title: Complications and outcome after laparoscopic bariatric surgery: LAGB versus LRYGB.
abstract: OBJECTIVE
  Unsatisfactory patient compliance and unfavorable results of weight loss let centers prefer the Roux-en-Y gastric bypass (RYGB) as a combined restrictive and malabsorptive procedure. The aim of this study was to evaluate results of laparoscopic adjustable gastric banding (LAGB) versus laparoscopic RYGB.
  
  
  METHODS
  The study was conducted at Centre Hospitalier Emil Mayrisch Clinic for specialized care (n = 618 beds) in Luxembourg (South).
  
  
  METHODS
  Of 620 procedures, 204 patients had LAGB and 416 LRYGB. Short-term (t(1), 6 months to 2 years), middle-term (t(2), 2 to 5 years), and long-term follow-up (t(3), >5 years) were performed, including weight loss evolution, Bariatric Analysis, and Reporting Outcome System (BAROS).
  
  
  RESULTS
  Percent EBWL mean values for LAGB vs. LRYGB were at t(1) 64.3 vs. 79.5, p = 0.01; at t(2) 49.4 vs. 91, p < 0.0001; and at t(3) 52.6 vs. 79.9, p < 0.0001. The BAROS mean values were at t(1) 3.81 vs. 4.00, p = 0.183; at t(2) 3.57 vs. 4.12, p < 0.001; and at t(3) 3.71 vs. 4.04, p = 0.02. Major complication rate (<30 days) was similar (p = 0.601). Long-term (>30 days) complications were more common after LAGB (14.3 versus 3.6%, p < 0.001). Fifty patients (25%) required a second and 36 patients (18%) a third operation (LRYGB).
  
  
  CONCLUSIONS
  The significant difference in %EBWL and BAROS and late adverse events with high re-operation rates in LAGB made the LRYGB more attractive.
authors.affiliation: Department of Surgery, Centre Hospitalier Emile Mayrisch (CHEM), Esch-sur-Alzette, Luxembourg. nikolaus.zuegel@chem.lu
authors.forename: Nikolaus P
authors.initials: NP
authors.lastname: Zuegel
authors.forename: Reinhold A
authors.initials: RA
authors.lastname: Lang
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Hüttl
authors.forename: Marc
authors.initials: M
authors.lastname: Gleis
authors.forename: Marguerite
authors.initials: M
authors.lastname: Ketfi-Jungen
authors.forename: Isabelle
authors.initials: I
authors.lastname: Rasquin
authors.forename: Martin
authors.initials: M
authors.lastname: Kox
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects; D015391:Gastroplasty / Q000009:adverse effects; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D010349:Patient Compliance; D016896:Treatment Outcome; D015431:Weight Loss