Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1394
10
1
gregorian
2016
1
1
30
1
online
1
fulltext
en
Evaluation of laparoscopic sleeve gastrectomy compared with laparoscopic Roux-en-Y gastric bypass for people with morbid obesity: A systematic review and meta-analysis
Health Technology Assessment
Health Technology Assessment
Original Research
Original Research
<p dir="ltr" style="text-align: justify;"><strong>Background: </strong>Prevalence of obesity in the world, in both developed and developing countries, is growing rapidly. Bariatric surgery is now accepted as the treatment for morbid obesity.</p>
<p dir="ltr" style="text-align: justify;">Objective: This study compares laparoscopic sleeve gastrectomy's effectiveness (LSG) with the most common bariatric surgery, laparoscopic Roux-en-Y (LRYGB) gastric bypass.</p>
<p dir="ltr" style="text-align: justify;"><strong> Methods</strong>: A systematic review was performed using relevant search data bases, including Cochrane library, PubMed, Magi ran, Iranmedex, SID and Trip database, with no time limit. Data bases were searched until July 2014 for randomized control trials. The studied population included people aged between 18–60 years, with BMI≥35 and at least one obesity-related disease, or people with BMI≥40. BMI change, as the research outcome, was investigated at least in one-year follow-up period. Cochrane criteria were used to assess quality of studies. The results were extracted from the articles.</p>
<p dir="ltr" style="text-align: justify;"><strong> Results</strong>: In total, 384 articles were obtained in the search; six RCTs were included in this study. There was no significant difference between the two laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass procedures in BMI, and both groups were similar in weight loss CI [-.1.31, 0.43], p=0.32.</p>
<p dir="ltr" style="text-align: justify;"><strong> Conclusion</strong>: The two procedures of bariatric surgery are effective and reliable treatments. Performing more trial studies with greater sample size and longer follow-up period for making final decision in selecting a certain surgical procedure is essential.</p>
Sleeve gastrectomy, Roux-en-Y gastric bypass, Morbid obesity.
377
384
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-986&slc_lang=en&sid=1
Fateme
Arabi Basharic
arabibf1@gmail.com
200319475328460021961
200319475328460021961
No
Mashhad University of Medical Sciences, Mashhad, Iran.
Alireza
Olyaee Manesh
arolyaee@gmail.com
200319475328460021962
200319475328460021962
Yes
National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad
Ranjbar Ezzat Abadi
ranjbar3079@gmail.com
200319475328460021963
200319475328460021963
No
Department of Health Service Management, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Seyed Mostafa
Shiryazdi
smshiryazdi@yahoo.com
200319475328460021964
200319475328460021964
No
Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Hussein
Shabahang
shabahanghossein@gmail.com
200319475328460021965
200319475328460021965
No
Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Ali
Jangjoo
jangjooA@Mums.ac.ir
200319475328460021966
200319475328460021966
No
Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.