Analysis of laparoscopic sleeve gastrectomy for obesity

doi:10.3969/j.issn.1006-7795.2017.01.018

Abstract

Abstract: Objective To analyze the effect of laparoscopic sleeve gastrectomy on obesity and its co-related diseases. Methods Totally 26 patients with obesity were undergone laparoscopic sleeve gastrectomy at Beijing Tiantan Hospital, Capital Medical University from July 2012 to September 2015, weight body mass index(BMI) and biochemical indicators of per-operation and 3,6,12 and 18 post-operation was recorded. Results All cases were successfully completed in laparoscopic sleeve gastrectomy without conversion to laparotomy. Mean operative time was (79.7±4.7)min,50-170 min, with mean blood loss of (24.6±1.8)mL,10-50 mL, and mean postoperative hospital stay was (5.9±0.3)days,5-13 days. One seroperitoneum and 1 intra-abdominal hemorrhage occurred postoperative, all treated with expectant treatment. 3,6,12,18 months post-operation excess weight loss (EWL) was 54.9%,62.7%,80.1% and 68.4%. No uncontrolled malnutrition occurred during 3-36 month fellow-up. One gallstone(3.8%), 2 iron-deficiency anemia(7.6%) and 2 gastroesophageal reflux disease(7.6%) occurred the same time. Co-related diseases such as hypertension, fatty liver, hyperlipidemia, abnormal liver function, hyperuricemia were improved. Conclusion Laparoscopic sleeve gastrectomy is effective on weight control as well as on biochemical indicators and co-related diseases improve in obese patients. Further research is required to compare the effect of sleeve gastrectomy with gastric bypass and other bariatric surgeries.

Key words: laparoscopic sleeve gastrectomy, obesity, diabetes, blood lipid

CLC Number:

R656.6

Xing Ying, Yan Wenmao, Qin Xiaoguang, Li Youguo, Xu Jun, Zhong Zhiqiang, Bai Rixing. Analysis of laparoscopic sleeve gastrectomy for obesity[J]. Journal of Capital Medical University, 2017, 38(1): 85-91.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2017.01.018

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2017/V38/I1/85

References

[1] Chapman A E, Kiroff G, Game P, et al.Laparoscopic adjustable gastric banding in the treatment of obesity:a systematic literature review[J].Surgery, 2004, 135(3):326-351.
[2] DeMaria E J, Sugerman H J, Kellum J M, et al.Results of 281 consecutive total laparoscopic Roux-en-Y gastric bypasses to treat morbid obesity[J].Ann Surg, 2002, 235(5):640-645.
[3] Sugerman H J.Bariatric surgery for severe obesity[J].Proc Am Philos Soc, 2011, 155(3):263-275.
[4] Rosenthal R J, International Sleeve Gastrectomy Expert Panel,Diaz A A,et al.International Sleeve Gastrectomy Expert Panel Consensus Statement:best practice guidelines based on experience of>12,000 cases[J].Surg Obes Relat Dis, 2012, 8(1):8-19.
[5] Flegal K M, Carroll M D, Kit B K, et al.Prevalence of obesity and trends in the distribution of body mass index among US adults,1999-2010[J].JAMA, 2012, 307(5):491-497.
[6] Buchwald H, Oien D M.Metabolicbariatric surgery worldwide 2008[J].Obesi Surg, 2009, 19(12):1605-1611.
[7] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2010年版)[J].中国糖尿病杂志, 2012, 19(1):1227-1245.
[8] Abraham A, Ikramuddin S, Jahansouz C, et al. Trends in bariatric surgery:procedure selection, revisional surgeries, and readmissions[J]. Obes Surg, 2016, 26(7):1-7.
[9] Almogy G, Crookes P F, Anthone G J.Longitudinal gastrectomy as a treatment for the high-risk super-obese patient[J].Obes Surg, 2004, 14(4):492-497.
[10] Al-Sabah S K, Almazeedi S M, Dashti S A, et al.The Efficacy of laparoscopic sleeve gastrectomy in treating adolescent obesity[J].Obes Surg, 2015, 25(1):50-54.
[11] Albanopoulos K, Tsamis D, Natoudi M, et al.The impact of laparoscopic sleeve gastrectomy on weight loss and obesity-associated comorbidities:the results of 3 years of follow-up[J].Surg Endosc, 2015, 32(2):699-705.
[12] Gagner M, Deitel M, Kalberer T L, et al.The second international consensus summit for sleeve gastrectomy,March 19-21,2009[J].Surg Obes Relat Dis 2009, 5(4):476-485.
[13] Boza C, Daroch D, Barros D, et al.Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure[J].Surg Obes Relat Dis, 2014, 10(6):1129-1133.
[14] Saleh M, Cheruvu M S, Moorthy K, et al. Laparoscopic sleeve gastrectomy using a synthetic bioabsorbable staple line reinforcement material:post-operative complications and 6 year outcomes[J]. Ann Med Surg(Lond),2016,10:83-87.
[15] Pekkarinen T, Mustonen H, Sane T, et al. Long-term effect of gastric bypass and sleeve gastrectomy on severe obesity:do preoperative weight loss and binge eating behavior predict the outcome of bariatric surgery?[J]. Obes Surg, 2016, 26(9):2161-2167.
[16] Hutter M M, Schirmer B D, Jones D B, et al.First report from the American College of Surgeons-Bariatric Surgery Center Network:laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass[J].Ann Surg, 2011, 254(3):410-420.
[17] Melissas J,Stavroulakis K,Tzikoulis V,et al.Sleeve gastrectomy vs roux-en-Y gastric bypass. Data from IFSO-European Chapter Center of excellence program[J].Obes Surg, 2016[Epub ahead of print].
[18] Liu S Y, Wong S K, Lam C C, et al.Long-term results on weight loss and diabetes remission after laparoscopic sleeve gastrectomy for a morbidly obese chinese population[J].Obes Surg, 2015, 25(10):1901-1908.
[19] Gentileschi P.Laparoscopic sleeve gastrectomy as a primary operation for morbid obesity:experience with 200 patients[J].Gastroenterol Res Pract, 2012, 2012:810325.
[20] 沈迪建, 叶环, 王跃东, 等.腹腔镜袖状胃切除术对肥胖相关疾病的治疗分析[J].中华胃肠外科杂志, 2012, 15(11):1139-1141.
[21] 钱东, 张辰, 赵宏志, 等.腹腔镜袖状胃切除术后远期效果分析[J].腹腔镜外科杂志, 2011, 16(11):814-815.
[22] Abu-Ghanem Y, Inbar R, Tyomkin V, et al.Effect of sleeve gastrectomy on thyroid hormone levels[J].Obes Surg, 2015, 25(3):452-456.
[23] Shabbir A, Dargan D. The success of sleeve gastrectomy in the management of metabolic syndrome and obesity[J]. J Biomed Res, 2015, 29(2):93-97.
[24] Maciejewski M L, Arterburn D E, Van Scoyoc L, et al. Bariatric surgery and long-term durability of weight loss[J]. JAMA Surg, 2016,151(11):1046-1055.