A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional
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4th INTERNATIONAL CONSENSUS SUMMIT FOR SLEEVE GASTRECTOMY I: The Utilization of Sleeve Gastrectomy found that sleeve gastrectomy has the rate of morbidity positioned between laparoscopic gastric banding and laparoscopic gastric bypass.7 Although the perioperative morbidity of LAGB is lower than that of LSG, the growing utilization of LSG is likely related to the improved long-term weight loss associated with sleeve gastrectomy and the reduced need for late revisional operations.6,16 5. 6. CONCLUSION We examined the trends and outcomes of bariatric procedures at the national level using a large administrative database of academic medical centers and affiliated hospitals and found that, during the study period, there was a precipitous increase in the use of LSG accompanied by a decrease in utilization of LAGB and laparoscopic gastric bypass. Perioperative outcomes, length of hospital stay, and costs for LSG were found to fall between those of laparoscopic gastric banding and laparoscopic gastric bypass. 7. 8. REFERENCES 1. 2. 3. 4. A6 Wittgrove AC, Clark GW, Tremblay LJ. Laparoscopic gastric bypass, Roux-en-Y: preliminary report of five cases. Obes Surg. 1994;4:353–357. Nguyen NT, Root J, Zainabadi K, et al. Accelerated growth of bariatric surgery with the introduction of minimally invasive surgery. Arch Surg. 2005;140:1198–1202. Hinojosa MW, Esteban VJ, Parikh D, et al. National trends in use and outcomes of laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2009;5:150–155. Nguyen NT, Slone JA, Nguyen XM, Hartman JS, Hoyt DB. A prospective randomized trial of laparoscopic gastric bypass versus laparoscopic adjustable gastric banding for the treatment of morbid obesity: 9. 10. 11. 12. Bariatric Times • May 2013 • Supplement A outcomes, quality of life, and costs. Ann Surg. 2009;250:631–641. Regan JP, Inabnet WB, Gagner M, Pomp A. Early experience with twostage laparoscopic Roux-en-Y gastric bypass as an alternative in the supersuper obese patient. Obes Surg. 2003;13:861-864. Himpens J, Dapri G, Cadiere GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;16:1450–1456. Hutter MM, Schirmer BD, Jones DB, et al. First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and bypass. Ann Surg. 2011;254:410–420. Kehagias I, Karamanakos SN, Argentou M, Kalfarentzos F. Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI<50 kg/m2. Obes Surg. 2011;21:1650–1656. ASMBS Clinical Issues Committee. Updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2012;8(3):e21–26. Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery. Updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2010;6(1):1–5. Nguyen NT, Nguyen B, Gebhart A, Hohmann S. Changes in the makeup of bariatric surgery: a national increase in the use of laparoscopic sleeve gastrectomy. J Am Coll Surg. 2013;216(2):252–257. Nguyen NT, Hinojosa M, Fayad C, et al. Use and outcomes of laparoscopic versus open gastric bypass at 13. 14. 15. 16. 17. 18. academic medical centers. J Am Coll Surg. 2007;205:248–255. DeMaria EJ, Pate V, Warthen M, Winegar DA. Baseline data from the American Society for Metabolic and bariatric Surgery-designated Bariatric Surgery Center of Excellence using the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis. 2010;6(4):347–355. Finks JF, Kole KL, Yenumula PR, et al. Predicting risk for serious complications with bariatric surgery: results from the Michigan Bariatric Surgery Collaborative. Ann Surg. 2011;254:633–640. Boza C, Salinas J, Saldago N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: report of 1,000 cases and 3year follow-up. Obes Surg. 2012; 22(6):866–871. Naef M, Mouton WG, Naef U, et al. Graft survival and complications after laparoscopic gastric banding for morbid obesity—lessons learned from a 12-year experience. Obes Surg. 2010;20(9):1206–1214. Nguyen NT, Goldman C, Rosenquist J, et al. Laparoscopic versus open gastric bypass: a randomized study of outcomes, quality of life, and costs. Ann Surg. 2001;234:279–291. Angrisani L, Lorenzo M, Borrelli V. Laparoscopic adjustable gastric banding versus Roux-en-Y gastric bypass: 5-year results of a prospective randomized trial. Surg Obes Relat Dis. 2007;3(2):127–132.