title: Laparoscopic sleeve gastrectomy: our first 100 patients.
abstract: BACKGROUND
  Laparoscopic sleeve gastrectomy is becoming a popular procedure for the morbidly obese patient. Its utilization as a standalone procedure has good results with weight loss in short- and midterm reports. The aim of this study was to assess our technique and whether it warranted any modifications in the early postoperative period.
  
  
  METHODS
  Our first 100 consecutive patients undergoing laparoscopic sleeve gastrectomy were retrospectively reviewed. Data analysis was conducted at 3 and 6 months to assess the percentage of excess body weight loss and comorbidity status change.
  
  
  RESULTS
  The percentage of excess body weight loss at the 3- and 6-month marks was 34.2% and 49.1%, respectively. Comorbidities were also improved at the 3- and 6-month marks. Hypertension resolved in 38%, hyperlipidemia resolved in 19%, and diabetes in 46%. Complication rate during the first 6 months was 10%. Major complications included 2 patients with postoperative bleeding, 2 patients with acute renal failure from dehydration, and 1 postoperative bleeding patient who developed a gastric fistula. No surgical reintervention was required for any complication.
  
  
  CONCLUSIONS
  Our technique is a safe method that is easily reproducible and does not require any modification. Laparoscopic sleeve gastrectomy is an excellent surgical option with a low complication rate.
authors: Department of Surgery, Louisiana State University School of Medicine, New Orleans, Louisiana, USA.
authors: Ashish
authors: A
authors: Nath
authors: Karl A
authors: KA
authors: Leblanc
authors: Mark G
authors: MG
authors: Hausmann
authors: Kenny
authors: K
authors: Kleinpeter
authors: Brent W
authors: BW
authors: Allain
authors: Roderick
authors: R
authors: Romero
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