Laparoscopic Sleeve Gastrectomy in Ethnic Obese Chinese

Mui, Wilfred Lik-Man; Ng, Enders K.; Tsung, Bonnie Y.; Lam, Candice C.; Yung, Man Yee

doi:10.1007/s11695-008-9538-3

Cited by 41 publications

(18 citation statements)

References 17 publications

(37 reference statements)

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“…Other advantages include no foreign material and related complications, and avoidance of the controversy of remnant gastric cancer (45). The data from Asia are also promising and similar to the previous reports (45)(46)(47)(48). However, little is known about the possible long-term complications and efficacy of this procedure.…”

Section: Discussionsupporting

confidence: 84%

Laparoscopic obesity surgery in an Asian Institute: A 10‐year prospective study with review of literature

Lee

Ser

Lee³

et al. 2009

Asian J Endoscop Surgery

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Objective: Obesity surgery is the most effective treatment for morbid obesity and leads to dramatic improvement in related co-morbidities. The aim of this study was to present the long-term results of a prospective trial studying the efficacy of laparoscopic obesity surgery in a group of oriental patients. patients who underwent obesity surgery in a single bariatric center in Asia were recruited. Various procedures have been adopted so far, including laparoscopic vertical banded gastric partition in 652 patients (27.3%), laparoscopic gastric bypass (LGB) in 1228 patients (51.5%), laparoscopic adjustable gastric banding in 226 patients (9.5%), laparoscopic sleeve gastrectomy in 128 patients (5.4%), gastric balloon in 68 patients (2.8%) and laparoscopic revision surgery in 83 patients (3.5%). We evaluated the clinical data and effect of obesity surgery on different procedures. Results: Overall, the major complication rate and mortality were 1.5% and 0.12%. There was an increase of surgical risk in laparoscopic sleeve gastrectomy and laparoscopic revision surgery patients. The mean total weight loss for the population was 28.1%, 33.9%, 21.3% 18.7% and 17.4% at 1, 3, 5, 7 and 9 years after surgery, respectively. LGB had a better weight loss (30.1%) than that of the restrictive-type procedures (20.9%) at 5 years after surgery. After surgery, most of the obesity-associated co-morbidities were resolved or improved in these patients. Conclusion: Laparoscopic obesity surgery resulted in significant and sustained weight loss in morbidly obese Asian patients with resolution of associated comorbidities.LGB had a better result in weight reduction than other restrictive procedures. Table 1 Started year and accumulated numbers of bariatric procedures LAGB, laparoscopic adjustable gastric banding; LMGB, laparoscopic mini-gastric bypass; LSG, laparoscopic sleeve gastrectomy; LRYGB, laparoscopic Roux-en-Y gastric bypass; LVBG, laparoscopic vertical banded gastric partition.Obesity surgery in Asia W-J Lee et al.

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Section: Discussionsupporting

confidence: 84%

Laparoscopic obesity surgery in an Asian Institute: A 10‐year prospective study with review of literature

Lee

Ser

Lee³

et al. 2009

Asian J Endoscop Surgery

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“…We reviewed that IGB has excellent result in lower BMI patients and the percentage of excess body weight loss in BMI<30 group is 87% in contrast to 27.4% in BMI>40 group. This result mirrors other forms of restrictive procedures such as gastric banding and sleeve gastrectomy where they have more superior outcome in lower BMI patients [22] and there is a higher chance for this group of patients to have more sustainable weight loss after IGB. Our data reviewed that there are inevitable rebound of body weight after IGB but the overall excess body weight loss at 1 year is still remarkable (32.9%).…”

Section: Discussionsupporting

confidence: 59%

Impact on Obesity-Related Illnesses and Quality of Life Following Intragastric Balloon

Mui

Tsung

et al. 2008

OBES SURG

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“…In Hong Kong, the gold standard treatment of obesity and diabetes is sleeve gastrectomy (SG) 10 . We are very satisfied with the results of SG and the majority of our patients can achieve excellent outcomes with the operation.…”

Section: Discussionmentioning

confidence: 84%

Laparoscopic sleeve gastrectomy with loop bipartition: A novel metabolic operation in treating obese type II diabetes mellitus

Mui¹,

Lee²,

Lam³

2014

International Journal of Surgery Case Reports

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INTRODUCTIONWe report the first case of laparoscopic sleeve gastrectomy with loop bipartition (a modified form of Santoro's operation) in the treatment of type II diabetes mellitus associated with obesity.PRESENTATION OF CASEA 46-year-old gentleman (baseline BMI 32.9; BW 98.5 kg) with 7-year history of type II diabetes mellitus (DM) underwent the procedure in Hong Kong. The control of DM was poor even with intensive medical therapy before the operation. Standard laparoscopic sleeve gastrectomy (SG) was performed and a loop gastroileostomy was fashioned at the antrum 250 cm from the ilececal valve without division of the 1st part of duodenum after SG. The resultant gastric tube has two outlets, one to the first part of duodenum and the other to the ileum with preferential passage of food through the gastroileostomy as shown on subsequent contrast study. The patient's recovery was uneventful. The excess BMI loss was 97% with complete normalization of all metabolic parameters at 1-year follow-up.DISCUSSIONThis new surgical procedure (sleeve gastrectomy with loop bipartition: SG+LB) was evolved and derived from the combined concepts of sleeve gastrectomy with transit bipartition (SG+TB), single anastomosis duodenal-ileostomy (SADI), mini-gastric bypass (MGB) and duodenal-jejunal bypass (DJB) with less nutritional and surgical complications.CONCLUSIONSleeve gastrectomy with loop bipartition may be a very effective and simple operation to treat uncontrolled DM associated with obesity with a lot of apparent advantages over most current metabolic procedures available at the moment.

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Laparoscopic Sleeve Gastrectomy in Ethnic Obese Chinese

Abstract: LSG is safe and effective in achieving significant weight loss in obese ethnic Chinese patients.

Cited by 41 publications

References 17 publications

Laparoscopic obesity surgery in an Asian Institute: A 10‐year prospective study with review of literature

Laparoscopic obesity surgery in an Asian Institute: A 10‐year prospective study with review of literature

Impact on Obesity-Related Illnesses and Quality of Life Following Intragastric Balloon

Laparoscopic sleeve gastrectomy with loop bipartition: A novel metabolic operation in treating obese type II diabetes mellitus

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