Author(s):
Gomes-Rocha, Sofia Raquel ; Costa-Pinho, André Manuel ; Pais-Neto, Carolina Coelho ; de Araújo Pereira, André ; Nogueiro, Jorge Pedro Martins ; Carneiro, Silvestre Porfírio Ramos ; Santos-Sousa, Hugo Miguel Teixeira Ferraz ; Lima-da-Costa, Eduardo Jorge ; Bouça-Machado, Raquel ; Preto, John Rodrigues
Date: 2021
Persistent ID: http://hdl.handle.net/10451/49938
Origin: Repositório da Universidade de Lisboa
Subject(s): Bariatric surgery; Comorbidity resolution; LRYGB; LSG; Laparoscopic Roux-en-Y gastric bypass; Laparoscopic sleeve gastrectomy; Meta-analysis; Super obesity; Weight loss
Description
Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are safe procedures that may present sub-optimal results in superobesity (SO). A meta-analysis was performed aiming to summarize the available evidence on weight loss (primary outcome) and comorbidities resolution of LRYGB and LSG in patients with SO (BMI ≥ 50 kg/m2). From the 16 included studies, 7 integrated the meta-analysis. LRYGB showed a significantly higher weight loss at 6 to 12-months, but not after 24 months and a higher dyslipidemia resolution at 12 months. When compared with LSG, LRYGB achieved better weight loss after 6 and 12 months and higher dyslipidemia resolution after 1 year. There were no significant differences for resolution of the other co-morbidities studied.
