Surgical Management of Morbid Obese Patients Roux-En-Y Gastric Bypass Versus Sleeve Gastrectomy

Document Type : Original Article

Authors

The Department of General Surgery, Faculty of Medicine, Al-Azhar University

Abstract

Abstract
Background: Nowadays obesity considered as a disease. Obesity is complex and poorly understood and the causes of this disease likely include a combination of genetic and environmental factors, but it also includes behavioral, psy-chological, and other factors.
Aim of Study: Comparative study between the laparoscopic Roux-en-y gastric bypass and sleeve gastrectomy in manage-ment of morbid obesity.
Patients and Methods: Study included 20 morbidly obese patients, 10 patients subjected for laparoscopic sleeve gast-rectomy and 10 patients for laparoscopic Roux-en-y gastric bypass.
Results: There was significant difference in % Weight Loss (WL) between the LSG and LRYGB at 12-month with greater % WL in the LRYGB group than the LSG group. However, there was no significant difference between LSG and LRYGB in WL at 6-month follow-up. Overall postoper-ative morbidity was higher after LRYGB group compared with LSG.
Concluion: LRYGB and LSG are effective procedures for treatment of morbid obesity. Both can be performed very safely in an experienced hand, but LSG is a simpler and safer procedure with no significant disadvantage compared to LRYGB.
Objective: Comparative study between the laparoscopic Roux-en-y gastric bypass and sleeve gastrectomy in manage-ment of morbid obesity.

Keywords

The Medical Journal of Cairo University
Volume 87, March
March 2019
Pages 265-269

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