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Prospective Study to Compare the Efficacy and Safety of Gastric Banding (LAGB) and Sleeve Gastrectomy (LSG) in Obese

Anshuman Kaushal, Senior Consultant & Academic Coordinator, Dept of General, Laparoscopic GI &, Bariatric Surgery, Artemis Healthcare, Gurgaon – 122001, Haryana. , Kaushal Anshuman* , Khan Shavez** , Srivastav Nitin*** , Lal Pawanindra****

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New Indian Journal of Surgery 8(2):p 14-18, April - June 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.2

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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.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8217.2

Keywords

LABG; LSG; Resolution of Comorbidities; Excess Weight Loss. 

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