Laparoscopic sleeve gastrectomy for high-risk patients: weight loss and comorbidity improvement--short-term results.

Obesity Surgery
Conor J MageeDavid D Kerrigan

Abstract

The obesity surgery mortality risk score (OS-MRS) is a five-point scoring system stratifying the risk of post-operative mortality. Patients with a body mass index (BMI) > 60 may also carry an increased risk of peri-operative complications. Laparoscopic sleeve gastrectomy (LSG) as an initial procedure could reduce weight and associated comorbidity allowing a safer, definitive second procedure. We investigated weight loss and risk reduction in patients having LSG as part of a planned two-stage definitive bariatric procedure. Patients with a high OS-MRS (4-5), males with BMI  > 60 or females with BMI  > 65, who underwent LSG were identified from a prospective database. Data were analysed by means of the Mann-Whitney U and Chi-squared test. Sixty-eight patients underwent LSG. LSG reduced median BMI at 12 months (68 versus 54, P < 0.001) and the OS-MRS (3 versus 2, P = 0.005). An increase in patients considered low risk (OS-MRS, 0-1) was seen following LSG (35% versus 14%, P = 0.006). The proportion of patients with BMI < 50 increased from 0% to 30% (P < 0.001). Improvement or resolution of diabetes and hypertension was seen in 23% and 25% of cases, respectively. LSG achieves good weight loss, reduces the OS-MRS and improves obesity...Continue Reading

References

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Citations

Dec 15, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Italo BraghettoJuan C Molina
Sep 11, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Jean KnappsAziz M Merchant
Oct 14, 2014·Obesity Surgery·Ussamah El-KhaniSanjay Purkayastha
Feb 22, 2012·Obesity Surgery·Kourosh SarkhoshShahzeer Karmali
Oct 12, 2012·Current Atherosclerosis Reports·Fady MoustarahAndré Tchernof
Mar 16, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·UNKNOWN ASMBS Clinical Issues Committee
Nov 8, 2011·The Surgical Clinics of North America·Ashutosh Kaul, Jyoti Sharma
Oct 29, 2011·Gastrointestinal Endoscopy·Gregory G GinsbergChristopher C Thompson
Apr 22, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Michel Gagner, Jane N Buchwald
Aug 25, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ali AminianStacy A Brethauer
Aug 26, 2015·Surgical Endoscopy·Oscar K SerranoDiego R Camacho
Aug 2, 2011·Current Opinion in Pediatrics·Sandhya BondadaDaniel A Deugarte
Mar 27, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Jeffrey I MechanickUNKNOWN American Society for Metabolic & Bariatric Surgery

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