Garg H, Priyadarshini P, Aggarwal S, Agarwal S, Chaudhary R. Comparative study of outcomes following laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy in morbidly obese patients: A case control study. World J Gastrointest Endosc 2017; 9(4): 162-170 [PMID: 28465782 DOI: 10.4253/wjge.v9.i4.162]
Corresponding Author of This Article
Dr. Sandeep Aggarwal, MBBS, MS, FACS, Professor, Department of Surgical Disciplines, All India Institute of Medical Sciences, Room No. 5034, 5th floor, Teaching Block, Ansari Nagar, New Delhi 110029, India. sandeep_aiims@yahoo.co.in
Research Domain of This Article
Surgery
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Harshit Garg, Pratyusha Priyadarshini, Sandeep Aggarwal, Rachna Chaudhary, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi 110029, India
Samagra Agarwal, Department of Medicine, All India Institute of Medical Sciences, New Delhi 110029, India
Author contributions: Priyadarshini P and Aggarwal S designed the research and edited the manuscript; Garg H and Chaudhary R collected the material and clinical data of the patients; Garg H wrote the manuscript and did the data analysis; Agarwal S helped in data analysis and interpretation of results.
Institutional review board statement: Taken.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All authors confirm no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Sandeep Aggarwal, MBBS, MS, FACS, Professor, Department of Surgical Disciplines, All India Institute of Medical Sciences, Room No. 5034, 5th floor, Teaching Block, Ansari Nagar, New Delhi 110029, India. sandeep_aiims@yahoo.co.in
Telephone: +91-11-26594905
Received: August 13, 2016 Peer-review started: August 16, 2016 First decision: September 2, 2016 Revised: December 30, 2016 Accepted: January 11, 2017 Article in press: January 14, 2017 Published online: April 16, 2017 Processing time: 244 Days and 9 Hours
Core Tip
Core tip: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are the most popular bariatric procedures. Few studies have compared the outcomes of LSG vs LRYGB in terms of weight loss and comorbidity resolution, especially in India. Using case control design in a well-matched population of 40 patients each undergoing LSG and LRYGB, we found similar weight loss one year after surgery in both the groups but the weight loss was significantly higher in LRYGB group two years after surgery. The complication rate was similar in both groups. Regarding comorbidity resolution, both LRYGB and LSG had significant but similar impact on obesity related comorbidities except gastroesophageal reflux disease where LRYGB showed better improvement. This is also among the first few studies to study the impact of bariatric surgery on hypothyroidism.