Laparoscopic Sleeve Gastrectomy for High-Risk Patients: Weight Loss and Comorbidity Improvement—Short- Term Results
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Conor J. Magee & Jonathan Barry & Mayilone Arumugasamy & Shafiq Javed & Robert Macadam & David D. Kerrigan
- چاپ و سال / کشور: 2010
Description
Background The obesity surgery mortality risk score (OSMRS) is a five-point scoring system stratifying the risk of post-operative mortality. Patients with a body mass index (BMI)>60 may also carry an increased risk of peri-operative complications. Laparoscopic sleeve gastrectomy (LSG) as an initial procedure could reduce weight and associated comorbidity allowing a safer, definitive second procedure. We investigated weight loss and risk reduction in patients having LSG as part of a planned two-stage definitive bariatric procedure. Methods Patients with a high OS-MRS (4–5), males with BMI>60 or femaleswith BMI>65, who underwent LSG were identified from a prospective database. Data were analysed by means of the Mann–Whitney U and Chi-squared test. Results Sixty-eight patients underwent LSG. LSG reduced median BMI at 12 months (68 versus 54, P<0.001) and the OS-MRS (3 versus 2, P=0.005). An increase in patients considered low risk (OS-MRS, 0–1) was seen following LSG (35% versus 14%, P=0.006). The proportion of patients with BMI<50 increased from 0% to 30% (P<0.001). Improvement or resolution of diabetes and hypertension was seen in 23% and 25% of cases, respectively. Conclusions LSG achieves good weight loss, reduces the OS-MRS and improves obesity-related comorbidity in high-risk surgical patients.
OBES SURG (2011) 21:547–550 DOI 10.1007/s11695-010-0226-8 Published online: 10 July 2010
