The effect of laparoscopic sleeve gastrectomy on morbid obesity and obesity-related comorbidities: A cohort study

Abstract

Objective: Bariatric surgery with multidisciplinary management is a more effective method to treat morbid obesity and obesity-related comorbidities compared with nonsurgical treatments. Laparoscopic sleeve gastrectomy (LSG) was initially performed as the first stage of biliopancreatic diversion with duodenal switch in the super-obese population. In the past few years, however, LSG has been performed as a definitive procedure because of its promising early and midterm results. The aim of this study is to evaluate the efficacy of our initial LSG series of 73 patients on excess weight loss (EWL) and resolution of obesity-related comorbidities in short-term follow-up. Material and Methods:From March 2013 to May 2014, 78 morbid obese patients with an average body mass index (BMI) of 46.3 kg/m 2 underwent LSG. There is a 9-month follow-up period on average. Five patients were excluded from the study, because they could not be contacted. Comorbidities, preintervention BMI, glucose, HbA1c, and lipid profiles were recorded at 1, 6, and 12 months postintervention. Results:After the surgery, the percent EWL was 58%. The mean serum glucose level, HbA1c level, LDL-cholesterol level, triglyceride level, insulin, and insulin resistance decreased significantly and the mean HDL-cholesterol level increased. Conclusion:For the resolution of comorbidities, LSG may be used as an effective bariatric and metabolic surgery.

Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity

“…This finding is concordant with the study by Ochner et al (27) reporting that the effect of preoperative BMI was apparent, heavier individuals showed lower percentages of initial and excess weight loss, and that this effect was particularly apparent after the initial rapid weight loss phase during the first year, when patients with BMI <50 continued losing weight, while patients with BMI ≥50 regained significant weight. Another cohort study reported significant weight loss and improvement of T2DM, hypertension and dyslipidemia after LSG in 78 patients whose BMI was less than 50 (28).…”

Sleeve gastrectomy in situs inversus totalis case

“…The long-term effects of diet, drug, and endoscopic solutions seem to be limited. Surgery is the most effective treatment in the appropriate indication [ 7 ]. For this reason, the number of surgeries is increasing every year and LSG has become the most performed surgery [ 8 ].…”

“…In addition, although there are publications on the fact that robotic surgery can help in coping with mirror image, there is a shortage of data on this subject [ 15 ]. In addition, left-handed surgeons are thought to be advantageous over right-handed surgeons in patients with SIT [ 7 ].…”

Laparoscopic sleeve gastrectomy in a patient with situs inversus totalis: A case report

“…As such, it is one of the most commonly performed bariatric procedures. 9 SIT is merely one of many challenges surgeons encounter in bariatric surgery. 10 …”