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2008, Number 4

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Rev Mex Cir Endoscop 2008; 9 (4)

Laparoscopic sleeve gastrectomy as a sole bariatric procedure

López CJA, Guzmán CF, Ortega PF, Hermosillo VC, Calleja EC, Torres MJ

Language: Spanish
References: 24
Page: 165-169
PDF size: 174.12 Kb.


ABSTRACT

Background: The sleeve gastrectomy is the most recent procedure in bariatric surgery. It was first described as the first stage of the biliopancreatic diversion with duodenal switch in super obese and/or high risk patients. The purpose of this study is to determine the role that the sleeve gastrectomy plays as a sole procedure in the obese patient. Methods: From December 2005 to date, we included 100 patients with sleeve gastrectomy that had completed one year of follow-up. Inclusion criteria: body mass index ›32 with or without comorbidities, 16–65 years of age and patients with failed gastric banding. Results: The mean excess weight loss was 65.2% with a noticeable improvement of comorbidities. Complications: leaks 4% and 2% mortality. In revision surgery, the excess weight loss was ›50%. Conclusions: The sleeve gastrectomy has a low morbid-mortality rate; therefore, it is a safe procedure which we recommend as an alternative for obese patients. Longer follow-up and further studies are needed in order to have a better understanding of its role in obesity surgery.


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