Complications and outcome after laparoscopic bariatric surgery: LAGB versus LRYGB

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. The study was conducted at Centre Hospitalier Emil Mayrisch Clinic for specialized care (n = 618 beds) in Luxembourg (South). Of 620 procedures, 204 patients had LAGB and 416 LRYGB. Short-term (t 1, 6 months to 2 years), middle-term (t2, 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). 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