Postoperative early major and minor complications in laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures: a meta-analysis and systematic review
Article
Article Title | Postoperative early major and minor complications in laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures: a meta-analysis and systematic review |
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ERA Journal ID | 16678 |
Article Category | Article |
Authors | Osland, Emma (Author), Yunus, Rossita Mohamad (Author), Khan, Shahjahan (Author), Alodat, Tareq (Author), Memon, Breda (Author) and Memon, Muhammed Ashraf (Author) |
Journal Title | Obesity Surgery |
Journal Citation | 26 (10), pp. 2273- 2284 |
Number of Pages | 12 |
Year | 2016 |
Place of Publication | United States |
ISSN | 0960-8923 |
1708-0428 | |
Digital Object Identifier (DOI) | https://doi.org/10.1007/s11695-016-2101-8 |
Web Address (URL) | https://link.springer.com/article/10.1007/s11695-016-2101-8 |
Abstract | Purpose: Laparoscopic roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG), have been proposed as cost effective strategies to manage obesity related chronic disease. The aim of this systematic review and meta-analysis was to compare the “early postoperative complication rate i.e within 30 days” reported from randomized control trials (RCTs) comparing these two procedures. Material and Methods: RCTs comparing the early complication rates following LSG and LRYGB between 2000 and 2015 were selected from PubMed, Medline, Embase, Science Citation Index, Current Contents, and the Cochrane database. The outcome variables analyzed included 30-day mortality, major and minor complications and interventions required for their management, length of hospital stay, readmission rates, operating time and conversions from laparoscopic to open procedures. Results: Six RCTs involving a total of 703 patients (LSG n=352, LRYGB n=351) reported on major complications. A statistically significant reduction in relative odds of major complications favoring the LSG procedure was noted (p=0.05). Five RCTs representing 643 patients (LSG=322, LRYGB=321) reported minor complications. A non-statically significant reduction in relative odds of 28% favoring the LGS procedure was observed for minor complications (p=0.4). However other outcomes directly related to complications which included reoperation rates, readmission rate, and 30-day mortality rate showed comparable effect size for both surgical procedures. Conclusions: This systematic review and meta-analysis of RCTs suggests that fewer major and minor complications are associated with LSG compared with LRYGB procedure. However this does not translate into higher readmission rate, reoperation rate or 30-day mortality for either procedure. |
Keywords | bariatric surgery; laparoscopic; sleeve gastrectomy; Roux-en-Y gastric bypass; meta-analysis; systematic review |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 429999. Other health sciences not elsewhere classified |
490501. Applied statistics | |
490502. Biostatistics | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Institution of Origin | University of Southern Queensland |
Byline Affiliations | Department of Health, Queensland |
University of Malaya, Malaysia | |
School of Agricultural, Computational and Environmental Sciences | |
King Saud University, Saudi Arabia | |
Sunnybank Obesity Centre, Australia |
https://research.usq.edu.au/item/q3w7x/postoperative-early-major-and-minor-complications-in-laparoscopic-vertical-sleeve-gastrectomy-lvsg-versus-laparoscopic-roux-en-y-gastric-bypass-lrygb-procedures-a-meta-analysis-and-systematic-review
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