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Comparison of safety and effectiveness between laparoscopic mini-gastric bypass and laparoscopic sleeve gastrectomy: A meta-analysis and systematic review.

Abstract The laparoscopic mini-gastric bypass is a newly emerged surgical procedure in recent years. Owe to safe and simple process and effective outcomes, laparoscopic mini-gastric bypass has quickly become one of the most popular procedures in some countries. The safety and effectiveness of laparoscopic mini-gastric bypass versus laparoscopic sleeve gastrectomy remain unclear.
PMID
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Authors

Mayor MeshTerms

Patient Safety

Keywords
Journal Title medicine
Publication Year Start




PMID- 29390281
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Comparison of safety and effectiveness between laparoscopic mini-gastric bypass
      and laparoscopic sleeve gastrectomy: A meta-analysis and systematic review.
PG  - e8924
LID - 10.1097/MD.0000000000008924 [doi]
AB  - BACKGROUND: The laparoscopic mini-gastric bypass is a newly emerged surgical
      procedure in recent years. Owe to safe and simple process and effective outcomes,
      laparoscopic mini-gastric bypass has quickly become one of the most popular
      procedures in some countries. The safety and effectiveness of laparoscopic
      mini-gastric bypass versus laparoscopic sleeve gastrectomy remain unclear.
      METHODS: A systematic literature search was performed in PubMed, Embase, Cochrane
      library from inception to May 20, 2017. The methodological quality of Randomized 
      Controlled Trials and non-Randomized Controlled Trials were, respectively,
      assessed by Cochrane Collaboration's tool for assessing risk of bias and
      Newcastle-Ottawa scale. The meta-analysis was performed by RevMan 5.3 software.
      RESULTS: Patients receiving mini-gastric bypass had a lot of advantageous indexes
      than patients receiving sleeve gastrectomy, such as higher 1-year EWL% (excess
      weight loss), higher 5-year EWL%, higher T2DM remission rate, higher hypertension
      remission rate, higher obstructive sleep apnea (OSA) remission rate, lower
      osteoarthritis remission rate, lower leakage rate, lower overall late
      complications rate, higher ulcer rate, lower gastroesophageal reflux disease
      (GERD) rate, shorter hospital stay and lower revision rate. No significant
      statistical difference was observed on overall early complications rate, bleed
      rate, vomiting rate, anemia rate, and operation time between mini-gastric bypass 
      and sleeve gastrectomy. CONCLUSION: Mini-gastric bypass is a simpler, safer, and 
      more effective bariatric procedure than laparoscopic sleeve gastrectomy. Due to
      the biased data, small sample size and short follow-up time, our results may be
      unreliable. Large sample and multicenter RCT is needed to compare the
      effectiveness and safety between mini-gastric bypass and sleeve gastrectomy.
      Future study should also focus on bile reflux, remnant gastric cancer, and long
      term effectiveness of mini-gastric bypass.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Wang, Fu-Gang
AU  - Wang FG
AD  - Capital Medical University.
AD  - Department of General Surgery, Beijing Tiantan Hospital, Beijing, China.
FAU - Yu, Zhao-Peng
AU  - Yu ZP
AD  - Capital Medical University.
AD  - Department of General Surgery, Beijing Tiantan Hospital, Beijing, China.
FAU - Yan, Wen-Mao
AU  - Yan WM
AD  - Department of General Surgery, Beijing Tiantan Hospital, Beijing, China.
FAU - Yan, Ming
AU  - Yan M
AD  - Department of General Surgery, Beijing Tiantan Hospital, Beijing, China.
FAU - Song, Mao-Min
AU  - Song MM
AD  - Department of General Surgery, Beijing Tiantan Hospital, Beijing, China.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Gastrectomy/*methods
MH  - Gastric Bypass/*methods
MH  - Humans
MH  - Obesity, Morbid/*surgery
MH  - *Patient Safety
MH  - Postoperative Complications
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000008924 [doi]
AID - 00005792-201712150-00031 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e8924. doi: 10.1097/MD.0000000000008924.