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ORIGINAL ARTICLE
Year : 2017  |  Volume : 36  |  Issue : 4  |  Page : 360-367

Comparative study between the complications of laparoscopic sleeve gastrectomy and laparoscopic mini-gastric bypass


1 Department of Surgery, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt
2 Department of Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Ahmed Nabil
Department of Surgery, Faculty of Medicine, Cairo University, 1 Al-Saraya Street, Manial, Cairo, 11956
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_49_17

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Background Obesity is considered a preventable worldwide epidemic. It can cause high rates of morbidity and mortality. Laparoscopic sleeve gastrectomy (LSG) and laparoscopic mini-gastric bypass (LMGB) are both safe and effective procedures for the surgical management of morbid obesity. Bleeding and leakage are the most fearful life-threatening complications. Patient and methods This prospective study comprised 150 morbidly obese patients. The study was conducted between July 2015 and March 2016, after which there was a follow-up for 12 months among all the patients. The patients were divided equally into two groups: group A comprised LSG patients, whereas group B comprised LMGB patients. Results Among the Group A patients, four (5.3%) exhibited complications: hemorrhage (1.3%), gastric leakage (1.3%), and gall-bladder stones (2.6%). In group B, five (6.6%) patients had complications: biliary reflux (1.3%), deep venous thrombosis (1.3%), and gall-bladder stones (3.9%). No mortality occurred in the study. Conclusion Both LSG and LMGB are safe and effective procedures. The study found no statistically significant difference between either procedure, in the incidence of complications.


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