BACKGROUND: Laparoscopic sleeve gastrectomy (SG) is gaining popularity as a procedure for the treatment of morbid @entity28 and @entity6 . Either as a first-stage procedure for superobese @entity1 or as a definitive procedure, SG is becoming the first-choice bariatric procedure in France. Preliminary results have suggested that the @entity353 and resolution of co-morbidities with SG could be comparable to those with laparoscopic Roux-en-Y gastric bypass (RYGB). In a multicenter, retrospective study, we analyzed the @entity353 , resolution of co-morbidities, and complications of both SG and RYGB using a case-control study design. METHODS: A retrospective, case-control, comparative analysis was performed with 200 @entity1 in each treatment arm who had undergone either SG or RYGB from January 2005 to March 2008. The @entity1 in each group were matched for age, gender, and body mass index. The @entity260 , the percentage of excess @entity353 , and the resolution of co-morbidities in each group were compared at 6, 12, and 18 months postoperatively. RESULTS: The overall mortality rates were similar in both groups. However, the morbidity rate was significantly greater in the RYGB group (20.5%) as compared to the SG group (6.5%; P <.05). The overall remission of type 2 @entity6 was significantly better in the RYGB group (P <.05). However, the percentage of excess @entity353 at 6, 12, and 18 months as well as the resolution of nondiabetes co-morbidities were comparable in both groups. CONCLUSION: In our study, as compared with SG, RYGB was associated with a greater short-term morbidity rate. RYGB could be associated with better @entity6 control. However, additional studies are needed to evaluate the comparative efficacy of SG and RYGB for the treatment of morbid @entity28 and its co-morbidities.

Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for morbid XXXX : case-control study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes', 'type 2 diabetes mellitus'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications']
@entity28 :: (MESH:D009765,Disease) :: ['obesity']
