Sleeve gastrectomy, the most feasible surgical weight loss procedure for morbidly obese patients in pakistan: early results
Esculapio. 2010; 6 (2): 39-43
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| IMEMR
| ID: emr-197169
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EMRO
Background: The laparoscopic sleeve gastrectomy is a new tool in the surgical treatment of the morbidly obese patients which is now increasingly used as a primary surgical procedure for the morbid obesity as it has comparable weight loss to laparoscopic adjustable gastric banding and better safety profile than the Gastric Bypass with no malabsorption. We describe initial results of laparoscopic sleeve gastrectomy for morbid obesity in two academic centers of Pakistan
Materials and Method: Prospective data was collected on consecutive morbidly obese patients undergoing laparoscopic sleeve gastrectomy, and evaluated retrospectively
Results: Twenty one consecutive patients underwent laparoscopic sleeve gastrectomy from October 2008 to August 2010 with follow up ranging from 2 to 15 months. The 8 men and 13 women had an average age of 42.1 years [range 2152 years] and an average body mass index [BMI] of 49.6 kg/m2 [range 35.272.2 kg/m2]. No operation required conversion to laparotomy. Mean length of stay was 2.1 days [range 110 days]. There was no death in the 30 days postoperatively. One patient was admitted with pain abdomen after 10 days of operation with portal pyemia but settled conservatively. Other complications included one suspected clinical leak but no radiological leak. Patient got settled with conservative management in one week. Two patients had repeated vomiting off and on for one month and inability to take water which resolved spontaneously. At 1 -year follow-up all patients had lost an average of 52.0% excess body weight
Conclusion: Laparoscopic sleeve gastrectomy has much to offer for the morbidly obese. We present data showing weight loss rivaling gastric banding and bypass and acceptably low complications
Materials and Method: Prospective data was collected on consecutive morbidly obese patients undergoing laparoscopic sleeve gastrectomy, and evaluated retrospectively
Results: Twenty one consecutive patients underwent laparoscopic sleeve gastrectomy from October 2008 to August 2010 with follow up ranging from 2 to 15 months. The 8 men and 13 women had an average age of 42.1 years [range 2152 years] and an average body mass index [BMI] of 49.6 kg/m2 [range 35.272.2 kg/m2]. No operation required conversion to laparotomy. Mean length of stay was 2.1 days [range 110 days]. There was no death in the 30 days postoperatively. One patient was admitted with pain abdomen after 10 days of operation with portal pyemia but settled conservatively. Other complications included one suspected clinical leak but no radiological leak. Patient got settled with conservative management in one week. Two patients had repeated vomiting off and on for one month and inability to take water which resolved spontaneously. At 1 -year follow-up all patients had lost an average of 52.0% excess body weight
Conclusion: Laparoscopic sleeve gastrectomy has much to offer for the morbidly obese. We present data showing weight loss rivaling gastric banding and bypass and acceptably low complications
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Índice:
IMEMR
Idioma:
En
Revista:
Esculapio
Ano de publicação:
2010