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Meta-Analysis
. 2023 Apr 14;102(15):e32982.
doi: 10.1097/MD.0000000000032982.

Banded versus non-banded sleeve gastrectomy: A systematic review and meta-analysis

Mohamed Ali Chaouch  1   2 , Wah Yang  3 , Amine Gouader  4 , Bassem Krimi  4 , Adriano Carneiro da Costa  2 , Guillaume Pourcher  2 , Hani Oweira  5
Affiliations
Meta-Analysis

Banded versus non-banded sleeve gastrectomy: A systematic review and meta-analysis

Mohamed Ali Chaouch et al. Medicine (Baltimore). .

Abstract

Background: Laparoscopic banded sleeve gastrectomy (LBSG) has been compared to laparoscopic sleeve gastrectomy (LSG) in terms of anthropometric results and postoperative complications, which are controversial. This systematic review and meta-analysis aimed to compare the safety and efficacy of LBSG and LSG.

Methods: We performed a systematic review with meta-analysis according to preferred reporting items for systematic review and meta-analysis 2020 and assessing the methodological quality of systematic review 2 guidelines. We included studies that systematically searched electronic databases and compared LBSG with LSG conducted until August 10, 2021.

Results: The literature search yielded 8 comparative studies. Seven hundred forty-three patients were included: 352 in the LBSG group and 391 in the LSG group. LBSG group allowed greater anthropometric parameters (body mass index [BMI] after 1 year (mean difference [MD] = -3.18; 95% CI [-5.45, -0.92], P = .006), %EWL after 1 year (MD = 8.02; 95% CI [1.22, 14.81], P = .02), and %EWL after 3 years (MD = 10.60; 95% CI [5.60, 15.69], P < .001) and similar results with LSG group in terms of operative time (MD = 1.23; 95% CI [-4.71, 7.17], P = .69), food intolerance (OR = 1.72; 95% CI [0.84, 3.49], P = .14), postoperative vomiting (OR = 2.10; 95% CI [0.69, 6.35], P = .19), and De novo GERD (OR = 0.65; 95% CI [0.34, 1.26], P = .2). Nevertheless, major postoperative complications did not differ between the 2 groups.

Conclusions: This systematic review and meta-analysis comparing LBSG and LSG concluded that banding sleeve gastrectomy (SG) may ensure a lower BMI and %EWL after 1 year of follow-up, and a significant reduction in %EWL after 3 years of follow-up. There is no evidence to support LBSG in vomiting, de novo GERD, food intolerance, or operative time.

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Conflict of interest statement

The authors have no funding and conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
PRISMA 2020 flow diagram for search strategy, literature screening, and study selection. PRISMA = preferred reporting items for systematic review and meta-analysis.
Figure 2.
Figure 2.
Forest plots of the anthropometric parameters.
Figure 3.
Figure 3.
Forest plot of the operative time.
Figure 4.
Figure 4.
Forest plots of the postoperative outcomes.
See this image and copyright information in PMC

References

    1. Welbourn R, Pournaras DJ, Dixon J, et al. . Bariatric surgery worldwide: baseline demographic description and one-year outcomes from the second IFSO global registry report 2013-2015. Obes Surg. 2018;28:313–22. - PubMed
    1. Felsenreich DM, Langer FB, Kefurt R, et al. . Weight loss, weight regain, and conversions to Roux-en-Y gastric bypass: 10-year results of laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016;12:1655–62. - PubMed
    1. Felsenreich DM, Langer FB, Prager G. Weight loss and resolution of comorbidities after sleeve gastrectomy: a review of long-term results. Scand J Surg. 2019;108:3–9. - PubMed
    1. Lauti M, Kularatna M, Hill AG, et al. . Weight regain following sleeve gastrectomy—a systematic review. Obes Surg. 2016;26:1326–34. - PubMed
    1. Pourcher G, Chaouch MA, Peyrottes A, et al. . Single-port one anastomosis duodenal switch revision of a sleeve gastrectomy: first description. Obes Surg. 2022;1:3205. - PubMed

MeSH terms