Cited by 107Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesBody Contouring and Surgery

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Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 10-year results of a prospective, randomized trial

Angrisani, Luigi, Cutolo, Pier Paolo, Formisano, Giampaolo, Nosso, Gabriella, Vitolo, Giuliana·2013·Surgery for Obesity and Related Diseases

DOI 10.1016/j.soard.2012.11.011

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Abstract

Background There are few studies of long-term outcomes for either laparoscopic adjustable gastric banding (LAGB) or laparoscopic Roux-en-Y gastric bypass (LRYGB). The objective of this study was to compare outcomes of patients randomly assigned to undergo LAGB or LRYGB at 10 years.Methods LAGB, using the pars flaccida technique, and standard LRYGB were performed. From January 2000 to November 2000, 51 patients (mean age 34.0 ± 8.9 years; range 20-49) were randomly allocated to undergo either LAGB (n = 27, 5 men and 22 women; mean age 33.3 years; mean weight 120 kg; mean body mass index [BMI] 43.4 kg/m(2)) or LRYGB (n = 24, 4 men and 20 women; mean age 34.7; mean weight 120 kg; mean BMI 43.8 kg/m(2)). Data on complications, reoperations, weight, BMI, percentage of excess weight loss, and co-morbidities were collected yearly. The data were analyzed using Student's t test and Fisher's exact test, with P<.05 considered significant.Results Five patients in the LAGB group and 3 patients in the LRYGB group were lost to follow-up. No patient died. Conversion to laparotomy was performed in 1 (4.2%) of 24 LRYGB patients. Reoperations were required in 9 (40.9%) of 22 LAGB patients and in 6 (28.6%) of the 21 LRYGB patients. At 10-year follow-up, the LRYGB patients had a greater percentage of mean excess weight loss than did the LAGB patients (69±29% versus 46±27%; P = .03).Conclusion LRYGB was superior to LAGB in term of excess weight loss results (76.2% versus 46.2%) at 10 years. However, LRYGB exposes patients to higher early complication rates than LAGB (8.3% versus 0%) and potentially lethal long-term surgical complications (internal hernia and bowel obstruction rate: 4.7%).

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Authors: Angrisani, L., Cutolo, P. P., Formisano, G., Nosso, G., & Vitolo, G.
Affiliations: Federico II University Hospital (IT)
Corresponding author: Angrisani, Luigi
ORCID: Angrisani, Luigi
Formisano, Giampaolo
Vitolo, Giuliana
Venue: Surgery for Obesity and Related Diseases
Publisher: Elsevier BV
Published: 2013-05
Volume: 9
Issue: 3
Pages: 405-413
ISSN: 1550-7289 (ISSN-L)
DOI: 10.1016/j.soard.2012.11.011
OpenAlex: W2963595971
Cited by: 107
References: 39
Citations by year: 2026: 7 · 2025: 5 · 2024: 7 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 9 · 2019: 3 · 2018: 15 · 2017: 12 · 2016: 10 · 2015: 13 · 2014: 9 · 2013: 5
FWCI: 12.15
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Surgery for Obesity and Related Diseases (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords: laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass
MeSH terms: Adult, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obesity, Morbid, Laparoscopy, Postoperative Complications, Prospective Studies, Reoperation, Gastric Bypass, Gastroplasty, Weight Loss, Body Mass Index, Young Adult

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Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 10-year results of a prospective, randomized trial

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