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KMID : 1033120130020020049
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대한비만대사외과학회지
2013 Volume.2 No. 2 p.49 ~ p.54
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Long-term Results of Laparoscopic Sleeve Gastrectomy for Body Mass Index of 30-35 kg/m2
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Hong Ji-Sun
Han Sang-Moon
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Abstract
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Purpose: In Asia, laparoscopic sleeve gastrectomy (LSG) is the leading weight loss procedure for treating morbid obesity. However, long-term results of the isolated LSG which was performed in lower body mass index (BMI) (30-35) are sparse.
Materials and Methods: We retrospectively reviewed 75 patients who underwent LSG in lower BMI (30-35) from January 2003 to January 2013. Seventy one of these patients had more than 6 months of follow-up, and they are subjects of this report. LSG was performed laparoscopically using Endo-GIA stapler to create a lesser curve gastric tube over a 48-Fr bougie. Since 2007, 36-Fr bougie has been used for resection, and continuous sero-muscular suture at resection margin has been added. The longest follow up time is 90 months.
Results: The age before surgery was 33.7±10.3 years. The mean weight was 85.7±9.0 kg and the mean BMI was 32.4±1.6 kg/m2 preoperatively. The percentage of excess BMI loss (%EBMIL) in the postoperative first, third and fifth year was 84.1±25.5, 79.8±31.0 and 78.5±28.5. However, the follow up rate is decreased by postoperative time. The follow up rate in third year is 71.8% and fifth year is 42.9%. There was no 30-day peri-operative mortality and major complications including bleeding and leakage.
Conclusion: These finding show that LSG is an effective and safe weight loss option for lower BMI Korean patients. The randomized prospective control study between gastric banding and LSG, or Roux-en-Y gastric bypass and LSG is needed to confirm long-term weight loss effect and safety.
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KEYWORD
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Laparoscopic sleeve gastrectomy, Lower body mass index, Long-term
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