Laparoscopic Isolated Sleeve Gastrectomy in Morbid Obesity

Han, Sang Moon; Kim, Won Woo

Abstract

BACKGROUND: In Asia due to cultural background (food, life style) and environmental factors, type of obesity and previously defined operative indication is different from western country. Therefore, surgical procedure also must be applied differently under pattern of obesity. In this report we are trying to introduce our early result of laparoscopic sleeve gastrectomy without duodenal switch in Asian population.
METHODS
We retrospectively reviewed 43 consecutive patients who underwent laparoscopic sleeve gastrectomy between January 2003 and May 2004. Four 12mm ports and one 15mm port are placed. The sleeve gastrectomy was done as routine fashion using ligasure and endo-GIA stapler to create a lesser curve gastric tube over 48 French bougie
RESULTS
Excess weight loss was achieved in 68.6% during first six months postoperatively and 78.4% within 12 months. Body mass index was decreased average 8.8kg/cm2 during first 12 months postoperatively. Median weight loss at 12 months was 23.2kg. Postoperative dyslipidemia was improved in 78% of patient within 12 months of operation. Diabetes as a co-morbidity was disappeared 100% of patient within 6 months postoperatively. Hypertension was disappeared in 90%, improved in 100% of patients within 12 months postoperatively and most of them were improved by decreasing their previous drug dosage. Arthritis and joint pain were improved 100% of patient within 12 months postoperatively. Weight loss plateaued at 12 months for the majority of patients
CONCLUSION
Additional studies and further follow up are needed to determine the best surgical treatment for Asian morbid obesity patient. However sleeve gastrectomy without duodenal switch operation can be an effective single weight loss procedure especially in Asian country.