COMPARACIÓN DE RESULTADOS CLÍNICOS ENTRE GASTRECTOMÍA EN MANGA Y EL BYPASS GÁSTRICO
DOI:
https://doi.org/10.55204/trc.v5i2.e567Palabras clave:
Obesidad; Gastrectomía en Manga; Bypass Gástrico en Y-Roux; Pérdida de Peso; Complicaciones Posoperatorias.Resumen
Introducción: La obesidad es un problema de salud pública global asociado a numerosas comorbilidades. La cirugía bariátrica, particularmente la gastrectomía en manga (GM) y el bypass gástrico (RYGB), se consolida como tratamiento efectivo cuando las terapias conservadoras fracasan. Objetivo: Comparar los resultados clínicos a corto y largo plazo de la GM y el RYGB, evaluando pérdida de peso, remisión de comorbilidades y complicaciones postoperatorias. Métodos. Se realizó una revisión bibliográfica en bases de datos (PubMed, Google Scholar, Springer, Scopus y Web of Science), entre 2020-2025, seleccionando 28 estudios tras aplicar los criterios de inclusión. Resultados: Ambos procedimientos logran pérdidas de peso similares durante el primer año, aunque a largo plazo el RYGB mantiene mejores resultados ponderales. Asimismo, muestra mayores tasas de remisión de diabetes tipo 2, hipertensión, dislipidemia y apnea del sueño. En el seguimiento tardío, la ERGE es significativamente más frecuente tras la GM. Conclusiones: Ambos procedimientos son efectivos; sin embargo, el RYGB ofrece mejores resultados metabólicos y de mantenimiento ponderal, mientras que la GM presenta un perfil técnico más sencillo pero mayor riesgo de ERGE.
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Derechos de autor 2026 Bryan Stalin Sisa Tubon, Bryan David Cabezas Ramos
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