Surgery results in greater improvement in weight loss outcomes and weight associated comorbidities compared with non-surgical interventions , regardless of the type of procedures used .
When compared with each other , certain procedures result ed in greater weight loss and improvements in comorbidities than others .
Outcomes were similar between RYGB and sleeve gastrectomy , and both of these procedures had better outcomes than adjustable gastric b and ing .
For people with very high BMI , biliopancreatic diversion with duodenal switch result ed in greater weight loss than RYGB .
Isolated sleeve gastrectomy led to better weight-loss outcomes than adjustable gastric b and ing after three years follow-up .
BACKGROUND Bariatric ( weight loss ) surgery for obesity is considered when other treatments have failed .
The effects of the available bariatric procedures compared with medical management and with each other are uncertain .
This is an up date of a Cochrane review first published in 2003 and most recently up date d in 2009 .
OBJECTIVES To assess the effects of bariatric surgery for overweight and obesity , including the control of comorbidities .
Randomized Double-Blinded Trial of Laparoscopic Gastric Imbrication v Laparoscopic Sleeve Gastrectomy at a Single Indian Institution
Background Currently , there is a debate whether the laparoscopic gastric imbrication ( LGI ) offers similar weight loss when compared to the laparoscopic sleeve gastrectomy ( LSG ) . On the surface , they seem to offer similar-sized stomachs after the procedures are performed . We chose to perform a r and omized double-blinded trial to see if similar-sized pouches result in similar types of weight loss . Our belief was that sleeve gastrectomy would offer at least a 10 % better weight loss over a 3-year period . Methods Thirty patients were r and omized to one of two arms . The patients and the third party administrator following the patients were blinded as to which procedure was chosen . The surgeon had full knowledge of the patients ’ surgery throughout the treatment . The decision of which arm to place them was made by a single employee of the third party administrator and not shared with the employees following the patients . Patients were then followed for 3 years . Results There were no differences in weight , age , or BMI preoperatively . There were no differences between the two groups at any follow-up time point from 6 months to 3 years . Follow-up was 100 % . Conclusion Due to the large st and ard deviations present in both groups , there was no statistical difference between either of the groups in terms of weight loss
Surgery results in greater improvement in weight loss outcomes and weight associated comorbidities compared with non-surgical interventions , regardless of the type of procedures used .
When compared with each other , certain procedures result ed in greater weight loss and improvements in comorbidities than others .
Outcomes were similar between RYGB and sleeve gastrectomy , and both of these procedures had better outcomes than adjustable gastric b and ing .
For people with very high BMI , biliopancreatic diversion with duodenal switch result ed in greater weight loss than RYGB .
Isolated sleeve gastrectomy led to better weight-loss outcomes than adjustable gastric b and ing after three years follow-up .
BACKGROUND Bariatric ( weight loss ) surgery for obesity is considered when other treatments have failed .
The effects of the available bariatric procedures compared with medical management and with each other are uncertain .
This is an up date of a Cochrane review first published in 2003 and most recently up date d in 2009 .
OBJECTIVES To assess the effects of bariatric surgery for overweight and obesity , including the control of comorbidities .