholar 

  72. D’Hondt M, Vanneste S, Pottel H, Devriendt D, Van Rooy F, Vansteenkiste F (2011) Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc 25:2498–2504

    Article  PubMed  Google Scholar 

  73. Eid GM, Brethauer S, Mattar SG, Titchner RL, Gourash W, Schauer PR (2012) Laparoscopic sleeve gastrectomy for super obese patients: forty-eight percent excess weight loss after 6 to 8 years with 93% follow-up. Ann Surg 256:262–265

    Article  PubMed  Google Scholar 

  74. Himpens J, Dobbeleir J, Peeters G (2010) Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg 252:319–324

    Article  PubMed  Google Scholar 

  75. Hirth DA, Jones EL, Rothchild KB, Mitchell BC, Schoen JA (2015) Laparoscopic sleeve gastrectomy: long-term weight loss outcomes. Surg Obes Relat Dis 11:1004–1007

    Article  PubMed  Google Scholar 

  76. Keren D, Matter I, Rainis T (2015) Sleeve gastrectomy in different age groups: a comparative study of 5-year outcomes. Obes Surg 26:289–295

    Article  Google Scholar 

  77. Kular KS, Manchanda N, Rutledge R (2014) Analysis of the five-year outcomes of sleeve gastrectomy and mini gastric bypass: a report from the Indian sub-continent. Obes Surg 24:1724–1728

    Article  CAS  PubMed  Google Scholar 

  78. Lemanu DP, Singh PP, Rahman H, Hill AG, Babor R, MacCormick AD (2015) Five-year results after laparoscopic sleeve gastrectomy: a prospective study. Surg Obes Relat Dis 11:518–524

    Article  PubMed  Google Scholar 

  79. Liu SY, Wong SK, Lam CC, Yung MY, Kong AP, Ng EK (2015) Long-term results on weight loss and diabetes remission after laparoscopic sleeve gastrectomy for a morbidly obese Chinese population. Obes Surg 25:1901–1908

    Article  CAS  PubMed  Google Scholar 

  80. Saif T, Strain GW, Dakin G, Gagner M, Costa R, Pomp A (2012) Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery. Surg Obes Relat Dis 8:542–547

    Article  PubMed  Google Scholar 

  81. Sarela AI, Dexter SP, O’Kane M, Menon A, McMahon MJ (2012) Long-term follow-up after laparoscopic sleeve gastrectomy: 8–9-year results. Surg Obes Relat Dis 8:679–684

    Article  PubMed  Google Scholar 

  82. Sieber P, Gass M, Kern B, Peters T, Slawik M, Peterli R (2014) Five-year results of laparoscopic sleeve gastrectomy. Surg Obes Relat Dis 10:243–249

    Article  PubMed  Google Scholar 

  83. Strain GW, Saif T, Ebel F, Dakin GF, Gagner M, Costa R, Chiu YL, Pomp A (2015) Lipid profile changes in the severely obese after laparoscopic sleeve gastrectomy (LSG), 1, 3, and 5 years after surgery. Obes Surg 25:285–289

    Article  PubMed  Google Scholar 

  84. van Rutte PW, Smulders JF, de Zoete JP, Nienhuijs SW (2014) Outcome of sleeve gastrectomy as a primary bariatric procedure. Br J Surg 101:661–668

    Article  PubMed  Google Scholar 

  85. Zachariah SK, Chang PC, Ooi AS, Hsin MC, Kin Wat JY, Huang CK (2013) Laparoscopic sleeve gastrectomy for morbid obesity: 5 years experience from an Asian center of excellence. Obes Surg 23:939–946

    Article  PubMed  Google Scholar 

  86. Zellmer JD, Mathiason MA, Kallies KJ, Kothari SN (2014) Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass? A meta-analysis. Am J Surg 208:903–910 (discussion 909–910)

    Article  PubMed  Google Scholar 

  87. Buchwald H, Oien DM (2009) Metabolic/bariatric surgery Worldwide 2008. Obes Surg 19:1605–1611

    Article  PubMed  Google Scholar 

  88. Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N (2015) Bariatric Surgery Worldwide 2013. Obes Surg 25:1822–1832

    Article  CAS  PubMed  Google Scholar 

  89. Chang SH, Stoll CR, Song J, Varela JE, Eagon CJ, Colditz GA (2014) The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003–2012. JAMA Surg 149: 275–287

    Article  PubMed  PubMed Central  Google Scholar 

  90. Franco JV, Ruiz PA, Palermo M, Gagner M (2011) A review of studies comparing three laparoscopic procedures in bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass and adjustable gastric banding. Obes Surg 21:1458–1468

    Article  PubMed  Google Scholar 

  91. Chakravarty PD, McLaughlin E, Whittaker D, Byrne E, Cowan E, Xu K, Bruce DM, Ford JA (2012) Comparison of laparoscopic adjustable gastric banding (LAGB) with other bariatric procedures; a systematic review of the randomised controlled trials. Surgeon 10:172–182

    Article  CAS  PubMed  Google Scholar 

  92. Camberos-Solis R, Jimenez-Cruz A, Bacardi-Gascon M, Culebras JM (2010) Long-term efficacy and safety of Roux-en-Y gastric bypass and gastric banding: systematic review. Nutr Hosp 25:964–970

    CAS  PubMed  Google Scholar 

  93. Li J, Lai D, Wu D (2016) Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy to treat morbid obesity-related comorbidities: a systematic review and meta-analysis. Obes Surg 26:429–442

    Article  PubMed  Google Scholar 

  94. Zhang Y, Wang J, Sun X, Cao Z, Xu X, Liu D, Xin X, Qin M (2015) Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass for morbid obesity and related comorbidities: a meta-analysis of 21 studies. Obes Surg 25:19–26

    Article  PubMed  Google Scholar 

  95. Harvin G, DeLegge M, Garrow DA (2008) The impact of race on weight loss after Roux-en-Y gastric bypass surgery. Obes Surg 18:39–42

    Article  PubMed  Google Scholar 

  96. Jerome GJ, Myers VH, Young DR, Matthews-Ewald MR, Coughlin JW, Wingo BC, Ard JD, Champagne CM, Funk KL, Stevens VJ, Brantley PJ (2015) Psychosocial predictors of weight loss by race and sex. Clin Obes 5:342–348

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  97. Attiah MA, Halpern CH, Balmuri U, Vinai P, Mehta S, Baltuch GH, Williams NN, Wadden TA, Stein SC (2012) Durability of Roux-en-Y gastric bypass surgery: a meta-regression study. Ann Surg 256:251–254

    Article  PubMed  Google Scholar 

  98. Robert M, Pasquer A, Pelascini E, Valette PJ, Gouillat C, Disse E (2016) Impact of sleeve gastrectomy volumes on weight loss results: a prospective study. Surg Obes Relat Dis 12:1286–1291

    Article  PubMed  Google Scholar 

  99. Yuval JB, Mintz Y, Cohen MJ, Rivkind AI, Elazary R (2013) The effects of bougie caliber on leaks and excess weight loss following laparoscopic sleeve gastrectomy. Is there an ideal bougie size? Obes Surg 23:1685–1691

    Article  PubMed  Google Scholar 

  100. Cal P, Deluca L, Jakob T, Fernandez E (2016) Laparoscopic sleeve gastrectomy with 27 versus 39 Fr bougie calibration: a randomized controlled trial. Surg Endosc 30:1812–1815

    Article  PubMed  Google Scholar 

  101. Spivak H, Rubin M, Sadot E, Pollak E, Feygin A, Goitein D (2014) Laparoscopic sleeve gastrectomy using 42-French versus 32-French bougie: the first-year outcome. Obes Surg 24:1090–1093

    Article  PubMed  Google Scholar 

  102. Hawasli A, Jacquish B, Almahmeed T, Vavra J, Roberts N, Meguid A, Szpunar S (2015) Early effects of bougie size on sleeve gastrectomy outcome. Am J Surg 209:473–477

    Article  PubMed  Google Scholar 

  103. Rosenthal RJ, Diaz AA, Arvidsson D, Baker RS, Basso N, Bellanger D, Boza C, El Mourad H, France M, Gagner M, Galvao-Neto M, Higa KD, Himpens J, Hutchinson CM, Jacobs M, Jorgensen JO, Jossart G, Lakdawala M, Nguyen NT, Nocca D, Prager G, Pomp A, Ramos AC, Shah S, Vix M, Wittgrove A, Zundel N (2012) International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis 8:8–19

    Article  PubMed  Google Scholar 

  104. Deitel M, Gagner M, Erickson AL, Crosby RD (2011) Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis 7:749–759

    Article  PubMed  Google Scholar 

  105. Dogan K, Homan J, Aarts EO, van Laarhoven CJ, Janssen IM, Berends FJ (2016) A short or a long Roux limb in gastric bypass surgery: does it matter? Surg Endosc 31:1882–1890

    Article  PubMed  Google Scholar 

  106. Nergaard BJ, Leifsson BG, Hedenbro J, Gislason H (2014) Gastric bypass with long alimentary limb or long pancreato-biliary limb–long-term results on weight loss, resolution of co-morbidities and metabolic parameters. Obes Surg 24:1595–1602

    Article  PubMed  PubMed Central  Google Scholar 

  107. Sarhan M, Choi JJ, Al Sawwaf M, Murtaza G, Getty JL, Ahmed L (2011) Is weight loss better sustained with long-limb gastric bypass in the super-obese? Obes Surg 21:1337–1343

    Article  PubMed  Google Scholar 

  108. Valezi AC, Marson AC, Merguizo RA, Costa FL (2014) Roux-en-Y gastric bypass: limb length and weight loss. Arq Bras Cir Dig 27 Suppl 1: 56–58

    Article  PubMed  PubMed Central  Google Scholar 

  109. Suter M, Paroz A, Calmes JM, Giusti V (2006) European experience with laparoscopic Roux-en-Y gastric bypass in 466 obese patients. Br J Surg 93:726–732

    Article  CAS  PubMed  Google Scholar 

  110. Orci L, Chilcott M, Huber O (2011) Short versus long Roux-limb length in Roux-en-Y gastric bypass surgery for the treatment of morbid and super obesity: a systematic review of the literature. Obes Surg 21:797–804

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran

    Mahdieh Golzarand

  2. Department of Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Keshavarz Blvd., Tehran, P.O.Box 13145-158, Iran

    Karamollah Toolabi

  3. Department of Social Sciences and Health, Durham University, Durham, UK

    Roya Farid

Authors
  1. Mahdieh Golzarand
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  2. Karamollah Toolabi
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  3. Roya Farid
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Correspondence to Karamollah Toolabi.

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Drs. Mahdieh Golzarand, Karamollah Toolabi and Mrs. Roya Farid have no conflict of interest or financial ties to disclose.

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Golzarand, M., Toolabi, K. & Farid, R. The bariatric surgery and weight losing: a meta-analysis in the long- and very long-term effects of laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy on weight loss in adults. Surg Endosc 31, 4331–4345 (2017). https://doi.org/10.1007/s00464-017-5505-1

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  • DOI: https://doi.org/10.1007/s00464-017-5505-1

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