الفهرس 
ObesityOnly 14 pages are availabe for public view
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Abstract
Obesity and its associated disorders are a growing epidemic across the world. Many genetic, physiological, and behavioral factors play a role in the etiology of obesity.Treatment of morbid obesity should begin with lifestyle changes; including moderation of diet, initiation of regular exercise and behavioral modification. However, bariatric surgery has largely demonstrated to be currently the only long-term effective therapy for morbid obesity and its comorbidities.
Laparoscopic Sleeve gastrectomy (SG) is the most recent bariatric surgical procedure.It has increasingly gained acceptance among bariatric surgeons and has become a feasible option in the management of morbid obesity.Long-term clinical data on outcomes has shown that SG is a well-tolerated and effective bariatric surgical procedure.
Adjustable gastric banding (AGB) is quickly becoming the most popular bariatric operation performed worldwide. Patients are particularly fond of the simplicity of the tool, the relatively low morbidity of the surgery, the quick recovery, and overall results.
The purpose of the present study was to compare between LSG and LAGB, regards their effect on weight loss, complications and postoperative period to return work.In a comparable demographic data between both groups, the study demonstrated a highly significant difference in favor of LSG as regards excess weight loss after short term followup, with 6 and 12 months EWL percentage of 38.30%, 59.01% for LSG and 30.83, 44.47% for LAGB respectively.
The complication rates between gastric banding and sleeve gastrectomy groups did not reach statistical significance in the present study. No major complications nor mortalities are recorded.
The mean operative time was significantely less in LAGB (90.20±25 mins), which could be attributed to the additional procedural steps done in LSG (120±30 mins) including gastrolysis, leak testing, and specimen extraction.
However, No statistical difference is noted as regards postoperative Mean hospital length of stay (1.52 ds for LSG vs 1.04 ds for LAGB) or Mean time period to return work (11.88 ds for LSG vs 9.20 ds for LAGB).
In conclusion the present study confirms that both LSG and LAGB are safe and effective for the treatment of morbid obesity with good and satisfactory short-term results up to 1 year. However long-term prospective randomized trials in large groups of patients are warranted to compare between long-term results of both surgical treatments.