title: Simultaneous intra-gastric balloon removal and laparoscopic sleeve gastrectomy for the super-super obese patients--a prospective feasibility study.
abstract: BACKGROUND
  The aim of the study was to prospectively evaluate the feasibility and clinical efficacy of a strategy of performing simultaneous balloon removal and sleeve gastrectomy in the super-super obese patients.
  
  
  METHODS
  Forty consecutive super-super obese patients underwent intra-gastric balloon insertion followed by simultaneous balloon removal and sleeve gastrectomy 6 months later.
  
  
  RESULTS
  Balloon insertion resulted in a reduction in mean body mass index from 69.3 ± 1.4 to 62.3 ± 1.3 kg/m2. Simultaneous balloon removal and sleeve gastrectomy was achieved in 39 cases. There were no operative mortality and no leaks. Six months following sleeve gastrectomy, the mean BMI of the cohort had fallen to 54.1 ± 1.2 kg/m2.
  
  
  CONCLUSIONS
  Simultaneous balloon removal and sleeve gastrectomy in the super-super obese patients is feasible as a single-stage procedure with good perioperative outcomes.
authors: Department of Upper Gastrointestinal Surgery, St George's Healthcare NHS Trust, Blackshaw Road, London, SW17 0QT, UK. okhan342@gmail.com
authors: Omar
authors: O
authors: Khan
authors: Shashidhar
authors: S
authors: Irukulla
authors: Nimalan
authors: N
authors: Sanmugalingam
authors: Georgios
authors: G
authors: Vasilikostas
authors: Marcus
authors: M
authors: Reddy
authors: Andrew
authors: A
authors: Wan
mesh_terms: D015992:Body Mass Index; D020878:Device Removal / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D015905:Gastric Balloon; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011446:Prospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome
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