Efficacy of sleeve gastrectomy as sole procedure in patients with clinically severe obesity (BMI ≤50 kg/m(2))

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Ioannis KehagiasFotis Kalfarentzos

Abstract

Sleeve gastrectomy (SG) is increasingly indicated as a stand-alone procedure for the treatment of clinically severe obesity. Our objective was to present the outcomes of SG in relation to weight loss, resolution of co-morbidities, and procedural morbidity/mortality for ≤5 years postoperatively. The study was conducted at a university hospital, bariatric referral center. From January 2005 to December 2010, 208 patients underwent SG at our institution. Per standard protocol, SG was the sole surgery indicated for weight reduction in patients with a body mass index of ≤50 kg/m(2) who were not "sweet-eaters" and had no symptoms of gastroesophageal reflux disease. The study endpoints were weight loss, perioperative and late morbidity/mortality, and clinical improvement in co-morbidities and consequential nutritional deficiencies. SG was performed laparoscopically in 203 of the patients. The mean age and body mass index was 34.3 ± 10.3 years and 43.2 ± 2.8 kg/m(2), respectively. No deaths were recorded. Early morbidity (≤30 d) was 9.6%, chiefly owing to staple line closure leaks, and late morbidity was 4.8%. A mean excess weight loss of 71.1% was documented in 90 (89.4%) of 106 patients, available for follow-up after 3 years. The exce...Continue Reading

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Citations

Dec 20, 2013·Obesity Surgery·Dean KerenAlexandra Lavy
Apr 1, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Lionel RebiboJean-Marc Regimbeau
Jun 24, 2014·Obesity Surgery·Lionel RebiboJean-Marc Regimbeau
Dec 17, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Camilo BozaFernando Crovari
Jan 3, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Dvir FroylichStacy A Brethauer
Apr 26, 2016·Advanced Biomedical Research·Behrouz KeleidariFarnoosh Mohtashampour
Apr 7, 2016·Obesity Surgery·Melanie LautiAndrew D MacCormick
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Apr 12, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Almino Cardoso RamosEduardo Lemos de Souza Bastos
Jan 24, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Daniel P LemanuAndrew D MacCormick
Aug 27, 2013·International Journal of Surgery Case Reports·Halil CoskunMahmut Muslumanoglu
Mar 8, 2013·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Marina TsoliTheodore K Alexandrides
Jul 12, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Matthew J Martin, Philippe Topart
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