Prospective Study to Compare the Efficacy and Safety of Gastric Banding (LAGB) and Sleeve Gastrectomy (LSG) in Obese
Journal Title: New Indian Journal of Surgery - Year 2017, Vol 8, Issue 2
Abstract
Background: Obesity is abnormal or excessive accumulation of fat in the body which may impair health. Body mass index (BMI) is a simple index that is used to classify obesity in adult population. BMI is calculated by following method BMI=weight in kg/ height in meters [2]. Obesity is defined as BMI>30 kg/m2. Morbid obesity is defined as a BMI>35 kg/m2 with associated co morbid conditions or a BMI>40 kg/m2. A BMI>25 kg/m2 is defined as overweight. The present study has been designed to evaluate the surgical outcomes in terms of weight loss and resolution of co-morbidities in two different bariatric surgical procedures, namely laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG). Method: The prospective, interventional comparative study was conducted in the at Maulana Azad Medical College and Associated hospitals, New Delhi. Study includes 50 Motivated patients knowledgeable about the sequel of the procedure, age between 18 and 65 years, attending the surgical out-patients department with BMI > 33 kg/m2 with significant obesity-related co morbidities. Patients divided into Group A and Group B, each group comprising of 25 patients each. Group A comprising of 25 patients treated with LAGB. Group B comprising of 25 patients treated with LSG. All the patients were followed up at 6 month, 9 month and 12 months period for evaluation of excess weight loss, resolution of co-morbid conditions and for any late complications. Results: Mean duration of surgery was more in group B (148 min) as compared to group A (108 min). Mean value of percentage of excess body weight loss (EWL) was more in LSG (53.761 %) than in LAGB group (40.842) with the significant difference of p value of 0.05. Mean value of change in BMI was also seen to be more in LSG group with p value 0.001 ( <0.05). Resolution of hypertension was more in LSG group (98%) as compared to LAGB Group (87.5%). Resolution of DM type 2 was also more in LSG group (92%) as compared to LAGB group (80%). Conclusion: With our experience, we are of the opinion that sleeve gastrectomy (LSG) seems to be the preferred procedure in Indian population due to better post operative excess weight loss (EWL) and resolution of comorbidities.
Authors and Affiliations
Kaushal Anshuman
Keywords
Related Articles
- EP ID EP470867
- DOI 10.21088/nijs.0976.4747.8217.2
- Views 98
- Downloads 0
Clinical Profile of Diabetic Foot and its Correlation with Microbiological Profile: A Prospective Study
Objective of the study: 1. To study the clinical profile [mode of presentations– ulcer, gangrene, callosity, cellulitis] of diabetic foot. 2. To study the morbidity profile [limb salvage surgery, amputations] of diabetic...
Abdominal Tuberculosis: Laparoscopy A Novel Tool for Diagnosis
Objective: To analyze the efficacy of diagnostic laparoscopy for diagnosing abdominal tuberculosis in susceptible cases. Methods: The records of 20 patients (15 males, 5 females, mean age 35, range 20-70 years) diagnosed...
Usefulness of Mannheim’s Peritonitis Index Screening System in Predicting Outcome in Patients with Peritonitis
“Peritonitis is an inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs. Peritonitis may be localized or generalized, and may result from infect...
Predictive Value of Serum C- Reactive Protein in Diagnosis of Acute Appendicitis and Comparision with Alvarado Score
Introduction: The morbidity and mortality rates associated with appendicitis are greatly increased when perforation ensues, wound infection rates increases, intraabdominal abscess formation increases 15 fold and mortalit...
Management of Post Burn Gluteal Pouching
Injuries to the buttocks and the perineal region is a comparatively rare presentation with thermal burns. The patients present with chronic constipation, difficulty in hip abduction and restriction of sexual functions. C...