Retroypective Comparative Study between Sleeve Gastrectomy and Mini Gastric Bypass Regarding Postoperative Skin Redundancy
Mohamed Ahmed Mohamed Aamer, Moheb Shoraby Eskandaros, Amr Hamed Afifi, Ilany Gamal Hazkial Saeed- General Medicine
Abstract
Background
Obesity has reached epidemic levels worldwide affecting more than 30% of adults. Mortality rates in patients with morbid obesity are 6-12 times higher in men aged 25 — 44 versus men with healthy weight of the same age. Surgical treatment of comorbidities appears to be cost effective by eliminating use of medications in patients who were previously morbidly obese.
Aim of the Work
to determine and evaluate the impact of sleeve gastrectomy and minigastric bypass procedure on weight loss and post operative skin redundancy.
Patients and Methods
The study included 50 morbidly obese patients that were assigned to two equal groups as regards to the operation they underwent either Laparoscopic MGB or Laparoscopic SG. The primary outcome measured was change in weight and BMI. The secondary outcome was skin redundancy after operation. Patients were followed up to 1 2 months after operation.
Results
After retrospectively comparing the two procedures for a year, almost both procedures have near same effect on loss of weight and MGB has slightly more skin redundancy after operation. The statistical differences observed as regards to BMI and skin redundancy
Conclusion
So this study was carried out to compare the effect on 50 patients undergone laparoscopic sleeve gastrectomy and laparoscopic mini gasteric bypass see if there was effect on weight loss and skin redundancy progress among those patients, 25 patients performed laparoscopic sleeve gasterectomy and 25 patients performed laparoscopic mini-gasteric bypass.