Laparoscopic sleeve gastrectomy versus laparoscopic mini-gastric bypass in obesity

Mohamed, Tantawi A.; Abdel- Razik, Salah; Hassanien, Ayman M.; Tohamy, Tohamy A.; Abdel Azeem, Ashraf; Zaazou, Mohamed M. Taha

doi:10.21608/mjmr.2022.221507

Laparoscopic sleeve gastrectomy versus laparoscopic mini-gastric bypass in obesity

Document Type : Original Article

Authors

¹ Department of General Surgery, Faculty of Medicine ,El Minia UniversityHospital, Egypt

² Department of General Surgery, Faculty of Medicine ,El Minia UniversityHospital, Egyp

³ Department of General Surgery,Faculty of Medicine, Misr University for Science and Technology; Egypt

10.21608/mjmr.2022.221507

Abstract

Background: Laparoscopic mini‑gastric bypass (MGBP) is gaining popularity among the bariatric
procedures today, andlaparoscopic sleevegastrectomy(SG) as a single‑stageprocedure forthe treatment
of morbid obesity is becoming increasingly popular. Patients and methods: Between October 2014
and July 2018, 100 obese patients were randomized, operated upon, and followed up for 24 months
in Al Minia University Hospital. A total of 50 patients underwent SG, and 50 patients underwent
MGBP. The mean BMI of all patients was 47.8 ± 5.5 kg/m2, their mean age was 30 ± 8.3 years, and
80% of them were female. Patients were followed up at 1, 3, 6, 9, 12, 15, 18, 21 and 24 months.
Results: Age, sex, BMI, and comorbidities were equal. The mean operative time for SG was 86.9 ±
51.6 min and that for MGBP was 108.4 ± 41.8 min; the percentage of 1‑year excess weight loss was
similar (76.2 ± 4.49% for SG and 80.3 ± 8.3% for MGBP). The comorbidities were significantly
improved after both procedures, except for type 2 diabetes mellitus, which showed a higher
resolution rate after MGBP. Conclusion: Laparoscopic SG regarding excess weight loss is
comparable to laparoscopic MGBP in short‑termfollow‑up (2 year) with less metabolic effect. Further
long‑termstudies are needed.

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