Abstract
strictive part of biliopancreatic diversion duodenal switch (BPD) that has recently been used as an isolated operation in a staged therapy concept. We investigated early results of LSG in a prospective pilot study. Methods: Between 6/04 and 10/06 LSG was performed on 52 pts, 23 times after failed gastric banding, 71% were female, mean age was 43 (24-64) years, mean initial BMI 49 (38-58) kg/m. Mean follow-up time was 9 (1-25) months, the rate was 100%. Results: Mean operative time was 101 (70-200) minutes for primary LSG. No intraoperative complications were observed. There was one conversion to an open procedure. Early morbidity was 8% (dysphagia: 1, portal vein thrombosis: 1, non-surgical: 2). Mean BMI loss 12 months postop. was 12 kg/m following LSG, corresponding to an excessive weight loss of 54% respectively. Up to date laparoscopic BPD had to be performed twice after insufficient weight loss following LSG. Conclusion: LSG is a safe initial bariatric procedure in a staged concept and has the potential to be sufficient as definitive operation in some patients. PII: S1550-7289(07)00268-7
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