Obesity Surgery

, Volume 15, Issue 8, pp 1124–1128

Laparoscopic Sleeve Gastrectomy: A Multi-purpose Bariatric Operation

  • Aniceto Baltasar
  • Carlos Serra
  • Nieves Pérez
  • Rafael Bou
  • Marcelo Bengochea
  • Lirios Ferri
Article

DOI: 10.1381/0960892055002248

Cite this article as:
Baltasar, A., Serra, C., Pérez, N. et al. OBES SURG (2005) 15: 1124. doi:10.1381/0960892055002248

Background: The use of the laparoscopic sleeve gastrectomy (LSG), a restrictive operation, in different settings, is presented. Methods: 31 patients underwent LSG in the following groups: 1) 7 patients with very high BMI as a first stage of the duodenal switch (DS); 2) 7 morbidly obese patients with severe medical conditions; 3) 16 obese patients with lower BMI (35-43); and 4) 1 patient converted from a prior gastric banding. Results: 1 patient with BMI 74 died, a 3.2% mortality. The percentage of excess BMI loss (%EBMIL) in group 1 above was 63.1% from 4-27 months. The %EBMIL of the cirrhotics in group 2 was 76.0% (69-100%). The %EBMIL in group 3 patients was 68.5% (58.3-123%) at 3-27 months. The %EBMIL of the group 4 patient is 13% because she had previously lost almost all of her EBMI. Conclusion: LSG may become the ideal operation for staging in patients with BMI >55, for treating morbidly obese patients with severe medical conditions, as an excellent alternative to adjustable bands in lower BMI patients, or for conversion of gastric banding patients.

MORBID OBESITY SLEEVE GASTRECTOMY LAPAROSCOPY BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH 

Copyright information

© Springer 2005

Authors and Affiliations

  • Aniceto Baltasar
    • Carlos Serra
      • Nieves Pérez
        • Rafael Bou
          • Marcelo Bengochea
            • Lirios Ferri

              There are no affiliations available

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