Benefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients

Background: Conservative management for obesity had limited role in treatment of obesity. Otherwise, surgical treatment is effective, But associated with many comorbidities. Aim of the work: To evaluate laparoscopic sleeve gastrectomy, greater curvature plication and gastric bypass in morbidly obese...

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Autores principales:	Ahmed Sayyouh, Ayman Elwan, Rabea Hassan
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	obesity barriatric surgery gastrectomy sleeve bypass Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/986997c3327d462896c14429178c8c27
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spelling	oai:doaj.org-article:986997c3327d462896c14429178c8c272021-12-02T15:22:18ZBenefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients2636-41742682-378010.21608/ijma.2020.23146.1091https://doaj.org/article/986997c3327d462896c14429178c8c272020-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_83260_e6d6e4eebf4a2e41cbfb2c3c75fcb073.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Conservative management for obesity had limited role in treatment of obesity. Otherwise, surgical treatment is effective, But associated with many comorbidities. Aim of the work: To evaluate laparoscopic sleeve gastrectomy, greater curvature plication and gastric bypass in morbidly obese patients.Patients and Methods: Thirty patients were included. They were divided into three groups: A for laparoscopic greater curvature plication, B for laparoscopic sleeve gastrectomy, and C for laparoscopic gastric bypass. All subjects underwent full history taking, clinical examination, laboratory investigations, abdominal ultrasonography, and upper gastrointestinal endoscopy. Follow up carried out at the first two weeks then at 1, 3, 6, 12 months for late postoperative complications, changes in comorbidities (hypertension, diabetes mellitus, arthritis) and percentage of excess weight loss. Results: Studied groups were comparable as regard to patient demographics, preoperative comorbidities, intraoperative bleeding or postoperative complications. Operative time was significantly decreased in group B. EBWL differ significantly between groups at all postoperative follow up visits. For example at the second postoperative week, there was significant increase of EBWL in groups B and C when compared to group A (5.75±3.96 and 8.4±5.54 vs 1.15±0.81 respectively). Failure was 40%, 10% and 0% in groups A, B and C respectively. Only one patients died after operation in the bypass group. Morbidities were improved after surgery. Conclusion: Laparoscopic greater curvature plication, is lower than laparoscopic sleeve gastrectomy and laparoscopic gastric bypass surgery as the procedure for weight loss, despite of its less cost. In addition, it had higher complications, reoperations and weight gains.Ahmed SayyouhAyman ElwanRabea HassanAl-Azhar University, Faculty of Medicine (Damietta)articleobesitybarriatric surgerygastrectomysleevebypassMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 2, Pp 373-384 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	obesity barriatric surgery gastrectomy sleeve bypass Medicine (General) R5-920
spellingShingle	obesity barriatric surgery gastrectomy sleeve bypass Medicine (General) R5-920 Ahmed Sayyouh Ayman Elwan Rabea Hassan Benefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients
description	Background: Conservative management for obesity had limited role in treatment of obesity. Otherwise, surgical treatment is effective, But associated with many comorbidities. Aim of the work: To evaluate laparoscopic sleeve gastrectomy, greater curvature plication and gastric bypass in morbidly obese patients.Patients and Methods: Thirty patients were included. They were divided into three groups: A for laparoscopic greater curvature plication, B for laparoscopic sleeve gastrectomy, and C for laparoscopic gastric bypass. All subjects underwent full history taking, clinical examination, laboratory investigations, abdominal ultrasonography, and upper gastrointestinal endoscopy. Follow up carried out at the first two weeks then at 1, 3, 6, 12 months for late postoperative complications, changes in comorbidities (hypertension, diabetes mellitus, arthritis) and percentage of excess weight loss. Results: Studied groups were comparable as regard to patient demographics, preoperative comorbidities, intraoperative bleeding or postoperative complications. Operative time was significantly decreased in group B. EBWL differ significantly between groups at all postoperative follow up visits. For example at the second postoperative week, there was significant increase of EBWL in groups B and C when compared to group A (5.75±3.96 and 8.4±5.54 vs 1.15±0.81 respectively). Failure was 40%, 10% and 0% in groups A, B and C respectively. Only one patients died after operation in the bypass group. Morbidities were improved after surgery. Conclusion: Laparoscopic greater curvature plication, is lower than laparoscopic sleeve gastrectomy and laparoscopic gastric bypass surgery as the procedure for weight loss, despite of its less cost. In addition, it had higher complications, reoperations and weight gains.
format	article
author	Ahmed Sayyouh Ayman Elwan Rabea Hassan
author_facet	Ahmed Sayyouh Ayman Elwan Rabea Hassan
author_sort	Ahmed Sayyouh
title	Benefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients
title_short	Benefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients
title_full	Benefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients
title_fullStr	Benefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients
title_full_unstemmed	Benefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients
title_sort	benefits and risks of laparoscopic gastric surgery for management of morbidly obese patients
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/986997c3327d462896c14429178c8c27
work_keys_str_mv	AT ahmedsayyouh benefitsandrisksoflaparoscopicgastricsurgeryformanagementofmorbidlyobesepatients AT aymanelwan benefitsandrisksoflaparoscopicgastricsurgeryformanagementofmorbidlyobesepatients AT rabeahassan benefitsandrisksoflaparoscopicgastricsurgeryformanagementofmorbidlyobesepatients
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Benefits and Risks of Laparoscopic Gastric Surgery for Management of Morbidly Obese Patients

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