Outcome of Laparoscopic Sleeve Gastrectomy in Morbid and Super Obese Patients: A King Abdulaziz University Hospital Experience

Abstract

The aim is to evaluate the outcome of laparoscopic sleeve gastrectomy on weight reduction, and associated co-morbidities in morbid and super obese patients. A retrospective review of 36 patients underwent laparoscopic sleeve gastrectomy from October 2008 to April 2010 at King Abdulaziz University Hospital. The medical records of patients reviewed based on excess weight loss, operative variables, postoperative complications, and the effects on obesity related to co-morbidies. The mean operating time was 186 min (120-300 min). Major complications were bleeding (one), gastric leakage (one), and deep vein thrombosis (one). There was one case of mortality. The mean hospital stay was four days and the median follow-up was 13 months (12-18 months). The median percentage of excess weight loss at one year was 38.2% (8.5-57.2%), which was more in male and super obese patients. Diabetes was improved in 13 of 14 patients and hypertension was controlled in all hypertensive patients (17 patients). Infertility was improved in the infertile patients (two patients) while joint pain improved in 80.95% and sleep apnea in 93.75% of the cases. Excess weight loss in laparoscopic sleeve gastrectomy observed to be more in male and super obese patients, thus, results in a significant improvement in obesity related co-morbidities.