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Five-Year Results of Laparoscopic Sleeve Gastrectomy in Korean Patients with Lower Body Mass Index (30–35 kg/m2)

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Abstract

Background

In Asia, laparoscopic sleeve gastrectomy (LSG) is the leading weight loss procedure for treating morbid obesity. However, long-term results of isolated LSG performed in patients with lower body mass index (BMI) (30–35 kg/m2) are scarce.

Methods

We retrospectively reviewed 75 patients with BMI of 30–35 kg/m2 who underwent LSG from January 2003 to January 2013. Seventy-one of these patients who had more than 6 months of follow-up were included in this report. LSG was performed laparoscopically using a linear stapler over a 48-French bougie from 2003 to 2006. Since 2007, 36-French bougie was used for resection, and a continuous seromuscular suture at the resection margin was added.

Results

Mean age at the time of surgery was 33.7 ± 10.3 years in our patients. Mean weight was 85.7 ± 9.0 kg and mean BMI was 32.4 ± 1.6 kg/m2 preoperatively. The percentage of excess BMI loss (%EBL) in the postoperative first, third, and fifth year was 84.1 ± 25.5, 79.8 ± 31.0, and 78.5 ± 28.5 %, respectively. Follow-up rate at the first, third, and fifth year was 90.0, 71.9, and 42.9 %. There were no 30-day perioperative mortality and major complications including bleeding and leakage.

Conclusions

These findings show that LSG is a safe and effective weight loss option for Korean patients with lower BMI. Randomized prospective control studies between gastric banding, or Roux-en-Y gastric bypass, and LSG are needed to confirm long-term weight loss effect and safety of LSG in this group of patients.

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Acknowledgments

The authors would like to thank Rena C. Moon, MD, Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando, FL for the editorial assistance.

Conflict of Interest

Authors Ji-Sun Hong, Won-Woo Kim, and Sang-Moon Han declare that they have no conflict of interest and no relevant financial interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Ethical Approval

For this type of study, formal consent is not required.

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Authors and Affiliations

  1. Department of Surgery, Gangnam CHA Medical Center, School of Medicine, CHA University, 650-9 Yeoksam-1dong, Gangnam-Gu, Seoul, 135-913, South Korea

    Ji-Sun Hong, Won-Woo Kim & Sang-Moon Han

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  1. Ji-Sun Hong
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  2. Won-Woo Kim
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Correspondence to Sang-Moon Han.

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Hong, JS., Kim, WW. & Han, SM. Five-Year Results of Laparoscopic Sleeve Gastrectomy in Korean Patients with Lower Body Mass Index (30–35 kg/m2). OBES SURG 25, 824–829 (2015). https://doi.org/10.1007/s11695-014-1481-x

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