title: Laparoscopic sleeve gastrectomy for morbid obesity with intra-operative endoscopic guidance. Immediate peri-operative and 1-year results after 25 patients.
abstract: Laparoscopic sleeve gastrectomy (LSG) represents a promising alternative option for the surgical treatment of morbid obesity. Its standard technique includes the longitudinal division of the stomach along a bougie of varying diameter. We report in this retrospective study our experience with LSG being performed with the use of intra-operative endoscopy instead of the bougie. Twenty-five consecutive patients (18 women, seven men) with a mean age of 40.2 years and mean body weight of 152.1 kg were submitted to LSG with intra-operative endoscopy in our hospital. The mean preoperative BMI was 53.5 kg/m(2). There were no conversions. Mean operative time was 117.5 min. There was no morbidity or mortality. The mean loss of excess body weight (EBW) at 3 months post-op was 19 +/- 1.8 kg, at 6 months was 28.6 +/- 4.5 kg, and at 1 year post-op was 48.9 +/- 3.7 kg (min 11-max 92). In other words the patients had lost 30 +/- 5%, 45 +/- 7.7%, and 60.8 +/- 4.3% of their EBW, respectively. The mean excess body weight loss at the day of the last visit to our outpatient clinic was 52.3 +/- 4.3 kg which corresponded to 66.4 +/- 4.3% of the total excess weight. LSG with intra-operative endoscopic guidance is a safe and efficient alternative method to treat morbid obesity and is a viable option for surgical units familiar with endoscopic techniques.
authors.affiliation: Laiko Athens General Hospital, 1st Department of Surgery, University of Athens, 17 Agiou Thoma St, 11527, Athens, Greece.
authors.forename: T
authors.initials: T
authors.lastname: Diamantis
authors.forename: A
authors.initials: A
authors.lastname: Alexandrou
authors.forename: E
authors.initials: E
authors.lastname: Pikoulis
authors.forename: D
authors.initials: D
authors.lastname: Diamantis
authors.forename: J
authors.initials: J
authors.lastname: Griniatsos
authors.forename: E
authors.initials: E
authors.lastname: Felekouras
authors.forename: E
authors.initials: E
authors.lastname: Papalambros
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care / Q000295:instrumentation / Q000379:methods; D010535:Laparoscopy; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D015431:Weight Loss
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