LAPAROSCOPIC SLEEVE GASTRECTOMY FOR MORBID OBESITY: TECHNIQUE AND PRELIMINARY RESULTS
Abd Allah, M., Abulela, A., Mahmoud, E., Abdel Rahman, K., El-Sayed, A. (2012). LAPAROSCOPIC SLEEVE GASTRECTOMY FOR MORBID OBESITY: TECHNIQUE AND PRELIMINARY RESULTS. EKB Journal Management System, 31(2), 51-56. doi: 10.21608/ejsur.2012.367261
Mahmoud Abd Allah; Abdelaziz Abulela; El-Sayed Mahmoud; Kamal Abdel Rahman; Ashraf El-Sayed. "LAPAROSCOPIC SLEEVE GASTRECTOMY FOR MORBID OBESITY: TECHNIQUE AND PRELIMINARY RESULTS". EKB Journal Management System, 31, 2, 2012, 51-56. doi: 10.21608/ejsur.2012.367261
Abd Allah, M., Abulela, A., Mahmoud, E., Abdel Rahman, K., El-Sayed, A. (2012). 'LAPAROSCOPIC SLEEVE GASTRECTOMY FOR MORBID OBESITY: TECHNIQUE AND PRELIMINARY RESULTS', EKB Journal Management System, 31(2), pp. 51-56. doi: 10.21608/ejsur.2012.367261
Abd Allah, M., Abulela, A., Mahmoud, E., Abdel Rahman, K., El-Sayed, A. LAPAROSCOPIC SLEEVE GASTRECTOMY FOR MORBID OBESITY: TECHNIQUE AND PRELIMINARY RESULTS. EKB Journal Management System, 2012; 31(2): 51-56. doi: 10.21608/ejsur.2012.367261

LAPAROSCOPIC SLEEVE GASTRECTOMY FOR MORBID OBESITY: TECHNIQUE AND PRELIMINARY RESULTS

The Egyptian Journal of Surgery
Volume 31, Issue 2, April 2012, Page 51-56  XML PDF (1.75 MB)
Document Type: Original Article
DOI: 10.21608/ejsur.2012.367261
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Authors
Mahmoud Abd Allah* ; Abdelaziz Abulela; El-Sayed Mahmoud; Kamal Abdel Rahman; Ashraf El-Sayed
Department of General Surgery, Faculty of Medicine for Girls, Al–Azhar University, Egypt
Abstract
Background: Laparoscopic sleeve gastrectomy (LSG) was originally used as a bridge to definitive surgery in 
high risk patients. Recently it has been considered as a stand- alone procedure due to its effectiveness on 
weight loss and co-morbidities resolution. 
Aim: To evaluate the outcome of laparoscopic sleeve gastrectomy (LSG) as a single therapy in the treatment 
of morbid obesity. 
Methods: Forty patients with morbid obesity and or obesity related co-morbidities were included in this 
study. Their body mass index (BMI) ranged from 35k/m2 to 45kg/m2 were managed from June 2009 to 
January 2012 at Al-Zahraa University Hospital. Preoperative demographic data, operative procedure, 
immediate and long-term follow-up results of LSG are analyzed according to a prospective database. 
Results: LSG was performed laparoscopically in 39 cases (97.5%) with 2.5% conversion rate "in one case". 
The mean operative time was 10525min. There was an acceptable excess weight loss 46.7% at 12 months 
and 58.8% at 18 months. Early postoperative complications revealed one case (2.5%) developed gastric outlet 
stenosis that died after re-operation (mortality rate); however, no leakage from stapler line, dumpingsyndrome marginal ulcer, or nutritional problems were observed during postoperative follow-up. All of the 
main co-morbidities improved after this procedure. 
Conclusion: According to short – term follow-up LSG is a safe and effective treatment for morbid obesity. 
Also LSG is effective for co-morbidities resolution. Longer follow-up is needed to confirm the effectiveness 
of LSG as a single therapy in the treatment of morbid obesity. 
Keywords
Bariatric surgery; metabolic surgery; obesity, weight loss
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