Early and Mid-term Outcomes of Single-Stage Laparoscopic Sleeve Gastrectomy

Abstract

LSG provides satisfactory weight loss and resolution of comorbidities in the short- and medium-term with inferior, though acceptable, results in the super obese.

Laparoscopic sleeve gastrectomy for obesity: can it be considered a definitive procedure?

“…This finding has also been reported by other authors [22,26]. Furthermore, patients under 40 years of age had a superior weight loss result.…”

“…Percentage EWL in our patient cohort at different periods of follow-up appears to be comparable to that of most other studies examining similar parameters [5,22,23]. We observed maximum weight loss in the first 6 months, leveling off at 1 year in the majority of cases.…”

Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients

“…The mean leak rate for all 29 studies was 2.4%, which accounted for 115 leaks in 4,888 cases of sleeve gastrectomy. Six studies specifically addressed super-obese patients with a mean BMI [ 50 kg/m 2 [1,[4][5][6]. In the super-obese, the mean leak rate was 2.9% or 23 leaks of 771 patients compared with the leak rate of only 2.2% (92/4,117) for those with mean BMI \ 50 kg/m 2 (not significant P [ 0.05).…”

Splenic abscess secondary to sleeve gastrectomy leak

“…[1] BMI >50 also appears to be associated with a higher leak rate. [4] Lastly, over-sewing of the stapler line does not show any decrease in the leak rate, while buttressing does. [5] The diagnosis of staple line leak can be made based on clinical evidence with tachycardia being the cardinal sign.…”