[show abstract][hide abstract] ABSTRACT: Aim: The objective of this randomized, prospective study is to provide a critical appraisal comparing laparoscopic gastric banding versus laparoscopic sleeve gastrectomy in the treatment of morbidly obese patients. Methods: The study involved 100 patients, in the period between May 2005 and November 2007. They were randomly assigned to: Group 1: 52 patients subjected to laparoscopic adjustable gastric band or Group 2: 48 patients subjected to laparoscopic sleeve gastrectomy. Results: After 1 year of follow-up, there was a statistically significant difference between the two groups regarding the percentage of excess weight loss (%EWL) and the rate of complications (p<0.05). The %EWL was 63.6±5.4 in group 1 and 68.4±6.2 in group 2. Staple line leakage was reported in 2 cases (4.2%) and band erosion in 2 cases (3.8%). After 3 years of follow-up, there was no significant difference between the two groups regarding the rate of complication, but there was a statistically significant difference between the 2 groups regarding the %EWL; being 71.3±7.3 for patients in group 1 and 78.5±5.2 in group 2. Four patients (8.3%) in group 2 acquired pouch dilatation. Port site hernia developed in one patient (2.1%) in group 2. Insufficient weight loss noticed in 2 patients (3.8%) in group 1 and in 2 patients (4.2%) in group 2, which was not statistically significant. Conclusion: Sleeve gastrectomy is significantly more effective than gastric banding in terms of late complications, late reoperations, and long-term results on weight loss.
Egyptian Journal of Surgery Egyptian Journal of Surgery. 02/2011; 34(30).