Laparoscopic Sleeve Gastrectomy as an Isolated Bariatric Procedure: Intermediate-Term Results from a Large Series in Three Austrian Centers

Felberbauer, F. X.; Langer, Felix B.; Shakeri-Manesch, Soheila; Schmaldienst, Elisabeth; Kees, Mathias; Kriwanek, S.; Prager, Manfred; Prager, Gerhard

doi:10.1007/s11695-008-9483-1

Cited by 103 publications

(55 citation statements)

References 20 publications

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“…Felberbauer et al (20) applied LSG in 126 patients with an average follow-up of 19.1 months, and they detected more than 50% excess weight loss (EWL) in 64% of patients. However, in 7% of patients the EWL was below 25%.…”

Section: Discussionmentioning

confidence: 99%

“…In their study, the only major complication was a staple line leak in one patient. Felberbauer et al (20) stated that the effect of LSG was not clear in patients with morbid obesity, due to inadequate results obtained in 7% of patients. Noun et al (21) performed LSG on 122 obese patients between 2010-2012, and they reported a decrease in BMI from 33.2±2.5 kg/m² to 24.7±2 kg/ m 2 by the twelfth month.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of laparoscopic sleeve gastrectomy and laparoscopic gastric plication: One year follow-up results

Toprak¹,

Yucel²,

Okuş³

2016

UCD

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MATERIAL AND METHODSAll patients who underwent LSG or LGP due to morbid obesity at Beyhekim Konya Hospital General Surgery Clinics by a single surgeon between the years 2009-2012 were retrospectively analyzed. Age, sex, and BMI on admission were evaluated. Preoperative levels of fasting blood glucose, aspartate aminotransferase (AST), alanine aminotransferase (ALT), triglycerides, cholesterol, and blood pressure were determined to investigate the presence of metabolic problems. The length of hospital stay was determined for both groups. All patients who underwent surgery were included. Objective: Various different surgical methods are used for obesity surgery. Among them, laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric plication (LGP) have been both successfully performed in recent years. In this study, we compared the treatment results of patients who underwent LGP, a method that was introduced later consisting of plication of gastric greater curvature to achieve volume reduction, with results of patients who underwent LSG. Material and Methods:We analyzed data on morbid obese patients who underwent bariatric surgery with either LSG or LPG in Konya Beyhekim Hospital between 2009 and 2012. Demographic features including age and sex, preoperative blood biochemistry, body mass index (BMI) before and after operation, duration of hospital stay, morbidity, mortality and complications were analyzed. Results:Fifty-five patients who were operated for obesity between 2009 and 2012 were included in the study. 29 patients underwent LGP, and 26 patients LSG. The BMI in the LGP and LSG groups was 41.4±3 kg/m 2 and 42.0±3.1 kg/m 2 , respectively. There was no significant difference between two groups in terms of BMI. Two groups were also similar in terms of age and gender. In the LGP group, one patient had postoperative necrosis of the suture line. One patient in the LSG group was re-operated due to bleeding. Another patient in this group had leakage at the suture line. Postoperative BMI assessment of groups revealed significantly lower BMI levels in the LSG group. Length of hospital stay was significantly shorter in the LGP group. There was no significant difference in complication rates between two groups. Conclusion:In this study, we obtained similar results in patients who were treated with LGP or LSG. Moreover, LSG was more efficient in decreasing BMI in morbid obesity surgery when compared to LGP. However, duration of hospital stay was significantly shorter in LGP group. We concluded that both methods could be effectively and safely used in the surgical management of morbid obesity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of laparoscopic sleeve gastrectomy and laparoscopic gastric plication: One year follow-up results

Toprak¹,

Yucel²,

Okuş³

2016

UCD

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“…To date, the following complications of LSG have been described in the available literature [6,8,10,[14][15][16][17][18] The perioperative mortality after LSG is reported at levels of up to 0.6% [14,15].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, numerous data have supported the treatment of obesity with LSG as a stand-alone and final procedure, because of its good results and permanent effects. Nowadays such a view is supported by numerous health care professionals [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Splenic infarction as a complication of laparoscopic sleeve gastrectomy

Michalik¹,

Budziński²,

Orłowski³

et al. 2011

wiitm

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“…Cottam et al [24] 2006 126 65.3 12 46 Hamoui et al [5] 2006 118 55 24 47.3 Lee et al [21] 2007 216 49 24 59 Nocca et al [20] 2007 163 45.9 24 61.5 Weiner et al [13] 2007 120 60.7 60 NR Yang O et al [8] 2008 138 50.6 24 46 Parikh et al [12] 2008 135 60.1 12 47.3 Felberbauer et al [18] 2008 126 48.1 19 NR Rubin et al [15] 2008 120 43.5 11 NR Fuks et al [24] 2009 135 48.8 12 49.4 Stroh et al [25] 2009 144 54.5 24 NR Bobowicz et al [26] 2011 112 44.6 22 46.6 Chopra et al [9] 2011 174 48.9 36 58.9 Rawlins et al [27] 2012 49 65 60 86 Catheline et al [28] 2013 45 49.1 60 50.7 Sieber et al [29] 2013 54 43 60 57.4 Zachariah et al [10] 2013 228 37.4 60 63.7 Bellows et al [30] 2014 63 51.8 17 47.2 Boza et al [22] 2014 161 34.9 60 62.9 the size of bougies is one of the important factors contributing to durable weight loss. [11,34] The other important point to the weight loss outcome after LSG might be the changes in the plasma levels of ghrelin.…”

Section: Follow-up (Mo) %Ewlmentioning

confidence: 99%

Laparoscopic sleeve gastrectomy: Technique and results

Coşkun¹,

Yardımcı²

2017

Laparosc Endosc Surg Sci

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Laparoscopic sleeve gastrectomy (LSG) has gained popularity as stand-alone procedure. The objective of this study was to describe the surgical technique and evaluate the outcomes of LSG published in the literature. Twenty-six studies with 1 to 5 years of follow-up after LSG were analyzed. Of the 26 studies, 22 reported patient gender (n=2765) and 69.1% of the patients were women. Mean age of the patients was 41.05 years (22 studies; n=2483 patients). Mean preoperative body mass index in all twenty-four studies was 48.2 kg/m 2 (range: 37.2-65.3 kg/m 2 ). Overall mean percentage of excess weight loss after LSG reported in 17 studies was 57.7%. Postoperative complication rate ranged from 0% to 15.3%. Leak rate ranged from 0.7% to 5.1%, and mortality rate ranged from 0% to 1.4%. Eleven studies reported remission rate of postoperative co-morbidity data with follow-up period of 12 to 60 months. Existing data have identified that LSG is comparable to other accepted bariatric procedures, but long-term data is limited.

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Laparoscopic Sleeve Gastrectomy as an Isolated Bariatric Procedure: Intermediate-Term Results from a Large Series in Three Austrian Centers

Abstract: The final place of LSG in bariatric surgery is still unclear, but our results and those of others show that LSG can be a viable alternative to established procedures.

Cited by 103 publications

References 20 publications

Comparison of laparoscopic sleeve gastrectomy and laparoscopic gastric plication: One year follow-up results

Comparison of laparoscopic sleeve gastrectomy and laparoscopic gastric plication: One year follow-up results

Splenic infarction as a complication of laparoscopic sleeve gastrectomy

Laparoscopic sleeve gastrectomy: Technique and results

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