Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Adjustable Gastric Banding – Perspective From Rural Australia | 40241
Journal of Obesity & Weight Loss Therapy
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Aim/Objective: Obesity affects over 60% of Australian population and bariatric surgery is increasingly used to address this issue.
However, there is limited literature in the Australian rural context. Our objective was to compare outcomes of laparoscopic sleeve
gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) performed in rural Australia.
Methods: Retrospective review of consecutive patients who underwent LAGB and LSG by a single surgeon at a rural hospital in
Victoria, Australia were obtained from bariatric database. The main outcomes measured were major complications and weight loss
over time, expressed as percentage of excess body weight loss (% EWL) and Body Mass Index loss (BML kg/m2).
Results: 140(58.1%) and 101 patients (41.9%) underwent LSG and LAGB respectively. No mortality was recorded. Three patients
(2%) returned to theatre due to staple line leak post LSG. Only 1(1%) patient in the LABG required return to theatre for re-adjustment
of band. Post op blood transfusion rates were 2% (3patients) and 1% (1patient) in the LSG and LABG group respectively. 7 other
patients (5%) undergoing LSG encountered post op complications (6 patients at electasis, 1patient a trial fibrillation) compared to
1 patient in LABG group with pulmonary embolus. LSG group had a higher pre-operative BMI (45.05±6.84kg/m2) compared to
LAGB group being 43.15±6.73kg/m2 (p<0.05). LSG provided significantly greater (p<0.05) weight loss after 18 months (% EWL
68.75±13.05% and BML 11.73 ± 6.44 kg/m2) compared to LAGB (% EWL 46.15±23.85% and BML 8.13±5.44kg/m2)
Conclusions: Bariatric surgery can be performed safely in rural Australia with comparable results to international standards. LSG is
more effective than LABG in achieving weight loss.
Ya Chu May Tsai is currently a Doctor at St Vincent’s Hospital Melbourne Australia after completing her MBBS/B Med Science at the University of Melbourne in 2013. She has been involved in cardiovascular medicine research with Professor Andrew Wilson and has published in the International Journal of Cardiology. Her area of interests includes cardiology and peri-operative medicine. She is currently completing Postgraduate Certificate/Diploma in Clinical Ultrasound.