Sleeve gastrectomy: university hospital experience

Artículos Originales

Manuel Rodrigues-Sousa

Noviembre 2014

Resumen:
Introduction: Nowadays laparoscopic sleeve gastrectomy (LSG) is considered to be a stand-alone bariatric procedurewith increasing indication and major advantages. The authors present the experience with this technique analyzing baselinedemographics, comorbidities (hypertension, dyslipidemia and insulin-resistance), operative outcomes, complications and weightloss. Methods: The authors retrospectively analyzed the records of the first consecutive 119 patients, submitted to LSG betweenMay 2010 and June 2013. Follow-up data was available on 112 and 110 patients at three and six months, respectively. Results: Atotal of 93 female and 26 male patients underwent LSG over the study period. Overall complications rate occurred in 4,2% of thepatients. There was no mortality. Mean body mass index (BMI) declined considerably from the initial 44.8kg/m2 to 37.8kg/m2,and 34.6kg/m2, at three and six months. Mean percentage of excess weight loss (%EWL) gradually increased from 36.3% at threemonths to 51.3% at six months. At six months follow-up, studied comorbidities as well as the number of prescribed medicationswere all significantly reduced. Conclusion: Results from our study indicate LSG to be safe and efficient as a stand-alone bariatricprocedure. Whether these good results will be maintained will require prolonged follow-up with special attention to unwantedregained weight.

Palabras Clave:
Obesity; Bariatric Surgery; Gastroplasty; Gastrectomy; Weight Loss

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