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Laparoscopic Sleeve Gastrectomy as an Isolated Bariatric Procedure: Intermediate-Term Results from a Large Series in Three Austrian Centers

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Abstract

Background

Gastric sleeve resection was initially planned as the first step of bilio-pancreatic diversion with duodenal switch but it continues to emerge as a restrictive bariatric procedure on its own. We describe intermediate results in a series of 126 laparoscopic sleeve gastrectomies (LSG) compiled from three bariatric centers in eastern Austria.

Methods

The stomach was laparoscopically reduced to a “sleeve” along the lesser curvature over a 48-Fr bougie. Special attention was placed on complete resection of the gastric fundus.

Results

After a mean follow-up of 19.1 months, patients had lost between 2.3 and 27 kg/m2 or between 6.7% and 130% of their excessive weight. Sixty four percent of the patients lost >50% of their excess weight within an average of 20 months. Seven percent of the patients had an excess weight loss <25% and were therefore considered as failures. The only major surgical complication was leakage of the staple-line needing revision (three times). There were no operative mortalities.

Conclusion

The final place of LSG in bariatric surgery is still unclear, but our results and those of others show that LSG can be a viable alternative to established procedures.

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Authors and Affiliations

  1. Department of General Surgery, Vienna Medical University, Waehringer Guertel 18–20, 1090, Vienna, Austria

    Franz X. Felberbauer, Felix Langer, Soheila Shakeri-Manesch & Gerhard Prager

  2. Allgemeines oeffentliches Krankenhaus Oberwart, Oberwart, Austria

    Elisabeth Schmaldienst & Manfred Prager

  3. Krankenanstalt Rudolfstiftung, Vienna, Austria

    Mathias Kees & Stephan Kriwanek

Authors
  1. Franz X. Felberbauer
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  2. Felix Langer
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  3. Soheila Shakeri-Manesch
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  4. Elisabeth Schmaldienst
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  5. Mathias Kees
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  6. Stephan Kriwanek
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  7. Manfred Prager
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  8. Gerhard Prager
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Correspondence to Franz X. Felberbauer.

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Felberbauer, F.X., Langer, F., Shakeri-Manesch, S. et al. Laparoscopic Sleeve Gastrectomy as an Isolated Bariatric Procedure: Intermediate-Term Results from a Large Series in Three Austrian Centers. OBES SURG 18, 814–818 (2008). https://doi.org/10.1007/s11695-008-9483-1

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  • DOI: https://doi.org/10.1007/s11695-008-9483-1

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