Short-term outcomes of laparoscopic sleeve gastrectomy for super-obese egyptian patients − a single-center experience

Abstract

Background Owing to its simplicity, low morbidity and mortality, and efficacy in achieving sustained weight loss, laparoscopic sleeve gastrectomy (LSG) became increasingly popular as a primary procedure. Aim To report short-term outcomes of LSG in super-obese (SO) Egyptian patients with BMI more than 50–60, taking in consideration, the safety, feasibility, and efficacy of the technique. Patients and methods This was a prospective study performed on 50 SO patients in the Gastrointestinal Surgery Unit, Department of General Surgery, Tanta University Hospital, during the period from January 2017 to January 2019. The patients’ characteristics, including preoperative weight, BMI, preoperative comorbidities, postoperative complications, the resolution of comorbidities, and percentage of excess weight loss, at different follow-up periods were prospectively analyzed. Results A total of 50 SO patients were subjected to LSG in our department during the study period. Mean patients’ BMI was 53.42±2.95 kg/m2 (range, 50–60 kg/m2). Mean age was 34.58±9.93 years, with 12 males and 38 females. Mean operative time was 76.66±14.94 min. Mean percentage of excess weight loss achieved was 22.25±3.20, 35.07±5.67, 47.89±8.57, 57.80±7.65, 59.08±13.01, and 55.11±8.93 at 1, 3, 6, 12, 24, 48, and 36 months, respectively. There was no mortality, whereas total morbidity occurred in 15 patients. Conclusion In SO patients, LSG is a safe and feasible technique and is associated with acceptable and satisfactory weight loss results; moreover, there is improvement of obesity-related comorbidities on short-term follow-up.