North American Journal of Medical Sciences

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 6  |  Issue : 1  |  Page : 35--38

Comparison of vertical sleeve gastrectomy versus biliopancreatic diversion


Iswanto Sucandy, Joseph Titano, Fernando Bonanni, Gintaras Antanavicius 
 Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania, USA

Correspondence Address:
Iswanto Sucandy
Abington Memorial Hospital, 1200 Old York Road, Abington, Pennsylvania
USA

Background: Vertical sleeve gastrectomy (VSG) was originally performed as the first-stage of biliopancreatic diversion with duodenal switch (BPD/DS) for superobesity as a strategy to reduce perioperative complications and morbidity. VSG is now considered a definitive procedure because of its technical simplicity and promising outcomes. Aims: To analyze the outcomes of laparoscopic VSG and to compare them with those of single-stage laparoscopic BPD/DS. Materials and Methods: A retrospective review of 200 consecutive patients who underwent VSG and BPD/DS between 2008 and 2011. Results: A total of 100 patients underwent laparoscopic VSG and 100 patients underwent laparoscopic BPD/DS. The patients in VSG group were older, but gender distribution and body mass index were comparable. Mean operative time for VSG was significantly shorter compared with that of BPD/DS. A single patient in each groups required open conversion. Staple line leak (n = 1) and intraluminal hemorrhage into the newly-created sleeve (n = 1) occurred in the BPD/DS group. Mean length of stay was shorter after VSG (3.1 vs. 3.9 days). At 6 months postoperatively, excess weight loss between the two groups revealed statistically significant difference, favoring BPD/DS. Conclusions: Despite promising outcomes and technical simplicity of VSG, BPD/DS provides significantly superior excess weight loss in morbidly obese patients.


How to cite this article:
Sucandy I, Titano J, Bonanni F, Antanavicius G. Comparison of vertical sleeve gastrectomy versus biliopancreatic diversion.North Am J Med Sci 2014;6:35-38


How to cite this URL:
Sucandy I, Titano J, Bonanni F, Antanavicius G. Comparison of vertical sleeve gastrectomy versus biliopancreatic diversion. North Am J Med Sci [serial online] 2014 [cited 2020 Dec 2 ];6:35-38
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2014;volume=6;issue=1;spage=35;epage=38;aulast=Sucandy;type=0