Journal of Gastrointestinal Surgery

, Volume 12, Issue 4, pp 662–667

Indications for Sleeve Gastrectomy as a Primary Procedure for Weight Loss in the Morbidly Obese

Authors

  • O. N. Tucker
    • The Bariatric Institute, Cleveland Clinic Florida
  • S. Szomstein
    • The Bariatric Institute, Cleveland Clinic Florida
    • The Bariatric Institute, Cleveland Clinic Florida
ssat poster presetation

DOI: 10.1007/s11605-008-0480-4

Cite this article as:
Tucker, O.N., Szomstein, S. & Rosenthal, R.J. J Gastrointest Surg (2008) 12: 662. doi:10.1007/s11605-008-0480-4

Abstract

Background

Single-stage laparoscopic sleeve gastrectomy (LSG) may represent an additional surgical option for morbid obesity.

Methods

We performed a retrospective review of a prospectively maintained database of LSG performed from November 2004 to April 2007 as a one-stage primary restrictive procedure.

Results

One hundred forty-eight LSGs were performed as primary procedures for weight loss. The mean patient age was 42 years (range, 13–79), mean body mass index of 43.4 kg/m2 (range, 35–75), mean operative time of 60 min (range, 58–190), and mean blood loss of 60 ml (range, 0–300). One hundred forty-seven procedures (99.3%) were completed laparoscopically, with a mean hospital stay of 2.7 days (range, 2–25). A 2.7% major complication rate was observed with four events in three patients and no deaths. Four patients required readmission; mild dehydration in two, choledocholithiasis in one, and a gastric sleeve stricture in one.

Conclusion

Laparoscopic SG is a safe one-stage restrictive technique as a primary procedure for weight loss in the morbidly obese with an acceptable operative time, intraoperative blood loss, and perioperative complication rate.

Keywords

Bariatric surgeryLaparoscopyMorbid obesityRoux-en-Y-gastric bypassSleeve gastrectomy

Abbreviations

BPD-DS

biliopancreatic diversion with duodenal switch

BMI

body mass index

GE

gastroesophageal

LAGB

laparoscopic adjustable gastric banding

LRYGB

laparoscopic Roux-en-Y gastric bypass

LSG

laparoscopic sleeve gastrectomy

POD

postoperative day

SG

sleeve gastrectomy

Copyright information

© The Society for Surgery of the Alimentary Tract 2008