PMID- 30817626
OWN - NLM
STAT- MEDLINE
DCOM- 20190314
LR  - 20210109
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 98
IP  - 9
DP  - 2019 Mar
TI  - Meta-analysis of the effectiveness of laparoscopic adjustable gastric banding 
      versus laparoscopic sleeve gastrectomy for obesity.
PG  - e14735
LID - 10.1097/MD.0000000000014735 [doi]
LID - e14735
AB  - BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) and laparoscopic 
      sleeve gastrectomy (LSG) are common weight loss procedures. Our meta-analysis 
      compared these procedures for the treatment of morbid obesity and related 
      diseases. METHODS: We systematically searched the PubMed, Embase, and the 
      Cochrane Library through January 2018. The percentage of excess weight loss 
      (%EWL), improvement or remission of type 2 diabetes mellitus (T2DM) and 
      hypertension were analyzed and compared. RESULTS: Thirty-three studies with 4109 
      patients were included. Greater decreases in excess weight were found in patients 
      who received LSG at 6 months (weighted mean difference (WMD) -9.29, 95% 
      confidence interval (CI): -15.19 to -3.40, P = .002), 12 months (WMD -16.67 95% 
      CI: -24.30 to -9.05, P < .0001), 24 months (WMD -19.63, 95% CI: -29.00 to -10.26, 
      P < .0001), and 36 months (WMD -19.28, 95% CI: -27.09 to -11.47, P < .0001) than 
      in patients who received LAGB. However, there were no significant differences in 
      the 3-month outcomes between the 2 groups (WMD -1.61, 95% CI: -9.96 to 6.73, 
      P = .70). T2DM patients after LSG experience more significant improvement or 
      remission of diabetes (odds ratio (OR): 0.22, 95% CI: 0.06-0.87, P = .03). The 2 
      groups did not significantly differ regarding improvement or remission of 
      hypertension (OR 0.80, 95% CI: 0.46-1.38, P = .42). CONCLUSION: LSG is a more 
      effective procedure than LAGB for morbidly obese patients, contributing to a 
      higher %EWL and greater improvement in T2DM.
FAU - Li, Laiyuan
AU  - Li L
AD  - Department of Anorectal Surgery, Gansu Provincial Hospital.
AD  - Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease.
FAU - Yu, Huichuan
AU  - Yu H
AD  - Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease.
AD  - Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen 
      University.
FAU - Liang, Jinglin
AU  - Liang J
AD  - Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen 
      University.
FAU - Guo, Yinyin
AU  - Guo Y
AD  - Department of Pharmacy, Lanzhou University Second Hospital.
FAU - Peng, Shaoyong
AU  - Peng S
AD  - Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease.
AD  - Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen 
      University.
FAU - Luo, Yanxin
AU  - Luo Y
AD  - Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease.
AD  - Department of Matabolic and Bariatric Surgery, the Sixth Affiliated Hospital of 
      Sun Yat-sen University, Guangzhou, Guangdong, China.
FAU - Wang, Jianping
AU  - Wang J
AD  - Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease.
AD  - Department of Matabolic and Bariatric Surgery, the Sixth Affiliated Hospital of 
      Sun Yat-sen University, Guangzhou, Guangdong, China.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Body Mass Index
MH  - Diabetes Mellitus, Type 2/epidemiology/physiopathology
MH  - Gastrectomy/*methods
MH  - Gastroplasty/*methods
MH  - Humans
MH  - Hypertension/epidemiology/physiopathology
MH  - Laparoscopy/methods
MH  - Obesity, Morbid/epidemiology/*surgery
MH  - *Weight Loss
PMC - PMC6831371
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2019/03/01 06:00
MHDA- 2019/03/15 06:00
PMCR- 2019/03/01
CRDT- 2019/03/01 06:00
PHST- 2019/03/01 06:00 [entrez]
PHST- 2019/03/01 06:00 [pubmed]
PHST- 2019/03/15 06:00 [medline]
PHST- 2019/03/01 00:00 [pmc-release]
AID - 00005792-201903010-00066 [pii]
AID - MD-D-18-03087 [pii]
AID - 10.1097/MD.0000000000014735 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2019 Mar;98(9):e14735. doi: 10.1097/MD.0000000000014735.