title: Results of Laparoscopic Sleeve Gastrectomy in 541 Consecutive Patients with Low Baseline Body Mass Index (30-35 kg/m2).
abstract: Laparoscopic sleeve gastrectomy (LSG) is currently the leading bariatric procedure and targets, among other obesity classes, patients with BMI 30-35 kg/m2, which are reaching alarming proportions.
  
  
  
  Between February 2010 and August 2015, data on 541 consecutive patients with BMI 30-35 kg/m2undergoing LSG were prospectively collected and analyzed.
  
  
  
  Mean age was 32 ± 8 years (13-65) and 419 (77.4 %) were women. Preoperative weight was 92.0 ± 8.8 kg (65-121) and BMI was 32.6 ± 1.5 kg/m2(30-35). Comorbidities were detected in 210 (39 %) patients. Operative time was 74 ± 12 min (40-110) and postoperative stay was 1.7 ± 0.22 days (1-3). There were no deaths, leaks, abscesses or strictures and the rate of hemorrhage was 1.2 %. At 1 year, 98 % were followed and BMI decreased to 24.7 ± 1.6, the percentage of total weight loss (% TWL) was 24.1 ± 4.7 while the percentage of excess BMI loss (%EBMIL) reached 106.1 ± 24.1. At 5 years, 76 % of followed patients achieved a ≥50 % EBMIL.
  
  
  
  With appropriate surgical expertise, LSG in patients with BMI 30-35 kg/m2achieved excellent outcomes with a zero fistula rate.
authors.affiliation: Department of Digestive Surgery, Hôtel-Dieu de France Hospital and University Saint Joseph Medical School, Beirut, 166830, Lebanon. Rogernoun@gmail.com.
authors.forename: Roger
authors.initials: R
authors.lastname: Noun
authors.affiliation: Department of Gastroenterology, Hôtel-Dieu de France Hospital and University Saint Joseph Medical School, Beirut, 166830, Lebanon.
authors.forename: Rita
authors.initials: R
authors.lastname: Slim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hôtel-Dieu de France Hospital and University Saint Joseph Medical School, Beirut, 166830, Lebanon.
authors.forename: Marwan
authors.initials: M
authors.lastname: Nasr
authors.affiliation: Department of Digestive Surgery, Hôtel-Dieu de France Hospital and University Saint Joseph Medical School, Beirut, 166830, Lebanon.
authors.forename: Ghassan
authors.initials: G
authors.lastname: Chakhtoura
authors.affiliation: Department of Digestive Surgery, Hôtel-Dieu de France Hospital and University Saint Joseph Medical School, Beirut, 166830, Lebanon.
authors.forename: Joseph
authors.initials: J
authors.lastname: Gharios
authors.affiliation: Department of Nutrition, Hôtel-Dieu de France Hospital and University Saint Joseph Pharmacy School, Beirut, 166830, Lebanon.
authors.forename: Nayla Abi
authors.initials: NA
authors.lastname: Antoun
authors.affiliation: Department of Anesthesiology, Hôtel-Dieu de France Hospital and University Saint Joseph Medical School, Beirut, 166830, Lebanon.
authors.forename: Eliane
authors.initials: E
authors.lastname: Ayoub
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015992:Body Mass Index; D015897:Comorbidity; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D015431:Weight Loss / Q000502:physiology; D055815:Young Adult
keywords: BMI 30–35 kg/m2; Gastric leaks; Mild obesity; Obesity surgery; Sleeve gastrectomy