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Obesity Surgery

, Volume 20, Issue 6, pp 679–684 | Cite as

Two-Year Results on Morbidity, Weight Loss and Quality of Life of Sleeve Gastrectomy as First Procedure, Sleeve Gastrectomy After Failure of Gastric Banding and Gastric Banding

  • Charles Sabbagh
  • Pierre Verhaeghe
  • Abdennaceur Dhahri
  • Olivier Brehant
  • David Fuks
  • Rachid Badaoui
  • Jean-Marc RegimbeauEmail author
Clinical Report

Abstract

Background

Sleeve gastrectomy (SG) is an alternative to gastric bypass and laparoscopic adjustable gastric banding (GB).

Methods

From January 2004 to January 2006, 111 patients with a follow-up longer than 24 months were prospectively followed. Three treatment groups were defined. Sleeve gastrectomy as first procedure (SGFP; n = 50), sleeve gastrectomy after failure of GB (SG after GB; n = 9) and GB (n = 52). We compared morbidity, mortality, length of stay, number of procedures under general anaesthesia, excess weight loss (EWL) and quality of life.

Results

Mean initial body mass index (BMI) was 50.4 (SG), 50.8 (SG after GB) and 43.8 (GB; p = 0.000001). Mean operating time was 97.1 min (SGFP), 122.2 min (SG after GB) and 69.8 min (GB; p < 0.0001). The reoperation rate under general anaesthesia was 2% (SGFP), 11% (SG after GB) and 30.76% (GB; p = 0.00001).The fistula rate was 2% (SGFP), 0% (SG after GB) and 0% (GB). BMI at 24 months was 33.8 (SGFP), 35.3 (SG after GB) and 33.2 (GB; NS). EWL at 24 months was 67.4 (SGFP), 60.3 (SG after GB) and 58.6 (GB; NS). In the SGFP group and in the SG after GB group, the mean quality-of-life score was 1.1. In the GB group, the mean score was 0.95 (NS).

Conclusions

Initial BMI was significantly higher in the SG group but was no longer significantly different from the BMI of the GB group at 12 and 24 months. Excess BMI loss was higher after SG than after GB. This reduction of BMI was considered to be a success for GB. Thus, results of SG should be considered as a success. Quality of life was not significantly different between the three groups. These results validated SG as first procedure or after failure of GB.

Keywords

Obesity Sleeve gastrectomy Gastric banding Morbidity Weight loss Quality of life 

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Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Charles Sabbagh
    • 1
  • Pierre Verhaeghe
    • 1
  • Abdennaceur Dhahri
    • 1
  • Olivier Brehant
    • 1
  • David Fuks
    • 1
  • Rachid Badaoui
    • 2
  • Jean-Marc Regimbeau
    • 1
    Email author
  1. 1.Department of Digestive Surgery, Amiens North HospitalUniversity of Picardy Medical CentreAmiensFrance
  2. 2.Department of Anaesthesia, Amiens North HospitalUniversity of PicardyAmiensFrance

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