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Erschienen in:
16.05.2016 | Original Contributions
Results of Laparoscopic Sleeve Gastrectomy in 541 Consecutive Patients with Low Baseline Body Mass Index (30–35 kg/m2)
Erschienen in: Obesity Surgery | Ausgabe 12/2016
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Background
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.
Methods
Between February 2010 and August 2015, data on 541 consecutive patients with BMI 30–35 kg/m2 undergoing LSG were prospectively collected and analyzed.
Results
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.
Conclusion
With appropriate surgical expertise, LSG in patients with BMI 30–35 kg/m2 achieved excellent outcomes with a zero fistula rate.