Effectiveness of Laparoscopic Sleeve Gastrectomy (First Stage of Biliopancreatic Diversion with Duodenal Switch) on Co-Morbidities in Super-Obese High-Risk Patients

Abstract

LSG represents a safe and effective procedure to achieve marked weight loss as well as significant reduction of major obesity-related co-morbidities. The procedure reduced the operative risk (ASA score) in super-obese patients undergoing two-stage LBPD-DS.

Updated Review of Sleeve Gastrectomy

“…LSG has demonstrated weight-loss results comparable to LRYGB and LBPD-DS but with a lower morbidity profile, associated with improvement of health status and resolution of co-morbidities such as diabetes, hypertension, OSA and dyslipidemia [16,18,38,41,44,45,47,48]. Silecchia et al [44] showed that in 41 super-obese patients (9 patients with BMI > 60 kg/m ) following LSG, 60% of major comorbidities were resolved and 24% improved, 57.8% of patients were co-morbidity-free and 31.5% had only one major co-morbidity.…”

“…Silecchia et al [44] showed that in 41 super-obese patients (9 patients with BMI > 60 kg/m ) following LSG, 60% of major comorbidities were resolved and 24% improved, 57.8% of patients were co-morbidity-free and 31.5% had only one major co-morbidity. Also, they showed a reduction in the operative risk (ASA score) after LSG.…”

A gastroplastia em manga (sleeve gastrectomy) e o diabetes mellitus

“…Nas outras técnicas, a cura, remissão ou controle sem medicamentos do T2DM é atingido em até 80% dos casos, sendo que a remissão pode ocorrer em 100% dos indivíduos que ainda não usam insulina e até 30% dos casos, após a operação, mantém apenas o uso dos hipoglicemiantes orais sem a necessidade do uso da insulina 7 .…”

“…O resultado na banda gástrica foi perda de peso de 47,5% e resolução do T2DM de 47,9%; 61,6% de perda de peso e 83,7% resolução do T2DM no bypass gástrico e 70,15% de perda de peso com 98,9% de remissão do T2DM na derivação biliopancreática. Ainda faltam na literatura trabalhos que comparem a SG com as demais técnicas já utilizadas no controle do T2DM 7 .…”

Impact Of Sustained Weight Loss Achieved Through Gastric Gastric Sleeve Surgery With Circulating Level Of Obestatin Hormone In Iraqi Obese Subjects

“…(3) Silecchia G and co-workers. (15) Contribute to a noticeable improvement of the other components of metabolic syndrome, such as triglycerides, cholesterol and its fractions after bariatric surgery. Improvement in glucose homeostasis is an expected outcome of weight loss in obese individuals due to either medical or surgical intervention.…”