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Outcome of Laparoscopic Sleeve Gastrectomy for Treatment Morbidly Obese Patients in Srinagarind Hospital

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Suriya Punchai, Jakrapan Wittayapairoj, Krisada Paonariang, Kriangsak Jenwithisuk, O-Tur Saeseaw, Suthep Udomsawaengsup and Chaiyut Thanapiasal

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Background : Laparoscopic sleeve gastrectomy (LSG) has been increasingly popular

procedure for treatment morbidly obese patients and showing good weight loss and

resolution of comorbidity diseases. The objective of this study was to evaluate

postoperative outcome in term of operative complication, weight loss and comorbidity

improvement after laparoscopic sleeve gastrectomy.

Methods : From July 2011 to December 2014 there is 70 patients (45 woman; 64

percent) with an average age of 37.7 years (range; 17-62 years), mean body weight was

126.5 kg (range; 83-250 kg), mean BMI was 45.7 kg/m2 (range; 33-77 kg/m2) who

underwent laparoscopic sleeve gastrectomy for treatment morbid obesity. Postoperative

time, 1st day postoperative pain, postoperative complication and postoperative follow up

data for the body weight change, percent EWL, BMI and improvement of comorbidity at

the 6th, 9th,12th, 18th, and 24th months were recorded.

Results : The mean operative time was 75 minutes. The mean operative blood loss

was 20 ml. The mean 1st day postoperative pain score was 4. No conversion to laparotomy

had to be performed. The mean percentages of excessive body weight loss (EWL) were

46.78 percent at 6 months, 59.75 percent at 1 year, 64.53 percent at 18 months, and 62.92

percent at 2 years. The mean BMI were 35.57 kg/m2 at 6 months, 32.69 kg/m2 at 1 year,

29.23 kg/m2 at 18 months, and 29.45 kg/m2 at 2 years. The rate of resolution of OSA was

65.7 percent and improvement of OSA was 31.4 percent. The rate of resolution of

hypertension was 68.9 percent and improvement of hypertension was 31.1 percent. The

rate of resolution of DM was 70 percent and improvement of DM was 30 percent. The rate

of postoperative complication was 4.2 percent.

Conclusions : Laparoscopic sleeve gastrectomy is safe and effective procedure for

treatment morbidly obese patients. However, weight regained need to evaluated in long

term follow up.

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Laparoscopic; Sleeve gastrectomy; Morbid obesity