Bariatric surgery appears efficacious compared to st and ard care in reducing BMI .
Weight losses are greatest with diversionary procedures , intermediate with diversionary/restrictive procedures , and lowest with those that are purely restrictive .
Compared with Roux-en-Y gastric bypass , adjustable gastric b and ing has lower weight loss efficacy , but also leads to fewer serious adverse effects
Prospective randomised comparison of adjustable gastric banding and vertical banded gastroplasty for morbid obesity.
OBJECTIVE To compare the clinical results of adjustable gastric b and ing and vertical b and ed gastroplasty for morbid obesity . DESIGN Prospect i ve r and omised trial . SETTING University hospital , Sweden . PATIENTS 59 morbidly obese patients , listed for obesity surgery . INTERVENTIONS Adjustable gastric b and ing ( n = 29 ) or vertical b and ed gastroplasty ( n = 30 ) . MAIN OUTCOME MEASURES Weight loss , complications , need for revisional surgery , reflux symptoms and the patient 's own evaluation . RESULTS Five years after surgery the mean ( SEM ) weight reduction for adjustable gastric b and ing was 43 ( 3.0 ) kg and for vertical b and ed gastroplasty 35 ( 4.8 ) kg . One patient in each group died of unrelated causes during follow-up and 3 and 2 patients , respectively , were lost to follow-up . One patient in the vertical b and ed group required reoperation for an anastomotic leak on the third postoperative day . A total of 3 patients in the adjustable group required reoperation and 11 in the vertical b and ed group . CONCLUSIONS Adjustable gastric b and ing carries a smaller risk of reoperation than vertical b and ed gastroplasty and the weight reduction is in the same order of magnitude
Bariatric surgery appears efficacious compared to st and ard care in reducing BMI .
Weight losses are greatest with diversionary procedures , intermediate with diversionary/restrictive procedures , and lowest with those that are purely restrictive .
Compared with Roux-en-Y gastric bypass , adjustable gastric b and ing has lower weight loss efficacy , but also leads to fewer serious adverse effects