Treatment of super super morbid obesity by sleeve gastrectomy - 27/03/08
Jean-Marc Catheline [1],
Régis Cohen [2],
Inès Khochtali [2],
Hélène Bihan [2],
Gérard Reach [2],
Robert Benamouzig [3],
Joseph Benichou [1]
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Summary |
Interest of work > The longitudinal or “sleeve” gastrectomy was recently introduced into the therapeutic arsenal of the bariatric surgeon. It is a restrictive procedure that reduces stomach capacity by 75%. We present here a preliminary experience with four patients.
Methods > Four patients with super super obesity (body mass index (BMI) > 60 kg/m2) underwent longitudinal or “sleeve” gastrectomy. Their average preoperative weight was 173 kg (range: 147-190 kg) and mean BMI 65 kg/m2 (range: 61-67 kg/m2).
Results > The average post-operative follow-up was 6 months (range: 2-12 months). Average weight loss at 6 months was 40 kg (range: 20-60 kg) and average decrease in BMI at 6 months 16.3 kg/m2 (range: 6-23 kg/m2). We noted a postsurgical complication in only one patient (subdiaphragmatic abscess treated with drainage).
Perspectives > These preliminary results suggest that the sleeve gastrectomy is associated with few perioperative complications and offers rapidly effective treatment for super super morbid obesity. Long-term results require further investigation.
Esquema
© 2006 Elsevier Masson SAS. Tous droits réservés.
Vol 35 - N° 3-C1
P. 383-387 - mars 2006 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.