Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial

Mahmoud El Ghoneimy Abd El-Sadek; Ahmed Ibrahim Swelam; Hamdy Sedky Abdallah; Gamal Ibrahim Moussa; Osama Helmy El Khadrawy

doi:doi:10.11648/j.js.20210904.22

Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial

Mahmoud El Ghoneimy Abd El-Sadek, Ahmed Ibrahim Swelam, Hamdy Sedky Abdallah, Gamal Ibrahim Moussa, Osama Helmy El Khadrawy

Published in Journal of Surgery (Volume 9, Issue 4)

Received: 1 August 2021 Accepted: 12 August 2021 Published: 27 August 2021

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Abstract

Background: One anastomosis gastric bypass (OAGB) has several apparent advantages over Roux-En-Y Gastric Bypass (RYGB). However, symptomatic biliary reflux and its potential risks have prevented its widespread adoption. The aim of this study was to assess the short term outcomes of LOAGB in comparison to LRYGB in treatment of patients with super obesity regarding weight loss, resolution/improvement of co-morbidities and impact on patients’ quality of life (QoL). Methods: One hundred adult patients with super obesity were randomly divided into 2 matched groups, 50 patients each; group I underwent LRYGB and group II underwent LOAGB. Results: The operative time was significantly longer in LRYGB (176.4±27.29 vs. 110.5±14.13 minutes, p<0.05). The frequency and severity of the early postoperative complications were comparable between both groups. No mortality or re-admission was reported in both groups. There are no patients lost to follow-up. Although, the mean Excess weight loss percent (EWL%) was 57% vs 64.7% and 69.7% vs 75.5% at one and two years follow-up in group I and II respectively, the differences were statistically insignificant. T2DM remission/improvement rates at 12^th month were 88.9% and 94.1% in group I and II respectively without a statistically insignificant difference. In comparison to the preoperative Qol score, the postoperative score showed a statistically significant improvement (from 0.31 to 6 and from 0.41 to 6.32 in group I and II respectively). Conclusions: LOAGB had a shorter operative time and a tendency towards a higher EWL%, a better remission of obesity-related comorbidities and improvement in the patients QoL with comparable short term operative and postoperative complications. Thus, LOAGB can be considered an acceptable alternative to LRYGB in management of super obese patients.

Published in	Journal of Surgery (Volume 9, Issue 4)
DOI	10.11648/j.js.20210904.22
Page(s)	209-215
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Laparoscopic Roux-en-Y Gastric Bypass, Laparoscopic One Anastomosis Gastric Bypass, Super Obesity

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APA Style

Mahmoud El Ghoneimy Abd El-Sadek, Ahmed Ibrahim Swelam, Hamdy Sedky Abdallah, Gamal Ibrahim Moussa, Osama Helmy El Khadrawy. (2021). Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial. Journal of Surgery, 9(4), 209-215. https://doi.org/10.11648/j.js.20210904.22

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ACS Style

Mahmoud El Ghoneimy Abd El-Sadek; Ahmed Ibrahim Swelam; Hamdy Sedky Abdallah; Gamal Ibrahim Moussa; Osama Helmy El Khadrawy. Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial. J. Surg. 2021, 9(4), 209-215. doi: 10.11648/j.js.20210904.22

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AMA Style

Mahmoud El Ghoneimy Abd El-Sadek, Ahmed Ibrahim Swelam, Hamdy Sedky Abdallah, Gamal Ibrahim Moussa, Osama Helmy El Khadrawy. Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial. J Surg. 2021;9(4):209-215. doi: 10.11648/j.js.20210904.22

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@article{10.11648/j.js.20210904.22,
  author = {Mahmoud El Ghoneimy Abd El-Sadek and Ahmed Ibrahim Swelam and Hamdy Sedky Abdallah and Gamal Ibrahim Moussa and Osama Helmy El Khadrawy},
  title = {Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial},
  journal = {Journal of Surgery},
  volume = {9},
  number = {4},
  pages = {209-215},
  doi = {10.11648/j.js.20210904.22},
  url = {https://doi.org/10.11648/j.js.20210904.22},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210904.22},
  abstract = {Background: One anastomosis gastric bypass (OAGB) has several apparent advantages over Roux-En-Y Gastric Bypass (RYGB). However, symptomatic biliary reflux and its potential risks have prevented its widespread adoption. The aim of this study was to assess the short term outcomes of LOAGB in comparison to LRYGB in treatment of patients with super obesity regarding weight loss, resolution/improvement of co-morbidities and impact on patients’ quality of life (QoL). Methods: One hundred adult patients with super obesity were randomly divided into 2 matched groups, 50 patients each; group I underwent LRYGB and group II underwent LOAGB. Results: The operative time was significantly longer in LRYGB (176.4±27.29 vs. 110.5±14.13 minutes, pth month were 88.9% and 94.1% in group I and II respectively without a statistically insignificant difference. In comparison to the preoperative Qol score, the postoperative score showed a statistically significant improvement (from 0.31 to 6 and from 0.41 to 6.32 in group I and II respectively). Conclusions: LOAGB had a shorter operative time and a tendency towards a higher EWL%, a better remission of obesity-related comorbidities and improvement in the patients QoL with comparable short term operative and postoperative complications. Thus, LOAGB can be considered an acceptable alternative to LRYGB in management of super obese patients.},
 year = {2021}
}

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TY  - JOUR
T1  - Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial
AU  - Mahmoud El Ghoneimy Abd El-Sadek
AU  - Ahmed Ibrahim Swelam
AU  - Hamdy Sedky Abdallah
AU  - Gamal Ibrahim Moussa
AU  - Osama Helmy El Khadrawy
Y1  - 2021/08/27
PY  - 2021
N1  - https://doi.org/10.11648/j.js.20210904.22
DO  - 10.11648/j.js.20210904.22
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 209
EP  - 215
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20210904.22
AB  - Background: One anastomosis gastric bypass (OAGB) has several apparent advantages over Roux-En-Y Gastric Bypass (RYGB). However, symptomatic biliary reflux and its potential risks have prevented its widespread adoption. The aim of this study was to assess the short term outcomes of LOAGB in comparison to LRYGB in treatment of patients with super obesity regarding weight loss, resolution/improvement of co-morbidities and impact on patients’ quality of life (QoL). Methods: One hundred adult patients with super obesity were randomly divided into 2 matched groups, 50 patients each; group I underwent LRYGB and group II underwent LOAGB. Results: The operative time was significantly longer in LRYGB (176.4±27.29 vs. 110.5±14.13 minutes, pth month were 88.9% and 94.1% in group I and II respectively without a statistically insignificant difference. In comparison to the preoperative Qol score, the postoperative score showed a statistically significant improvement (from 0.31 to 6 and from 0.41 to 6.32 in group I and II respectively). Conclusions: LOAGB had a shorter operative time and a tendency towards a higher EWL%, a better remission of obesity-related comorbidities and improvement in the patients QoL with comparable short term operative and postoperative complications. Thus, LOAGB can be considered an acceptable alternative to LRYGB in management of super obese patients.
VL  - 9
IS  - 4
ER  -

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Author Information

Mahmoud El Ghoneimy Abd El-Sadek

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Ahmed Ibrahim Swelam

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Hamdy Sedky Abdallah

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Gamal Ibrahim Moussa

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Osama Helmy El Khadrawy

General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt

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APA Style

Mahmoud El Ghoneimy Abd El-Sadek, Ahmed Ibrahim Swelam, Hamdy Sedky Abdallah, Gamal Ibrahim Moussa, Osama Helmy El Khadrawy. (2021). Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial. Journal of Surgery, 9(4), 209-215. https://doi.org/10.11648/j.js.20210904.22

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ACS Style

Mahmoud El Ghoneimy Abd El-Sadek; Ahmed Ibrahim Swelam; Hamdy Sedky Abdallah; Gamal Ibrahim Moussa; Osama Helmy El Khadrawy. Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial. J. Surg. 2021, 9(4), 209-215. doi: 10.11648/j.js.20210904.22

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AMA Style

Mahmoud El Ghoneimy Abd El-Sadek, Ahmed Ibrahim Swelam, Hamdy Sedky Abdallah, Gamal Ibrahim Moussa, Osama Helmy El Khadrawy. Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial. J Surg. 2021;9(4):209-215. doi: 10.11648/j.js.20210904.22

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@article{10.11648/j.js.20210904.22,
  author = {Mahmoud El Ghoneimy Abd El-Sadek and Ahmed Ibrahim Swelam and Hamdy Sedky Abdallah and Gamal Ibrahim Moussa and Osama Helmy El Khadrawy},
  title = {Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial},
  journal = {Journal of Surgery},
  volume = {9},
  number = {4},
  pages = {209-215},
  doi = {10.11648/j.js.20210904.22},
  url = {https://doi.org/10.11648/j.js.20210904.22},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210904.22},
  abstract = {Background: One anastomosis gastric bypass (OAGB) has several apparent advantages over Roux-En-Y Gastric Bypass (RYGB). However, symptomatic biliary reflux and its potential risks have prevented its widespread adoption. The aim of this study was to assess the short term outcomes of LOAGB in comparison to LRYGB in treatment of patients with super obesity regarding weight loss, resolution/improvement of co-morbidities and impact on patients’ quality of life (QoL). Methods: One hundred adult patients with super obesity were randomly divided into 2 matched groups, 50 patients each; group I underwent LRYGB and group II underwent LOAGB. Results: The operative time was significantly longer in LRYGB (176.4±27.29 vs. 110.5±14.13 minutes, pth month were 88.9% and 94.1% in group I and II respectively without a statistically insignificant difference. In comparison to the preoperative Qol score, the postoperative score showed a statistically significant improvement (from 0.31 to 6 and from 0.41 to 6.32 in group I and II respectively). Conclusions: LOAGB had a shorter operative time and a tendency towards a higher EWL%, a better remission of obesity-related comorbidities and improvement in the patients QoL with comparable short term operative and postoperative complications. Thus, LOAGB can be considered an acceptable alternative to LRYGB in management of super obese patients.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Short Term Outcomes of Laparoscopic Roux-En-Y Gastric Bypass Versus Laparoscopic One Anastomosis Gastric Bypass in Super Obese Patients: Randomized Clinical Trial
AU  - Mahmoud El Ghoneimy Abd El-Sadek
AU  - Ahmed Ibrahim Swelam
AU  - Hamdy Sedky Abdallah
AU  - Gamal Ibrahim Moussa
AU  - Osama Helmy El Khadrawy
Y1  - 2021/08/27
PY  - 2021
N1  - https://doi.org/10.11648/j.js.20210904.22
DO  - 10.11648/j.js.20210904.22
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 209
EP  - 215
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20210904.22
AB  - Background: One anastomosis gastric bypass (OAGB) has several apparent advantages over Roux-En-Y Gastric Bypass (RYGB). However, symptomatic biliary reflux and its potential risks have prevented its widespread adoption. The aim of this study was to assess the short term outcomes of LOAGB in comparison to LRYGB in treatment of patients with super obesity regarding weight loss, resolution/improvement of co-morbidities and impact on patients’ quality of life (QoL). Methods: One hundred adult patients with super obesity were randomly divided into 2 matched groups, 50 patients each; group I underwent LRYGB and group II underwent LOAGB. Results: The operative time was significantly longer in LRYGB (176.4±27.29 vs. 110.5±14.13 minutes, pth month were 88.9% and 94.1% in group I and II respectively without a statistically insignificant difference. In comparison to the preoperative Qol score, the postoperative score showed a statistically significant improvement (from 0.31 to 6 and from 0.41 to 6.32 in group I and II respectively). Conclusions: LOAGB had a shorter operative time and a tendency towards a higher EWL%, a better remission of obesity-related comorbidities and improvement in the patients QoL with comparable short term operative and postoperative complications. Thus, LOAGB can be considered an acceptable alternative to LRYGB in management of super obese patients.
VL  - 9
IS  - 4
ER  -

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