Clinical Research

Obesity Surgery

, Volume 20, Issue 3, pp 271-275

Laparoscopic Sleeve Gastrectomy as a Single-Stage Bariatric Procedure

  • Tarik SammourAffiliated withDepartment of Surgery, South Auckland Clinical School, Middlemore HospitalFaculty of Medical and Health Sciences, University of Auckland Email author 
  • , Andrew G. HillAffiliated withDepartment of Surgery, South Auckland Clinical School, Middlemore HospitalFaculty of Medical and Health Sciences, University of Auckland
  • , Parry SinghAffiliated withFaculty of Medical and Health Sciences, University of Auckland
  • , Anudini RanasingheAffiliated withDepartment of Surgery, South Auckland Clinical School, Middlemore Hospital
  • , Richard BaborAffiliated withDepartment of Surgery, South Auckland Clinical School, Middlemore Hospital
  • , Habib RahmanAffiliated withDepartment of Surgery, South Auckland Clinical School, Middlemore Hospital

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Abstract

Background

Laparoscopic sleeve gastrectomy is increasingly being used as a stand-alone procedure in bariatric surgery, with medium-term follow-up data now emerging. We present our early experience in patients with a mean body mass index (BMI) in the super-obese range.

Methods

Review of prospectively collected data for the first 100 patients who underwent laparoscopic sleeve gastrectomy at Counties Manukau District Health Board between March 2007 and July 2008.

Results

One hundred patients were identified, with a mean age of 43 years (range, 20–60 years). Maori and Pacific Islanders made up 31% of the patient subset. Patients had a mean BMI of 50.3 kg/m2 (range, 34.5–72.8 kg/m2). Forty-five patients were super-obese. The median hospital stay was 2 days (range, 1–7 days). Mean follow-up was 12.0 months (range, 0.9–23.3 months). Mean excess weight loss was 62.9% (range, 7.2–129.0%). Twenty-five percent of patients were diabetic and 45% of patients were hypertensive pre-operatively. Diabetics and hypertension resolved or improved in 72% and 60% of patients, respectively. There was a major complication rate of 7%, including three staple-line leaks (one requiring laparotomy), two staple-line bleeds (one requiring laparotomy) and one infected haematoma. There were no deaths.

Conclusions

In this public hospital setting, laparoscopic sleeve gastrectomy has achieved satisfactory weight loss results with an acceptable complication rate in the medium-term.

Keywords

Sleeve gastrectomy Obesity Bariatric Diabetes Weight loss Gastric Gastroplasty