Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity : A prospective study
Hoyuela, Carlos (Universitat Autònoma de Barcelona. Departament de Cirurgia)

Fecha:	2017
Resumen:	To prospectively evaluate the postoperative morbi-mortality and weight loss evolution of patients who underwent a laparoscopic sleeve gastrectomy (LSG) as a primary bariatric procedure during 5 years of follow-up. Since 2006, data from patients undergoing a highly restrictive primary LSG have been prospectively registered in a database and analysed. Preoperative co-morbid conditions, operating time, hospital stay, early and late complications rate and evolution of weight loss after 5 years of follow-up were analysed. A total of 156 patients were included, 74. 3% of whom were women. The mean age was 43. 2 ± 13. 1 years and the mean body mass index (BMI) was 41. 5 ± 7. 9 kg/m 2. Seventy patients (44. 8%) presented a BMI under 40 kg/m 2. The mortality rate was 0%. The leakage rate was 1. 2%, and the total 30-d morbidity rate was 5. 1% (8/156). With a mean follow-up of 32. 7 ± 28. 5 (range 6-112) mo, the mean percent of excess of weight loss (%EWL) was 82. 0 ± 18. 8 at 1 year, 76. 7 ± 21. 3 at 3 years and 60. 3 ± 28. 9 at 5 years. The mean percent of excess of BMI loss (%EBMIL) was 94. 9 ± 22. 4 at 1 year, 89. 4 ± 27. 4 at 3 years and 74. 8 ± 29. 4 at 5 years. Patients with preoperative BMI less than 40 kg/m 2 achieved greater weight loss than did the overall study population. Diabetes remitted in 75% of the patients and HTA improved in 71. 7%. CPAP masks were withdrawn in all patients with obstructive sleep apnoea. LSG built with a narrow 34 F bougie and starting 3 cm from the pylorus proved to be safe and highly effective in terms of weight loss as a stand-alone procedure, particularly in patients with a preoperative BMI lower than 40 kg/m 2.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Sleeve gastrectomy ; Morbid obesity ; Bariatric surgery ; Obesity surgery ; Laparoscopy ; Long-term results ; 5-year results
Publicado en:	World Journal of Gastrointestinal Surgery, Vol. 9 (april 2017) , p. 109-117, ISSN 1948-9366

DOI: 10.4240/wjgs.v9.i4.109
PMID: 28503259

10 p, 1.1 MB

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