TITLE:
Laparoscopic Sleeve Gastrectomy Outcomes
AUTHORS:
Mohannad Eledreesi, Mohammed Alrayas, Ayman Aledreesi, Nawaf Alharthi, Youssef Alishi, Hussam Adi, Abdullah Alzharani, Turki Alhawiti
KEYWORDS:
Gastrectomy, Morbid Obesity, Sleeve Gastrectomy
JOURNAL NAME:
Surgical Science,
Vol.13 No.4,
April
22,
2022
ABSTRACT: Introduction: Sleeve gastrectomy was first defined in 1990 as a part of the duodenal
switch procedure with the formation of a narrow stomach tube along the small curvature of the
stomach. Later, researchers proposed that Laparoscopic leave gastrectomy (LSG)
reduced the risk profile of the duodenal switch procedure in high risk
patients. Additionally, LSG was accepted as a rapid single bariatric surgical
procedure due to its simplicity and efficacy. The
aim of this study was to describe the outcomes of LSG at a single bariatric
unit in King Salman North West Armed Forced Hospital (KSAFH), Tabuk, Saudi
Arabia. Objective: To compare outcomes of primary LSG regarding pre and post operative sleep
apnea, diabetes mellitus (DM), arterial hypertension (HTN), bronchial asthma,
female urinary incontinence, infertility, and
gastroesophageal reflux (GERD). We will assess our complications according to the Clavein-Dindo classification. We
reviewed the medical records of patients who underwent LSG in King Salman Armed
Forces Hospital from 1/1/2015 till 31/6/2017. Methods: This retrospective comparative study is performed in the Department of
Surgery, KSAFH. All patients are instructed for follow-up at 1
week and 1, 3, 6, 12, 18, 24 months postoperatively. Laboratory tests are requested every 6
months post op. Improvement of Comorbidities assessed post-operatively. Surgical Complications reported
according to the Clavein-Dindo classification. Our results were compared
with international studies. Inclusion criteria (more than 14 years, morbid
obese with BMI > 40 and obese class 11 with comorbidities). Exclusion
criteria (less than 14 years, BMI Results: A total of 127 patients underwent LSG at King Salman Armed Forces
Hospital from 1/1/2015 till 31/5/2017. Of these, 40 were male (31.5%) and 87 were female
(68.5%). The mean age was 35 years. Comorbidities included diabetes 31 (24.4%),