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| 1 | Outcomes of Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding显示文摘AIM:To evaluate weight loss and surgical outcomes of Roux-en-Y gastric bypass(RYGB)and laparoscopic adjustable gastric band(LAGB).METHODS:Data relating to changes in body mass index(BMI)and procedural complications after RYGB(1995-2009;n=609;116M:493F;42.4±0.4 years)or LAGB(2004-2009;n=686;131M:555F;37.2±0.4years)were extracted from prospective databases.RESULTS:Pre-operative BMI was higher in RYGB than LAGB patients(46.8±7.1 kg/m2vs 40.4±4.2 kg/m2,P<001);more patients with BMI<35 kg/m2underwent LAGB than RYGB(17.1%vs 4.1%,P<0.0001).BMI decrease was greater after RYGB.There were direct relationships between weight loss and pre-operative BMI(P<0.001).Although there was no difference in weight loss between genders during the first 3-year post-surgery,male LAGB patients had greater BMI reduction than females(-8.2±4.3 kg/m2vs-3.9±1.9kg/m2,P=0.02).Peri-operative complications occurred more frequently following RYGB than LAGB(8.0%vs0.5%,P<0.001);majority related to wound infection.LAGB had more long-term complications requiring corrective procedures than RYGB(8.9%vs 2.1%,P<0.001).Conversion to RYGB resulted in greater BMI reduction(-9.5±3.8 kg/m2)compared to removal and replacement of the band(-6.0±3.0 kg/m2).Twelve months post-surgery,fasting glucose,total cholesterol and low density lipoprotein levels were significantly lower with the magnitude of reduction greater in RYGB patients.CONCLUSION:RYGB produces substantially greater weight loss than LAGB.Whilst peri-operative complications are greater after RYGB,long-term complication rate is higher following LAGB. | Nam Q Nguyen Philip Game Justin Bessell Tamara L Debreceni Melissa Neo Carly M Burgstad Pennie Taylor Gary A Wittert | 2013 | World Journal of Gastroenterology2013，19，36： | 3 |
| 2 | Methane-producing bacteria: natural frac- tionations of the stable carbon isotopes 显示文摘 | Games L M Hayes J M | 1978 | Geochimica et Cosmo- chimica Acta1978，42，： | 1 |
| 3 | Fate and distribution of a quaternary ammonium surfactant, octadecyltrimethylammonium chloride ( OTAC ), in wastewater treatment 显示文摘 | GAMES L M KING J E | 1982 | Environment Science Technolo- gy1982，16，： | 1 |
| 4 | Fate and distribution of a quaternary ammonium surfactant, octadecyltrimethylammonium chloride (OTAC), in wastewater treatment 显示文摘 | Games L M King J E Larson R J | 1982 | Environ Sci Technol1982，16，： | 1 |
| 5 | Methane-pro- ducing bacteria: Natural fractionations of the stable carbon isotopes显示文摘 | Games L M Hayes-Robert J M Gunsalus P | 1978 | Geoehimica et Cosmochimica Acta1978，42，8： | 1 |
| 6 | Fate and distribution of a quaternary ammonium surfactant, octadecyltrimethylammonium chloride (OTAC), in wastewater treatment 显示文摘 | Games L M King J E Larson R T | 1982 | Environmental Science and Technology1982，16，8： | 1 |
| 7 | Composition treatment efficiency and environmental significance of dye manufacturing plant effluents显示文摘 | Games L M Hites R A | 1977 | Analytic Chemistry1977，49，9： | 1 |
| 8 | Fate and distribution of a quaternary ammonium surfactant,octadecyl trimethylammonium chloride(OTAC),in wastewater treatment显示文摘 | Games L M King J E Larson R J | 1982 | Environ Sci Technol1982，16，8： | 1 |
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