Article ; Online: Effectiveness and Safety of Laparoscopic Sleeve Gastrectomy for Weight Loss in Mild Obesity: Prospective Cohort Study with 3-Year Follow-up.
2022 Volume 32, Issue 6, Page(s) 1918–1925
Abstract: Purpose: Patients with mild obesity especially in absence of associated medical problems (OAMP) are commonly managed by non-surgical approaches. Laparoscopic sleeve gastrectomy (LSG) has proved itself to be effective and it is now the most performed ... ...
| Abstract | Purpose: Patients with mild obesity especially in absence of associated medical problems (OAMP) are commonly managed by non-surgical approaches. Laparoscopic sleeve gastrectomy (LSG) has proved itself to be effective and it is now the most performed weight loss procedure. We aimed to study the effectiveness and safety of LSG for weight loss in mild obesity. Methods: A prospective cohort study. Group A; BMI (30-34.9 kg/m Results: A total of 250 patients, with 80 patients (32%) in group A, and 170 (68%) in group B. The majority were female. The mean preoperative weight, BMI, and excess weight were 90.1 ± 9.52, 32.7 ± 1.4, and 21.5 ± 4.9 in group A, and 129.88 ± 26.12, 47.8 ± 8.2, and 62.3 ± 23.6 kg in group B respectively. The low BMI group had significantly lower OAMP, with higher pre-LSG non-surgical procedures rate. Overall post-operative morbidity rate was significantly higher in group B. %TWL was significantly lower in low BMI group. Nutritional profile was within the normal range in both groups at 3-year follow-up. Conclusion: Laparoscopic sleeve gastrectomy is a safe and effective weight loss solution for mild obesity with better outcome than for higher BMI. Further studies are warranted to reconsider NIH's statement for medicolegal aspects, and for matching the current changes in bariatric surgery practice, safety evidence, and patients' demand. |
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| MeSH term(s) | Body Mass Index ; Female ; Follow-Up Studies ; Gastrectomy/methods ; Humans ; Laparoscopy/methods ; Male ; Obesity, Morbid/surgery ; Prospective Studies ; Retrospective Studies ; Treatment Outcome ; Weight Loss |
| Language | English |
| Publishing date | 2022-02-24 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 1070827-3 |
| ISSN | 1708-0428 ; 0960-8923 |
| ISSN (online) | 1708-0428 |
| ISSN | 0960-8923 |
| DOI | 10.1007/s11695-022-05958-5 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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