Skip to main content

Advertisement

Log in

Laparoscopic Sleeve Gastrectomy in Ethnic Obese Chinese

  • Research Article
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

The aim of this study was to evaluate the effectiveness and safety of laparoscopic sleeve gastrectomy (LSG) for the treatment of obesity in ethnic Chinese in Hong Kong.

Methods

Seventy consecutive Chinese patients (49 females; mean age 34.7 ± 8.8 [range 18–56] years) received LSG for the treatment of obesity from May 2006 to Nov 2007 as a stand-alone procedure for weight reduction. Mean baseline body weight (BW) and body mass index (BMI) were 108.9 ± 22.1 kg (range 71.0–164.9 kg) and 40.7 ± 7.8 kg/m2 (range 27.4–68.4 kg/m2), respectively. Outcome measures were collected and assessed in a prospective manner.

Results

All procedures were performed laparoscopically with no conversion. There was neither mortality nor any postoperative complications that required reoperation. Major complication occurred in two patients (2.9%; esophagogastric junction [EGJ] leak and stomach tube stricture). Mean follow-up was 7.1 ± 5.0 months. Mean procedure time was 90.6 ± 39.4 min, and mean hospital stay was 3.8 ± 2.3 days. Mean BMI loss was 6.3 ± 2.5, 9.0 ± 3.4 and 12.3 ± 4.5 kg/m2 at 3, 6, and 12 months. Mean percent of excess BW loss was 48.5 ± 28.4, 69.7 ± 31.7, and 63.5 ± 29.4 at 3, 6, and 12 months.

Conclusion

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

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Johnston D, Dachtler J, Sue-Ling HM, et al. The Magenstrasse and Mill operation for morbid obesity. Obes Surg. 2003;13:10–6.

    Article  PubMed  Google Scholar 

  2. Lee CM, Cirangle PT, Jossart GH. Vertical gastrectomy for morbid obesity in 216 patients: report of two-year results. Surg Endosc. 2007;21:1810–6.

    Article  PubMed  Google Scholar 

  3. Himpens J, Dapri G, Cadiere GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;169:1450–6.

    Article  Google Scholar 

  4. Baltasar A, Serra C, Perez N, et al. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15:1124–8.

    Article  PubMed  Google Scholar 

  5. Clinical Issues Committee of American Society for Metabolic and Bariatric Surgery. Sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2007;3:573–6.

    Article  Google Scholar 

  6. Vidal J, Ibarzabal A, Niolau J, et al. Short-term effects of sleeve gastrectomy on type 2 diabetes mellitus in severely obese subjects. Obes Surg. 2007;17:1069–74.

    Article  PubMed  CAS  Google Scholar 

  7. Depaula AL, Macedo Al, Rassi N, et al. Laparoscopic treatment of type 2 diabetes mellitus for patient with body mass index less than 35. Surg Endosc. 2008;22:706–16.

    Article  PubMed  CAS  Google Scholar 

  8. Frezza EE. Laparoscopic vertical sleeve gastrectomy for morbid obesity. The future procedure of choice? Surg Today. 2007;37:275–81, Review.

    Article  PubMed  Google Scholar 

  9. Gumbs AA, Gagner M, Dakin G. Sleeve gastrectomy for morbid obesity. Obes Surg. 2007;17:962–9, Review.

    Article  PubMed  Google Scholar 

  10. Moon Han S, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75.

    Article  PubMed  Google Scholar 

  11. Langer FB, Reza Hoda NA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effect on plasma ghrelin levels. Obes Surg. 2005;15:1024–9.

    Article  PubMed  CAS  Google Scholar 

  12. Kotidis EV, Koliakos G, Papavramidis TS, et al. The effect of biliopancreatic diversion with pylorus-preserving sleeve gastrectomy and duodenal switch on fasting serum ghrelin, leptin and adiponectin levels: is there a hormonal contribution to weight-reducing effect of this procedure? Obes Surg. 2006;16:554–9.

    Article  PubMed  Google Scholar 

  13. Sabench Pereferrer F, Hernandez Gonzalez M, Feliu Roviva A, et al. Influence of sleeve gastrectomy on several experimental models of obesity: metabolic and hormonal implications. Obes Surg. 2008;18:97–108.

    Article  Google Scholar 

  14. Gagner M, Inabet WB, Pomp A. Laparoscopic sleeve gastrectomy with second stage biliopancreatic diversion and duodenal switch in the superobese. In: Inabet WB, Demaria EJ, Ikramuddin S, editors. Laparosopic Bariatric Surgery. Philadelphia: Lippincott William & Wilkins. 2005:143–50.

    Google Scholar 

  15. Almogy G, Crookes PF, Anthone GJ. Longitudinal gastrectomy as a treatment for high risk super-obese patient. Obes Surg. 2004;14:492–7.

    Article  PubMed  Google Scholar 

  16. Hamoui N, Anthone GJ, Kaufman HS, et al. Sleeve gastrectomy in the high-risk patient. Obes Surg. 2006;16:1445–9.

    Article  PubMed  Google Scholar 

  17. Milone L, Strong V, Gagner M. Laparoscopic sleeve gastrectomy is superior to endoscopic intragastric balloon as a first stage procedure for super-obese patients (BMI > or =50). Obes Surg. 2005;15:612–7.

    Article  PubMed  Google Scholar 

  18. Huxley R, James WP, Barzi F, et al. Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension. Obes Rev. 2008;9 Suppl 1:53–61.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wilfred Lik-Man Mui.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mui, W.LM., Ng, E.KW., Tsung, B.YS. et al. Laparoscopic Sleeve Gastrectomy in Ethnic Obese Chinese. OBES SURG 18, 1571–1574 (2008). https://doi.org/10.1007/s11695-008-9538-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-008-9538-3

Keywords

Navigation