Comparison of Comorbidity Resolution and Improvement between Laparoscopic Sleeve Gastrectomy and Laparoscopic Adjustable Gastric Banding

Background: Obesity is considered one of the most com-mon global health problems. There are a lot of bariatric surgeries to achieve the desirable weight loss. These operations are classified as either restrictive or malabsorptive, the restrictive procedures such as, Laparoscopic Adjustable Gastric Banding (LAGB) and Laparoscopic Sleeve Gastrectomy (LSG). Methods: This study was conducted in Kasr El-Aini Hospital on 60 patients with morbid obesity with BMI of 40 Kg/m2 or more, or BMI of 35Kg/m2 with obesity related comorbidities and had failed trials of conservative management and all of them are bulk eater. Patients were randomly divided into 2 equal Groups, A and B of 30 patients each. Group A underwent laparoscopic sleeve gastrectomy, while Group B underwent laparoscopic adjustable banded gastroplasty. All patients were followed-up regularly for 6 months and both groups were compared as regard effect of both procedures on obesity related comorbidities. Results: Both of the procedure significantly improved the patient co-morbidities. The two patients with joint pain had improvement after LAGB, 9 patients were hypertensive 7 of the had improvement and begin to decrease medication, 7 patients were diabetics 6 of them had improvement after the procedure, the patient with hyperlipidemia show improvement of lipid profile and the patient with renal impairment improved after the procedure and creatinine level begin to decrease. Conclusion: Both LSG and laparoscopic adjustable gastric banding resulted in postoperative improvement or resolution of comorbidities associated with obesity.