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Indications for Sleeve Gastrectomy as a Primary Procedure for Weight Loss in the Morbidly Obese

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

Single-stage laparoscopic sleeve gastrectomy (LSG) may represent an additional surgical option for morbid obesity.

Methods

We performed a retrospective review of a prospectively maintained database of LSG performed from November 2004 to April 2007 as a one-stage primary restrictive procedure.

Results

One hundred forty-eight LSGs were performed as primary procedures for weight loss. The mean patient age was 42 years (range, 13–79), mean body mass index of 43.4 kg/m2 (range, 35–75), mean operative time of 60 min (range, 58–190), and mean blood loss of 60 ml (range, 0–300). One hundred forty-seven procedures (99.3%) were completed laparoscopically, with a mean hospital stay of 2.7 days (range, 2–25). A 2.7% major complication rate was observed with four events in three patients and no deaths. Four patients required readmission; mild dehydration in two, choledocholithiasis in one, and a gastric sleeve stricture in one.

Conclusion

Laparoscopic SG is a safe one-stage restrictive technique as a primary procedure for weight loss in the morbidly obese with an acceptable operative time, intraoperative blood loss, and perioperative complication rate.

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Abbreviations

BPD-DS:

biliopancreatic diversion with duodenal switch

BMI:

body mass index

GE:

gastroesophageal

LAGB:

laparoscopic adjustable gastric banding

LRYGB:

laparoscopic Roux-en-Y gastric bypass

LSG:

laparoscopic sleeve gastrectomy

POD:

postoperative day

SG:

sleeve gastrectomy

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Acknowledgment

Competing Interests Declared: None

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Authors and Affiliations

  1. The Bariatric Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA

    O. N. Tucker, S. Szomstein & R. J. Rosenthal

Authors
  1. O. N. Tucker
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  2. S. Szomstein
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  3. R. J. Rosenthal
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Correspondence to R. J. Rosenthal.

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Tucker, O.N., Szomstein, S. & Rosenthal, R.J. Indications for Sleeve Gastrectomy as a Primary Procedure for Weight Loss in the Morbidly Obese. J Gastrointest Surg 12, 662–667 (2008). https://doi.org/10.1007/s11605-008-0480-4

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  • DOI: https://doi.org/10.1007/s11605-008-0480-4

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