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 .
Laparoscopic adjustable gastric banding with truncal vagotomy versus laparoscopic adjustable gastric banding alone: interim results of a prospective randomized trial.
BACKGROUND In an attempt to potentiate the effect of laparoscopic gastric b and ing ( LGB ) on weight reduction and to reduce the risk of weight regain , we added laparoscopic truncal vagotomy ( TV ) to adjustable LGB . We report on our early interim results of a prospect i ve 5-year r and omized clinical trial comparing patients who underwent LGB plus TV ( LGBTV ) with a control group who underwent LGB alone .  METHODS From December 2005 to November 2006 , patients were r and omly allocated to LGBTV or LGB alone .  In the LGBTV group , the anterior and posterior vagus trunks were isolated and resected after preparing and encircling the esophagus at the diaphragmatic crus . In both groups , an 11-cm Lap-B and System was positioned by way of the pars flaccida . RESULTS A total of 50 patients were entered into the study . No mortality result ed , and no conversion to laparotomy was needed . Neither group had any intra- or postoperative complications . The mean weight , body mass index , and percentage of excess weight loss were not significantly different statistically between the 2 groups at 12 or 18 months after surgery ( P = NS ) . At 6 months of follow-up , b and adjustment was not required in 10 ( 50 % ) of 20 patients with LGBTV compared with 5 ( 20 % ) of 25 patients with LGB alone ( P = .034 ) . At 12 months , 7 ( 35 % ) of 20 LGBTV patients and 2 ( 8 % ) of 25 LGB patients still did not require b and adjustment ( P = .024 ) . CONCLUSION The results of our study have shown that adding TV to LGB does not cause specific morbidity or mortality compared with LGB alone . During the first postoperative year , the addition of TV to LGB decreased the number of patients requiring b and adjustments
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 .