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Maternal morbid obesity is an important risk factor in modern obstetrics, it has been associated with higher infertility rates and obstetrics complications. Bariatric surgery proven to achieve long term weight loss with improvement in all obesity related morbidities. This study was to compare the 5 years outcomes of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in terms of fertility outcomes, breast feeding, weight loss, safety, and resolution of obesity related co-morbidity.
This study included 197 adult morbidly obese females, 111 underwent LSG (group I) and 86 LRYGB (group II). After 5 years follow up, the following were looked at: percentage excess weight loss (%EWL), comorbidity improvement or resolution, postoperative complications or mortality, fertility outcomes and breast feeding.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laparoscopic Sleeve Gastrectomy (group I) | 111 morbid obese females underwent LSG (group I). After 5 years follow up, the following were looked at: percentage excess weight loss (%EWL), comorbidity improvement or resolution, postoperative complications or mortality, fertility outcomes and breast feeding. |
| |
| Laparoscopic Roux-en-Y Gastric Bypass (group II) | 86 morbid obese females underwent LRYGB (group II). After 5 years follow up, the following were looked at: percentage excess weight loss (%EWL), comorbidity improvement or resolution, postoperative complications or mortality, fertility outcomes and breast feeding. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopic Sleeve Gastrectomy | Procedure | bariatric surgeries and data collection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measuring the number of females that got pregnant from79 females seeking pregnancy | effect of LSG and LRYGB on female fertility and getting pregnant | Five years follow-up |
| percentage excess weight loss after bariatric surgery | effect of LSG and LRYGB on percentage excess weight loss after bariatric surgery on females | Five years follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| comorbidity improvement or resolution after bariatric surgery | effect of LSG and LRYGB on comorbidities on females | Five years follow-up |
| postoperative complications or mortality after bariatric surgery |
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Inclusion Criteria:
Exclusion Criteria:
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In the LSG group, 14 patients (12.6%) suffered from infertility, and 24 patients (21.6%) were at pre-marriage stage. This is versus 15 patients (17.4%), and 26 patients (30.2%) in the LRYGB group respectively.
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postoperative complications or mortality after LSG and LRYGB in obese females
| Five years follow-up |