Better @entity353 , resolution of XXXX , and quality of life for laparoscopic gastric bypass vs banding: results of a 2-cohort pair-matched study.

@entity1 @entity353 @entity6 @entity28 @entity260 @entity204
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass (RYGB) and laparoscopic gastric banding (LB) are the 2 most common operations used to treat morbid @entity28 , but few controlled comparative studies have reported perioperative and long-term outcomes. DESIGN: Two-cohort pair-matched study. SETTING: Academic tertiary referral center. @entity1 : One hundred consecutive morbidly @entity28 @entity1 treated with LB were pair-matched by sex, race, age, initial body mass index, and presence of @entity6 with 100 @entity1 who were treated with RYGB. MAIN OUTCOME MEASURES: Perioperative and @entity260 , reoperations, and 1-year outcomes, including @entity353 , and quality of life. RESULTS: The RYGB and LB groups had similar characteristics. One-year outcomes were available for 93 @entity1 in the LB group and 92 in the RYGB group. The overall rate of complications was similar in both groups (11 @entity1 in the LB group [12%] vs 14 in the RYGB group [15%]; P = .83), with a higher rate of early complications ( <= 30 days) after RYGB (11 @entity1 [11%] vs 2 [2%] for LB; P = .01) and a higher rate of reoperations after LB (12 @entity1 [13%] vs 2 for RYGB [2%]; P = .009). No @entity204 occurred. Excess @entity353 (36% vs 64%; P < .01), resolution of @entity6 (17 @entity1 [50%] vs 26 [76%]; P = .04), and quality-of-life measures were better in the RYGB group. CONCLUSIONS: When performed in high-volume centers by expert surgeons, RYGB has a similar rate of overall complications and lower rate of reoperations than LB. With the benefit of greater @entity353 , increased resolution of @entity6 , and improved quality of life, RYGB, in these circumstances, has a better risk-benefit profile than LB.
