title: [Longitudinal sleeve gastrectomy as a stand-alone bariatric procedure: Results of a multicenter retrospective study].
abstract: BACKGROUND
  Sleeve gastrectomy as an isolated procedure is a new option in bariatric surgery. The aim of this study was to evaluate its short and medium term (2 years) results in a multicenter setting.
  
  
  METHODS
  This is a retrospective study including 446 patients undergoing surgery in 14 teaching, private, and public hospitals.
  
  
  RESULTS
  The immediate post-operative course were uneventful in 83.3% of patients. Minor complications occurred in 10.9% of patients and major complications in 5.3%. Suture line leaks occurred in 4.3% of the whole series. There was no mortality and the rate of reoperation was 2%. Overall mean weight loss after two years was 32 kg and the mean excess weight loss was 62%. Weight loss was significantly greater in non super-obese patients (p=0.0003).
  
  
  CONCLUSIONS
  This study confirms the feasibility of sleeve gastrectomy in a multicenter setting; it is efficacious at two years as an isolated bariatric procedure for non super-obese patients. It is possible that an additional second-stage procedure may be necessary for super-obese patients.
authors.affiliation: Service de chirurgie digestive, centre hospitalier Belfort-Montbéliard, Belfort, France. chaz.c@orange.fr
authors.forename: C
authors.initials: C
authors.lastname: Chazelet
authors.forename: P
authors.initials: P
authors.lastname: Verhaeghe
authors.forename: R
authors.initials: R
authors.lastname: Perterli
authors.forename: S
authors.initials: S
authors.lastname: Fennich
authors.forename: R
authors.initials: R
authors.lastname: Houdart
authors.forename: R
authors.initials: R
authors.lastname: Topart
authors.forename: J
authors.initials: J
authors.lastname: Tussiot
authors.forename: P
authors.initials: P
authors.lastname: Skawinski
authors.forename: G
authors.initials: G
authors.lastname: Seraille
authors.forename: J-M
authors.initials: JM
authors.lastname: Catheline
authors.forename: M
authors.initials: M
authors.lastname: Merabet
authors.forename: B
authors.initials: B
authors.lastname: Dehaye
authors.forename: V
authors.initials: V
authors.lastname: Pautot
authors.forename: G
authors.initials: G
authors.lastname: Juglard
authors.forename: J-J
authors.initials: JJ
authors.lastname: Sala
mesh_terms: D000328:Adult; D050110:Bariatric Surgery; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss