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Laparoscopic Sleeve Gastrectomy for Morbid Obesity with Intra-operative Endoscopic Guidance. Immediate Peri-operative and 1-year Results after 25 Patients

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Abstract

Laparoscopic sleeve gastrectomy (LSG) represents a promising alternative option for the surgical treatment of morbid obesity. Its standard technique includes the longitudinal division of the stomach along a bougie of varying diameter. We report in this retrospective study our experience with LSG being performed with the use of intra-operative endoscopy instead of the bougie. Twenty-five consecutive patients (18 women, seven men) with a mean age of 40.2 years and mean body weight of 152.1 kg were submitted to LSG with intra-operative endoscopy in our hospital. The mean preoperative BMI was 53.5 kg/m2. There were no conversions. Mean operative time was 117.5 min. There was no morbidity or mortality. The mean loss of excess body weight (EBW) at 3 months post-op was 19 ± 1.8 kg, at 6 months was 28.6 ± 4.5 kg, and at 1 year post-op was 48.9 ± 3.7 kg (min 11–max 92). In other words the patients had lost 30 ± 5%, 45 ± 7.7%, and 60.8 ± 4.3% of their EBW, respectively. The mean excess body weight loss at the day of the last visit to our outpatient clinic was 52.3 ± 4.3 kg which corresponded to 66.4 ± 4.3% of the total excess weight. LSG with intra-operative endoscopic guidance is a safe and efficient alternative method to treat morbid obesity and is a viable option for surgical units familiar with endoscopic techniques.

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The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Laiko Athens General Hospital, 1st Department of Surgery of the University of Athens, 17 Agiou Thoma St, 11527, Athens, Greece

    T. Diamantis, A. Alexandrou, E. Pikoulis, D. Diamantis, J. Griniatsos, E. Felekouras & E. Papalambros

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  1. T. Diamantis
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  2. A. Alexandrou
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  3. E. Pikoulis
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  4. D. Diamantis
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  5. J. Griniatsos
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  6. E. Felekouras
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  7. E. Papalambros
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Correspondence to A. Alexandrou.

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Diamantis, T., Alexandrou, A., Pikoulis, E. et al. Laparoscopic Sleeve Gastrectomy for Morbid Obesity with Intra-operative Endoscopic Guidance. Immediate Peri-operative and 1-year Results after 25 Patients. OBES SURG 20, 1164–1170 (2010). https://doi.org/10.1007/s11695-010-0176-1

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