Gastric bypass has better outcomes than gastric b and procedures for long-term weight loss , type 2 diabetes control and remission , hypertension , and hyperlipidemia .
Insufficient evidence exists regarding long-term outcomes for gastric sleeve resections
IMPORTANCE Bariatric surgery is an accepted treatment for obesity .
Despite extensive literature , few studies report long-term follow-up in cohorts with adequate retention rates .
OBJECTIVE To assess the quality of evidence and treatment effectiveness 2 years after bariatric procedures for weight loss , type 2 diabetes , hypertension , and hyperlipidemia in severely obese adults .
Laparoscopic Gastric Banding: A Prospective, Randomized Study Comparing the Lapband and the SAGB: Early Results
Objective : The objective of this study was to evaluate the results of laparoscopic gastric b and ing using 2 different b and s ( the Lapb and [ Bioenterics , Carpinteria , CA ] and the SAGB [ Swedish Adjustable Gastric B and ; Obtech Medical , 6310 Zug , Switzerl and ] ) in terms of weight loss and correction of comorbidities , short- and long-term complications , and improvement of quality of life in morbidly obese patients Summary Background Data : During the past 10 years , gastric b and ing has become 1 of the most common bariatric procedures , at least in Europe and Australia . Weight loss can be excellent , but it is not sufficient in a significant proportion of patients , and a number of long-term complications can develop . We hypothesized that the type of b and could be of importance in the outcome . Methods : One hundred eighty morbidly obese patients were r and omly assigned to receive the Lapb and or the SAGB . All the procedures were performed by the same surgeon . The primary end point was weight loss , and secondary end points were correction of comorbidities , early- and long-term complications , importance of food restriction , and improvement of quality of life . Results : Initial weight loss was faster in the Lapb and group , but weight loss was eventually identical in the 2 groups . There was a trend toward more early b and -related complications and more b and infections with the SAGB , but the study had limited power in that respect . Correction of comorbidities , food restriction , long-term complications , and improvement of quality of life were identical . Only 55 % to 60 % of the patients achieved an excess weight loss of at least 50 % in both groups . There was no difference in the incidence of long-term complications . Conclusions : Gastric b and ing can be performed safely with the Lapb and or the SAGB with similar short- and midterm results with respect to weight loss and morbidity . Only 50 % to 60 % of the patients will achieve sufficient weight loss , and close to 10 % at least will develop severe long-term complications
Gastric bypass has better outcomes than gastric b and procedures for long-term weight loss , type 2 diabetes control and remission , hypertension , and hyperlipidemia .
Insufficient evidence exists regarding long-term outcomes for gastric sleeve resections
IMPORTANCE Bariatric surgery is an accepted treatment for obesity .
Despite extensive literature , few studies report long-term follow-up in cohorts with adequate retention rates .
OBJECTIVE To assess the quality of evidence and treatment effectiveness 2 years after bariatric procedures for weight loss , type 2 diabetes , hypertension , and hyperlipidemia in severely obese adults .