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2007, Number 3

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Rev Mex Cir Endoscop 2007; 8 (3)

Vertical gastrectomy in laparoscopic tube: Analysis of the first one-hundred cases

Cortez M, Torres M, Herrera G, Zapata G, Monge B, Salazar J

Language: Spanish
References: 25
Page: 122-127
PDF size: 134.62 Kb.


ABSTRACT

Background: Retrospective analysis of the first hundred and fifty cases series of patients who underwent sleeve gastrectomy.
Methods: From november 2005 to march 2007, one hundred and fifty patients were admitted in Hospital Metropolitano de Quito and other two hospitals of Bariatrica Group and were operated on by the same surgical team. Indications for surgery were: stable patients with BMI between 35 and 50 kg/m2 and patients that had undergone other bariatric procedures with a poor response (super-obese patients, elderly patients and high-risk patients with severe comorbidities).
Results: There were 90 females and 60 males. The average age was 40.36. In 137 patients, sleeve gastrectomy was the primary procedure and in the remaining 13 it was a secondary procedure due to failure of other bariatric surgeries. One hundred and forty patients had relevant comorbidities. 3.34% had complications but no mortality. The weight excess loss at 1, 3, 6, 9 and 12 months was 25.8%, 49.26%, 54.85%, 76.22% and 62.68% respectively.
Conclusion: Vertical sleeve gastrectomy is considered to be an effective and excellent alternative for the treatment of morbid obesity due to several advantages, such as: a simple surgical design, a restrictive component, low complication rate and scarce mortality.


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