Laparoscopic sleeve gastrectomy

A retrospective review of 1- and 2-year results

Moisés Jacobs, William Bisland, Eddie Gomez, Gustavo Plasencia, Raul Mederos, Carlos Celaya, Roberto Fogel

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

Introduction Recently, laparoscopic sleeve gastrectomy (LSG) has been added as a surgical treatment for obesity. We report our 1- and 2-year results with LSG. Methods From September 2005, we have performed 247 LSGs. We retrospectively reviewed our 1- and 2-year data to assess weight loss, body mass index (BMI), percentage excess weight loss (%EWL), length of stay (LOS), complications, and resolution of diabetes. Results A total of 40 patients were eligible for follow-up at 2 years, and 157 patients were eligible for follow-up at 1 year. Data was available on 33/40 patients for 2 years and 131/157 patients for 1 year. Initial mean age, mean weight, and mean BMI for 1-year data were 43.2 years, 270.8 lb, and 44.3 kg/m2, respectively. Initial mean age, mean weight, and mean BMI for 2-year data were 41.4 years, 273.3 lb, and 45.1 kg/m2, respectively. Mean weight loss, BMI, and %EWL, for patients at 1 year and 2 years were 89.3 lb, 29.6 kg/m2, and 78% and 87.5 lb, 30.0 kg/m2, and 75%, respectively. There was no significant difference between use of 46-Fr, 40-Fr, and 36-Fr bougie with respect to weight loss, BMI or %EWL. Likewise, there was no difference seen between use of 7-cm versus 4-cm antral pouch. Mean LOS for both groups was 1.1 days. A total of 12 complications occurred, including one (0.6%) death and two (1.3%) leaks. A total of 39 patients were diabetic, of whom 32 (82%) were cured of diabetes and the remaining 7 patients had their medications decreased. Conclusion Our results show that LSG is a safe and effective weight-loss procedure with results similar to those of gastric bypass. Additional long-term studies are still needed to accurately compare laparoscopic sleeve gastrectomy with gastric bypass and/or gastric banding.

Original languageEnglish (US)
Pages (from-to)781-785
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume24
Issue number4
DOIs
StatePublished - Apr 2010

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Gastrectomy
Weight Loss
Body Mass Index
Gastric Bypass
Length of Stay
Weights and Measures
Diabetes Complications
Stomach
Obesity

Keywords

  • Gastrectomy
  • Sleeve

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic sleeve gastrectomy : A retrospective review of 1- and 2-year results. / Jacobs, Moisés; Bisland, William; Gomez, Eddie; Plasencia, Gustavo; Mederos, Raul; Celaya, Carlos; Fogel, Roberto.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 24, No. 4, 04.2010, p. 781-785.

Research output: Contribution to journalArticle

Jacobs, Moisés ; Bisland, William ; Gomez, Eddie ; Plasencia, Gustavo ; Mederos, Raul ; Celaya, Carlos ; Fogel, Roberto. / Laparoscopic sleeve gastrectomy : A retrospective review of 1- and 2-year results. In: Surgical Endoscopy and Other Interventional Techniques. 2010 ; Vol. 24, No. 4. pp. 781-785.
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abstract = "Introduction Recently, laparoscopic sleeve gastrectomy (LSG) has been added as a surgical treatment for obesity. We report our 1- and 2-year results with LSG. Methods From September 2005, we have performed 247 LSGs. We retrospectively reviewed our 1- and 2-year data to assess weight loss, body mass index (BMI), percentage excess weight loss ({\%}EWL), length of stay (LOS), complications, and resolution of diabetes. Results A total of 40 patients were eligible for follow-up at 2 years, and 157 patients were eligible for follow-up at 1 year. Data was available on 33/40 patients for 2 years and 131/157 patients for 1 year. Initial mean age, mean weight, and mean BMI for 1-year data were 43.2 years, 270.8 lb, and 44.3 kg/m2, respectively. Initial mean age, mean weight, and mean BMI for 2-year data were 41.4 years, 273.3 lb, and 45.1 kg/m2, respectively. Mean weight loss, BMI, and {\%}EWL, for patients at 1 year and 2 years were 89.3 lb, 29.6 kg/m2, and 78{\%} and 87.5 lb, 30.0 kg/m2, and 75{\%}, respectively. There was no significant difference between use of 46-Fr, 40-Fr, and 36-Fr bougie with respect to weight loss, BMI or {\%}EWL. Likewise, there was no difference seen between use of 7-cm versus 4-cm antral pouch. Mean LOS for both groups was 1.1 days. A total of 12 complications occurred, including one (0.6{\%}) death and two (1.3{\%}) leaks. A total of 39 patients were diabetic, of whom 32 (82{\%}) were cured of diabetes and the remaining 7 patients had their medications decreased. Conclusion Our results show that LSG is a safe and effective weight-loss procedure with results similar to those of gastric bypass. Additional long-term studies are still needed to accurately compare laparoscopic sleeve gastrectomy with gastric bypass and/or gastric banding.",
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AB - Introduction Recently, laparoscopic sleeve gastrectomy (LSG) has been added as a surgical treatment for obesity. We report our 1- and 2-year results with LSG. Methods From September 2005, we have performed 247 LSGs. We retrospectively reviewed our 1- and 2-year data to assess weight loss, body mass index (BMI), percentage excess weight loss (%EWL), length of stay (LOS), complications, and resolution of diabetes. Results A total of 40 patients were eligible for follow-up at 2 years, and 157 patients were eligible for follow-up at 1 year. Data was available on 33/40 patients for 2 years and 131/157 patients for 1 year. Initial mean age, mean weight, and mean BMI for 1-year data were 43.2 years, 270.8 lb, and 44.3 kg/m2, respectively. Initial mean age, mean weight, and mean BMI for 2-year data were 41.4 years, 273.3 lb, and 45.1 kg/m2, respectively. Mean weight loss, BMI, and %EWL, for patients at 1 year and 2 years were 89.3 lb, 29.6 kg/m2, and 78% and 87.5 lb, 30.0 kg/m2, and 75%, respectively. There was no significant difference between use of 46-Fr, 40-Fr, and 36-Fr bougie with respect to weight loss, BMI or %EWL. Likewise, there was no difference seen between use of 7-cm versus 4-cm antral pouch. Mean LOS for both groups was 1.1 days. A total of 12 complications occurred, including one (0.6%) death and two (1.3%) leaks. A total of 39 patients were diabetic, of whom 32 (82%) were cured of diabetes and the remaining 7 patients had their medications decreased. Conclusion Our results show that LSG is a safe and effective weight-loss procedure with results similar to those of gastric bypass. Additional long-term studies are still needed to accurately compare laparoscopic sleeve gastrectomy with gastric bypass and/or gastric banding.

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