[Longitudinal sleeve gastrectomy as a stand-alone bariatric procedure: Results of a multicenter retrospective study].
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.
Chazelet
C
C
Service de chirurgie digestive, centre hospitalier Belfort-Montbéliard, Belfort, France. chaz.c@orange.fr
Verhaeghe
P
P
Perterli
R
R
Fennich
S
S
Houdart
R
R
Topart
R
R
Tussiot
J
J
Skawinski
P
P
Seraille
G
G
Catheline
J-M
JM
Merabet
M
M
Dehaye
B
B
Pautot
V
V
Juglard
G
G
Sala
J-J
JJ
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