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Obesity Surgery
Published in: Obesity Surgery 6/2019

01-06-2019 | Obesity | Review Article

Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy for Super Super Obese and Super Obese: Systematic Review and Meta-analysis of Weight Results, Comorbidity Resolution

Authors: Yong Wang, Ying-han Song, Jing Chen, Rui Zhao, Lin Xia, Ya-ping Cui, Zhi-yong Rao, Yong Zhou, Xiao-ting Wu

Published in: Obesity Surgery | Issue 6/2019

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Abstract

Background

Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) used for super obesity (SO) and super super obesity (SSO) remain controversial. The meta-analysis was to summarize the evidence.

Methods

We searched in MEDLINE and PubMed for studies concerning RYGB and SG for SO or SSO and pooled complication, percentage excess weight loss (%EWL), and resolution of comorbidities.

Results

Twelve studies were identified. RYGB achieved higher %EWL at 12 months, but no significant difference at 24 months. Resolution of diabetes mellitus and dyslipidemia reached a statistical significance; however, there was no significant difference in hypertension.

Conclusions

RYGB was superior in %EWL for SSO and SO at 12 months. However, regarding at 24 months, RYGB was equal to SG, which is from a meta-analysis and cannot be seen as a definitive conclusion.
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Metadata
Title
Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy for Super Super Obese and Super Obese: Systematic Review and Meta-analysis of Weight Results, Comorbidity Resolution
Authors
Yong Wang
Ying-han Song
Jing Chen
Rui Zhao
Lin Xia
Ya-ping Cui
Zhi-yong Rao
Yong Zhou
Xiao-ting Wu
Publication date
01-06-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 6/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-03817-4

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