Midterm Results of Primary vs. Secondary Laparoscopic Sleeve Gastrectomy (LSG) as an Isolated Operation

Uglioni, Bettina; Wölnerhanssen, Bettina K.; Peters, Thomas; Christoffel-Courtin, Caroline; Kern, Beatrice; Peterli, Ralph

doi:10.1007/s11695-009-9804-z

Cited by 68 publications

(34 citation statements)

References 23 publications

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“…The overall complication rate in this review varied from 1.7-11.80% 12,19,22 for LSG and 0.2-24% for LAGB. 12,17,19,20,22,24,25 The highest reported complication rate following LASGB was due to slippage of the adjustable band while the highest rate following LSG was secondary to esophageal reflux symptoms.…”

Section: Blood Loss Complications Conversion To Open Surgery and Rementioning

confidence: 86%

“…13,21 Five of the articles reviewed reported on mortalities in their studies. The overall mortality rate following LSG was 0-0.8% 12,19,20,22 while that of LASGB was 0%.…”

Section: Operative Time Hospital Stay and Mortalitymentioning

confidence: 93%

“…18 Uglioni reported on 70 patients with a mean BMI of 46 (35-61) kg/m 2 in SLG study group in an attempt to find out the early and midterm results of laparoscopic sleeve gastrectomy (LSG) as an isolated primary and secondary operation after failed gastric banding. 22 Their aim was to evaluate the efficacy of LSG procedure on weight loss, and short-term outcome. Preoperative mean body weight was 120.7 kg and mean body mass index (BMI) was 44.3 kg/m 2 in the study of Zinzindohoue et al…”

Section: Mean Body Mass Indexmentioning

confidence: 99%

“…12,17,19,20,22,24,25 The highest reported complication rate following LASGB was due to slippage of the adjustable band while the highest rate following LSG was secondary to esophageal reflux symptoms. 22,24 The other complications reported in the LSG studies include early leak (1.7%), 17 gastric fistula (1.7-5.1%). 13,14,19,26 Gastric prolapse (20%), incisional hernia (0.6%), reconnection of catheter (0.6%) and wound infection (4%) were also reported as complications resulting from LASGB.…”

Section: Blood Loss Complications Conversion To Open Surgery and Rementioning

confidence: 99%

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Laparoscopic Adjustable Silicon Gastric Banding versus Sleeve Gastrectomy

Akpo¹

2009

WJOLS

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Background and purpose: Obesity now forms one of the leading public health concerns globally. Several surgical options including sleeve gastrectomy exist for its treatment. Recently, laparoscopic gastric banding has been developed with the aim of providing a laparoscopically placed device that is safe and effective in generating substantial weight loss. The goal of this review is to compare the effectiveness and safety of laparoscopic adjustable silicon gastric banding (LASGB) and laparoscopic sleeve gastrectomy (LSG) in the treatment of morbid obesity by reviewing the methods of patient selection, operative time, conversion rate, complications, blood loss, postoperative morbidity and mortality, hospital stay, and quality of life. Material and methods:A systematic literature search was performed using Highwire press, Springer link, Medline, Medscape and Google, and article bibliographies to identify relevant evidence. Included studies must have reported outcome data for more than 40 patients aged 20 years and above with a minimum of one 1-year follow-up. The operating time, complications, blood loss, hospital stay, morbidity and mortality, and quality of life were reviewed. Results:The total number of patients enrolled was 4,519; the specific procedure totals were 3,714 for LAGB and 805 for LSG. The age range of the population studied was 13-79 years for LSG and 18-65 years for LAGB. The sex distribution had a male:female ratio of 1:4 for LAGB and 1:3 for LSG. The overall complication rate in this review varied from 1.7-11. 80% for LSG and 0.2-24% for LAGB. Conclusion:Laparoscopic sleeve gastrectomy though, forms a safe surgical option for weight loss treatment particularly in the veryvery-obese patients (BMI > 60 kg/m 2 ). LASGB gives satisfactory results and coupled with reversibility and low cost, it is an important tool in the long-term management of patients with morbid obesity.

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Section: Blood Loss Complications Conversion To Open Surgery and Rementioning

confidence: 86%

“…13,21 Five of the articles reviewed reported on mortalities in their studies. The overall mortality rate following LSG was 0-0.8% 12,19,20,22 while that of LASGB was 0%.…”

Section: Operative Time Hospital Stay and Mortalitymentioning

confidence: 93%

Section: Mean Body Mass Indexmentioning

confidence: 99%

Section: Blood Loss Complications Conversion To Open Surgery and Rementioning

confidence: 99%

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Laparoscopic Adjustable Silicon Gastric Banding versus Sleeve Gastrectomy

Akpo¹

2009

WJOLS

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“…Laparoscopic sleeve gastrectomy (LSG) 2 is increasingly being used as a stand-alone procedure in bariatric surgery with long-term follow-up data emerging. The major advantages of this procedure appear to be a lower postoperative morbidity than laparoscopic roux-en-y gastric bypass (LRYGB) and biliopancreatic diversion, with superior weight loss compared with laparoscopic adjustable gastric banding (LAGB) 3 .…”

Section: Introductionmentioning

confidence: 99%

Gastric Emptying Time after Laparoscopic Sleeve Gastrectomy

Singh¹,

Aggarwal²

2018

Int. J. Curr. Res. Biol. Med.

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Background : Bariatric surgery remains the only proven mechanism for inducing sustained and significant weight loss for morbidly obese patients. Glycemic control is better after the surgery. Changes in gastric emptying patterns which occurs in patients after surgical treatment may be contributing to weight loss and better glucose metabolism. The aim of the study is to see effect of Laparoscopic sleeve gastrectomy (LSG) on gastric emptying time. Methods: This was a prospective observational study. 24 patients were recruited who underwent LSG. The patients were submitted to the Gastric emptying study preoperatively and at 3 months after LSG. Gastric emptying time for solids was done. Results: At 3 months the Excess weight loss was 24 %. Five of the 7 patients with diabetes had complete resolution. There was a significant decrease in the mean T 1/2 of gastric empting at 3 months postoperatively (83.4 min vs 33.3 min). No correlation was found between Gastric emptying half time and %EWL at 3 months. Conclusion: Gastric emptying after LSG is accelerated in the majority of patients as shown by significantly reduced gastric emptying time. A faster gastric emptying could be one of the mechanisms contributing to weight loss after LSG

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Surgical Management of Obesity: Surgical Procedures, Preoperative Evaluation, and Patient Selection

Azagury

Lautz

2012

Bariatric Endoscopy

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Midterm Results of Primary vs. Secondary Laparoscopic Sleeve Gastrectomy (LSG) as an Isolated Operation

Cited by 68 publications

References 23 publications

Laparoscopic Adjustable Silicon Gastric Banding versus Sleeve Gastrectomy

Laparoscopic Adjustable Silicon Gastric Banding versus Sleeve Gastrectomy

Gastric Emptying Time after Laparoscopic Sleeve Gastrectomy

Surgical Management of Obesity: Surgical Procedures, Preoperative Evaluation, and Patient Selection

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