Outcomes of Sleeve Gastrectomy in Obese Patients: A Retrospective Study | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 162, Volume 90, Issue 2, January 2023, Page 3053-3061 PDF (706.29 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2023.288390 | ||||
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| Authors | ||||
ahmed gadelkarim   ; Omar Abdel Raheem; Abd-El-Aal Ali Saleem
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| Department of General Surgery, Faculty of Medicine, Sohag University, Egypt | ||||
| Abstract | ||||
| Background: Morbid obesity has become a serious health problem due to its fatal consequences and co-morbidities. It is well-accepted that obesity-related comorbidities may be effectively managed by bariatric surgery. Objective: The aim of the current study is to assess the outcomes of laparoscopic sleeve gastrectomy (LSG) in morbidly obese patients, regarding weight loss, effects on associated comorbidities and post-operative complications. Patients and methods: Our retrospective cohort study was conducted in Sohag University Hospitals. A total of 60 patients who underwent LSG were followed up in the period from January 2017 to May 2018. Participants were patients with BMI ≥40 or BMI = 35–39 with one or more obesity-related co-morbidities. Results: Statistically significant weight reduction occurred at 3, 6, 12, 18 and 24 months after LSG. Regarding the comorbidities, we found that 12 cases had diabetes (4 cases improved and 8 reached remission). The mean HbA1c was within the prediabetic or the controlled diabetic zone for the vast majority of cases, and 6 cases had Hypertension, improvement occurred in 5 cases and one case reached remission. All cases that had dyslipidemia in the study population (5 cases) were completely controlled. Conclusion: LSG can be considered an effective single-stage procedure in morbidly obese patients showing excellent and reliable results for weight loss in obese patients with a significantly low complication rate. This procedure could significantly resolve obesity-related morbidity. | ||||
| Keywords | ||||
| Morbid obesity; Bariatric surgery; Sleeve gastrectomy; Excess weight loss; Cohort study; Sohag University | ||||
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