Weight loss outcomes in Laparoscopic Vertical Sleeve Gastrectomy (LVSG) versus laparoscopic Roux-en-Y Gastric Bypass (LRYGB) procedures: A meta-analysis and systematic review of randomized controlled trials

Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

Volumn 27, Issue 1, 2017, Pages 8-18

  Osland, Emma ^a,b   Yunus, Rossita M ^f   Khan, Shahjahan ^c   Memon, Breda ^d   Memon, Muhammed A ^b,c,d,e,g,h  

^a ROYAL BRISBANE AND WOMEN'S HOSPITAL   (Australia)

^b UNIVERSITY OF QUEENSLAND   (Australia)

^c UNIVERSITY OF SOUTHERN QUEENSLAND   (Australia)

^d Sunnybank Obesity Centre   (Australia)

^e BOND UNIVERSITY   (Australia)

^f UNIVERSITY OF MALAYA   (Malaysia)

^g UNIVERSITY OF BOLTON   (United Kingdom)

^h Sunnybank Obesity Centre   (Australia)

Author keywords

bariatric surgery; laparoscopic; meta analysis; Roux en Y Gastric bypass; sleeve gastrectomy; systematic review; weight loss

Indexed keywords

CLINICAL OUTCOME; COST; FOLLOW UP; HUMAN; LAPAROSCOPIC SLEEVE GASTRECTOMY; LAPAROSCOPIC VERTICAL SLEEVE GASTRECTOMY; META ANALYSIS; OBESITY; POSTOPERATIVE CARE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; ROUX-EN-Y GASTRIC BYPASS; SYSTEMATIC REVIEW; WEIGHT GAIN; WEIGHT REDUCTION; ADOLESCENT; ADULT; AGED; BODY MASS; COMPARATIVE STUDY; GASTRECTOMY; GASTRIC BYPASS SURGERY; LAPAROSCOPY; MIDDLE AGED; OBESITY, MORBID; PHYSIOLOGY; PROCEDURES; TREATMENT OUTCOME; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; BODY MASS INDEX; GASTRECTOMY; GASTRIC BYPASS; HUMANS; LAPAROSCOPY; MIDDLE AGED; OBESITY, MORBID; RANDOMIZED CONTROLLED TRIALS AS TOPIC; TREATMENT OUTCOME; WEIGHT LOSS; YOUNG ADULT;

EID: 85011343834     PISSN: 15304515     EISSN: 15344908     Source Type: Journal    
DOI: 10.1097/SLE.0000000000000374     Document Type: Review

References (55)

1. World Obesity Federation. London: about obesity. Available at: http://www.worldobesity.org/resources/aboutobesity/. Accessed January 27, 2016
2. Organisation for Economic and Cooperation Development. Paris: obesity update June 2014: OECD Directorate for Employment, Labour and Social Affairs. 2014. Available at: http://www.oecd.org/health/Obesity-Update-2014.pdf. Accessed January 27, 2016
3. Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014; 8: CD003641
4. Picot J, Jones J, Colquitt JL, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess (Rockv). 2009; 13: 1-190
5. Borisenko O, Adam D, Funch-Jensen P, et al. Bariatric surgery can lead to net cost savings to health care systems: results from a Comprehensive European Decision Analytic Model. Obes Surg. 2015; 25: 1559-1568
6. Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003; 13: 861-864
7. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996; 17: 1-12
8. DerSimonian R, Laird N. Meta-Analysis in clinical trials. Control Clin Trials. 1986; 7: 177-188
9. Doi SA, Barendregt JJ, Khan S, et al. Advances in the metaanalysis of heterogeneous clinical trials I: the inverse variance heterogeneity model. Contemp Clin Trials. 2015; 45(pt A): 130-138
10. Sutton AJ, Abrams KR, Jones DR, et al. Methods for Metaanalysis in Medical Research. Chichester: John Wiley and Sons Ltd; 2001
11. Cochran WG. The combination of estimates from different experiments. Biometrics. 1954; 10: 101-129
12. Hedges LV. Statistical Methods for Meta-Analysis. Orlando: Orlando Press; 1985
13. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-Analysis. Stat Med. 2002; 21: 1539-1558
14. Huedo-Medina TB, Sanchez-Meca J, Marin-Martinez F, et al. Assessing heterogeneity in meta-Analysis: Q statistic or I2 index? Psychol Methods. 2006; 11: 193-206
15. Egger M, Davey Smith G, Schneider M, et al. Bias in metaanalysis detected by a simple, graphical test. BMJ. 1997; 315: 629-634
16. Viechtbauer W. Conducting meta-Analyses in R with the metaphor package. J Stat Softw. 2010; 36: 1-48. Available at: https://www.jstatsoft.org/article/view/v036i03
17. Fischer L, Wekerle AL, Bruckner T, et al. BariSurg trial: sleeve gastrectomy versus Roux-en-Y gastric bypass in obese patients with BMI 35-60 kg/m2-A multi-centre randomized patient and observer blind non-inferiority trial. BMC Surg. 2015; 15: 87
18. Biter LU, Gadiot RP, Grotenhuis BA, et al. The Sleeve Bypass Trial: a multicentre randomized controlled trial comparing the long term outcome of laparoscopic sleeve gastrectomy and gastric bypass for morbid obesity in terms of excess BMI loss percentage and quality of life. BMC Obes. 2015; 2: 30
19. Yang J, Wang C, Cao G, et al. Long-Term effects of laparoscopic sleeve gastrectomy versus roux-en-Y gastric bypass for the treatment of Chinese type 2 diabetes mellitus patients with body mass index 28-35 kg/m2. BMC Surg. 2015; 15: 88
20. Zhang Y, Zhao H, Cao Z, et al. A randomized clinical trial of laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy for the treatment of morbid obesity in China: a 5-year outcome. Obes Surg. 2014; 24: 1617-1624
21. Helmio M, Victorzon M, Ovaska J, et al. SLEEVEPASS: a randomized prospective multicenter study comparing laparoscopic sleeve gastrectomy and gastric bypass in the treatment of morbid obesity: preliminary results. Surg Endosc. 2012; 26: 2521-2526
22. Helmio M, VictorzonM, Ovaska J, et al. Comparison of shortterm outcome of laparoscopic sleeve gastrectomy and gastric bypass in the treatment of morbid obesity: a prospective randomized controlled multicenter SLEEVEPASS study with 6-month follow-up. Scand J Surg. 2014; 103: 175-181
23. Peterli R, Borbely Y, Kern B, et al. Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS): a prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Ann Surg. 2013; 258: 690-694
24. Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008; 247: 401-407
25. Kehagias I, Karamanakos SN, Argentou M, et al. Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI50kg/m2 Obes Surg 2011 21 1650-1656
26. Keidar A, Hershkop KJ, Marko L, et al Roux-en-Y gastric bypass vs sleeve gastrectomy for obese patients with type 2 diabetes: a randomised trial. Diabetologia. 2013; 56: 1914-1918
27. Vix M, Liu KH, Diana M, et al. Impact of Roux-en-Y gastric bypass versus sleeve gastrectomy on vitamin D metabolism: short-Term results from a prospective randomized clinical trial. Surg Endosc. 2014; 28: 821-826
28. de Barros F, Setubal S, Martinho JM, et al. Early endocrine and metabolic changes after bariatric surgery in grade III morbidly obese patients: a randomized clinical trial comparing sleeve gastrectomy and gastric bypass. Metab Syndr Relat Disord. 2015; 13: 264-271
29. Yip S, Plank LD, Murphy R. Gastric bypass and sleeve gastrectomy for type 2 diabetes: a systematic review and metaanalysis of outcomes. Obes Surg. 2013; 23: 1994-2003
30. Zhang Y, Wang J, Sun X, et al. Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass for morbid obesity and related comorbidities: a meta-Analysis of 21 studies. Obes Surg. 2015; 25: 19-26
31. Zhang C, Yuan Y, Qiu C, et al. A meta-Analysis of 2-year effect after surgery: laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for morbid obesity and diabetes mellitus. Obes Surg. 2014; 24: 1528-1535
32. Li JF, Lai DD, Lin ZH, et al. Comparison of the long-Term results of Roux-en-Y gastric bypass and sleeve gastrectomy for morbid obesity: a systematic review and meta-Analysis of randomized and nonrandomized trials. Surg Laparosc Endosc Percutan Tech. 2014; 24: 1-11
33. Li J, Lai D, Wu D. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy to treat morbid obesityrelated comorbidities: a systematic review and meta-Analysis. Obes Surg. 2016; 26: 429-442
34. Li JF, Lai DD, Ni B, et al. Comparison of laparoscopic Rouxen-Y gastric bypass with laparoscopic sleeve gastrectomy for morbid obesity or type 2 diabetes mellitus: a meta-Analysis of randomized controlled trials. Can J Surg. 2013; 56: E158-E164
35. Cooper TC, Simmons EB, Webb K, et al. Trends in weight regain following Roux-en-Y gastric bypass (RYGB) bariatric surgery. Obes Surg. 2015; 25: 1474-1481
36. Braghetto I, Csendes A, Lanzarini E, et al. Is laparoscopic sleeve gastrectomy an acceptable primary bariatric procedure in obese patients? Early and 5-year postoperative results. Surg Laparosc Endosc Percutan Tech. 2012; 22: 479-486
37. Dykstra MA, Switzer NJ, Sherman V, et al. Roux en Y gastric bypass: how and why it fails? Surgery. 2014; 4: 165-169
38. Lee WJ, Almulaifi A. Recent advances in bariatric/metabolic surgery: appraisal of clinical evidence. J Biomed Res. 2015; 29: 98-104
39. Guijarro A, Suzuki S, Chen C, et al. Characterization of weight loss and weight regain mechanisms after Roux-en-Y gastric bypass in rats. Am J Physiol Regul Integr Comp Physiol. 2007; 293: R1474-R1489
40. Meguid MM, Glade MJ, Middleton FA. Weight regain after Roux-en-Y: a significant 20% complication related to PYY. Nutrition. 2008; 24: 832-842
41. Langer FB, Reza Hoda MA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005; 15: 1024-1029
42. Pedersen SD. The role of hormonal factors in weight loss and recidivism after bariatric surgery. Gastroenterol Res Pract. 2013; 2013: 528450
43. Ryan KK, Tremaroli V, Clemmensen C, et al. FXR is a molecular target for the effects of vertical sleeve gastrectomy. Nature. 2014; 509: 183-188
44. Kohli R, Myronovych A, Tan BK, et al. Bile acid signaling: mechanism for bariatric surgery, cure for NASH? Dig Dis. 2015; 33: 440-446
45. Belgaumkar AP, Vincent RP, Carswell KA, et al. Changes in bile acid profile after laparoscopic sleeve gastrectomy are associated with improvements in metabolic profile and fatty liver disease. Obes Surg. 2015; 26: 1195-1202
46. Freire RH, Borges MC, Alvarez-Leite JI, et al. Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass. Nutrition. 2012; 28: 53-58
47. Kofman MD, Lent MR, Swencionis C. Maladaptive eating patterns, quality of life, and weight outcomes following gastric bypass: results of an Internet survey. Obesity. 2010; 18: 1938-1943
48. Himes SM, Grothe KB, Clark MM, et al. Stop regain: a pilot psychological intervention for bariatric patients experiencing weight regain. Obes Surg. 2015; 25: 922-927
49. Schwartz J, Chaudhry UI, Suzo A, et al. Erratum to: pharmacotherapy in conjunction with a diet and exercise program for the treatment of weight recidivism or weight-loss plateau post-bariatric surgery: a retrospective review. Obes Surg. 2016; 26: 452-458
50. Schwartz J, Suzo A, Wehr AM, et al. Pharmacotherapy in conjunction with a diet and exercise program for the treatment of weight recidivism or weight loss plateau post-bariatric surgery: a retrospective review. Obes Surg. 2016; 26: 452-458
51. Spaniolas K, Kasten KR, Celio A, et al. Postoperative followup after bariatric surgery: effect on weight loss. Obes Surg. 2016; 26: 900-903
52. Carpenter CL, Yan E, Chen S, et al. Body fat and body-mass index among a multiethnic sample of college-Age men and women. J Obes. 2013; 790654
53. Misra A, Chowbey P, Makkar BM, et al. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India. 2009; 57: 163-170
54. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004; 363: 157-163
55. International Diabetes Federation. Brussels: The IDF consensus worldwide definition of metabolic syndrome. 2006. Available at: https://www.idf.org/webdata/docs/MetS-def-update2006.pdf. Accessed March 4, 2016