Surgical Management of Morbid Obese Patients Roux-En-Y Gastric Bypass Versus Sleeve Gastrectomy

Abstract

AbstractBackground: Nowadays obesity considered as a disease. Obesity is complex and poorly understood and the causes of this disease likely include a combination of genetic and environmental factors, but it also includes behavioral, psy-chological, and other factors.Aim of Study: Comparative study between the laparoscopic Roux-en-y gastric bypass and sleeve gastrectomy in manage-ment of morbid obesity.Patients and Methods: Study included 20 morbidly obese patients, 10 patients subjected for laparoscopic sleeve gast-rectomy and 10 patients for laparoscopic Roux-en-y gastric bypass.Results: There was significant difference in % Weight Loss (WL) between the LSG and LRYGB at 12-month with greater % WL in the LRYGB group than the LSG group. However, there was no significant difference between LSG and LRYGB in WL at 6-month follow-up. Overall postoper-ative morbidity was higher after LRYGB group compared with LSG.Concluion: LRYGB and LSG are effective procedures for treatment of morbid obesity. Both can be performed very safely in an experienced hand, but LSG is a simpler and safer procedure with no significant disadvantage compared to LRYGB.Objective: Comparative study between the laparoscopic Roux-en-y gastric bypass and sleeve gastrectomy in manage-ment of morbid obesity.