Laparoscopic sleeve gastrectomy with endoscopic guidance in morbid obesity

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Eldo E FrezzaMitchell S Wachtel

Abstract

Sleeve gastrectomy (SG) has been shown to be an effective first-stage procedure for morbidly obese patients. The SG is presently performed over a bougie of varying sizes, which is useful, but known to produce injuries on insertion. In a retrospective study, we evaluated the effect of the laparoscopic SG (LSG) on excess weight loss during 1 year of follow-up using a 29F endoscope instead of a bougie. During a 1-year period, LSG was performed on 20 (18 women and 2 men) consecutive patients. Gamma regression analysis was used to determine whether the variation in gender, age, initial body mass index, Hispanic ethnicity, and interval after surgery were related to excess weight loss. No deaths and 1 minor complication of oozing from the staple line occurred. The excess weight loss increased steadily over time, with a median 20% at 3 months, 32% at 6 months, 42% at 9 months, and 53% at 12 months. The median initial body mass index was 44.5 kg/m2, and the median age was 50 years. Of the 20 patients, 2 were men (10%) and 18 women (90%); 5 (25%) were Hispanic and 15 (75%) were non-Hispanic. The patients had a median 11.5 co-morbidities. Nausea was common for about 7 days postoperatively. An increase in the initial body mass index and in...Continue Reading

References

Sep 22, 2000·Annals of Surgery·P R SchauerJ Luketich
May 8, 2004·Obesity Surgery·Gidon AlmogyGary J Anthone
Aug 18, 2005·Obesity Surgery·F B LangerG Prager
Feb 3, 2007·Digestive Diseases and Sciences·Eldo E FrezzaMaurizio Chiriva-Internati

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Citations

Sep 3, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jaime Ruiz-TovarRafael Calpena
Dec 10, 2009·Obesity Surgery·Tarik SammourHabib Rahman
Aug 24, 2011·Obesity Surgery·Manuel Ferrer-MárquezManuel Ferrer-Ayza
Dec 23, 2015·Annals of Surgical Innovation and Research·Ameer Gomberawalla, Rami Lutfi
Jun 23, 2009·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Andrew P DhanasoponAmir Mehran
Dec 31, 2016·Cirugia y cirujanos·Víctor Soriano-GiménezPascual Parrilla-Paricio
Jun 6, 2009·The Journal of Clinical Hypertension·Eldo E FrezzaMitchell S Wachtel
Mar 20, 2019·Journal of Sex Research·Shayna Skakoon-Sparling, Kenneth M Cramer

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