Surgical Treatment for Morbid Obesity by Sleeve Gastrectomy Versus Gastric Bypass

In the obese patient population, the frequency of patients presenting a severe morbid obesity (40 >= BMI <= 50), a super obesity (BMI >50), a super super obesity (BMI>60), and obese patients (BMI>35) with a failure of gastric banding is constantly increasing. In these patients, the surgery risk is proportionate to the weight and / or gastric surgery records.

This risk is high, in bariatric surgery, for gastric bypass procedure. This justifies the evaluation of new procedure to reduce the morbidity allowing the reduction of morbid /mortality associated with the intervention.

Inclusion criteria

• Patient aged from 18 to 60 years old
• Patient having given his consent to the use of data from the project
• Patient fulfilling the inclusion criteria for surgery of obesity according to the ANAES (french national health service)
• Patient presenting one of the following criteria:

• A morbid obesity strict with BMI> 40
• A super obesity BMI> 50
• A super super obesity BMI> 60
• Obese patient in failure following the installation of a gastric banding with BMI> 35
• obese patient 35>BMI>40 with a comorbidity
• Preliminary agreement during the consultation of a psychiatrist / psychologist

Exclusion criteria

• Patient with complications or co morbidities associated involving life to less 6 months
• Patient presenting no anaesthetic indication
• Patient presenting no psychiatric indication for obesity surgery
• Patient not affiliated with a social security scheme
• Pregnant Patient likely to breastfeed in the first year