Laparoscopic sleeve gastrectomy in obese Korean patients: up to 4-year follow-up in a single center
- Authors
- Park, Ji Yeon; Kim, Yong Jin
- Issue Date
- May-2015
- Publisher
- 대한외과학회
- Keywords
- Morbid obesity; Bariatric surgery; Laparoscopy
- Citation
- 대한외과학회지, v.88, no.5, pp 246 - 252
- Pages
- 7
- Journal Title
- 대한외과학회지
- Volume
- 88
- Number
- 5
- Start Page
- 246
- End Page
- 252
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/10686
- DOI
- 10.4174/astr.2015.88.5.246
- ISSN
- 2288-6575
2288-6796
- Abstract
- Purpose: Laparoscopic sleeve gastrectomy (LSG) has been gaining marked popularity as a stand-alone treatment for morbid obesity. This study aimed to evaluate the midterm outcomes and efficacy of LSG performed at a single center in Korea. Methods: The records of 192 consecutive patients who underwent LSG between April 2009 and December 2012 were retrospectively reviewed. The patients demographics and surgical outcomes including anthropometric data were analyzed. Results: The mean preoperative body mass index was 40.0 +/- 7.2 kg/m(2), and 120 patients (62.5%) had at least one obesity-related comorbidity. Three patients (1.6%) required endoscopic or surgical intervention to manage postoperative bleeding or leakage. At the postoperative 1-, 2-, 3-, and 4-year follow-ups, the mean percent of excess weight loss (%EWL) values were 72.6%, 80.6%, 71.1%, and 57.8%, respectively, with follow-up rates of 81%, 56%, 58%, and 30% respectively. The overall mean %EWL reached 68.3% 27.2% at a mean follow-up of 25 months. Obesity-related comorbidities were resolved in >70% of the patients after surgery. Twelve months after LSG, 25 patients (13.0%) showed a %EWL of <50%; 9 (4.79/0) required conversion to gastric bypass due to inadequate weight loss, intolerable reflux symptoms, or intractable diabetes. Conclusion: These midterm results show that LSO is a safe and effective surgical procedure for morbidly obese patients. However, a longer follow-up period is necessary to elucidate whether LSG can achieve durable weight loss and tong-term outcomes, comparable to those of more aggressive procedures.
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Collections - College of Medicine > Department of General Surgery > 1. Journal Articles
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