Laparoscopic Sleeve Gastrectomy for Mildly Obese Patients (Body Mass Index of 30 <35 kgm2)‎ : Operative Outcome and Short-Term Results

الملخص EN

Background.

Data concerning laparoscopic sleeve gastrectomy (LSG) in mild obesity are under investigation.

Aim/Objective.

May 2010 to May 2012, 122 consecutive patients with preoperative body mass index (BMI) of 33±2.5 kg/m2 (range 30–34.9) undergoing LSG were studied.

Mean age was 33±10 years (range 15–60), and 105 (86%) were women.

Mean preoperative weight was 91±9.7 kg (range 66–121), and preoperative excess weight was 30±6.7 kg (range 19–43).

Comorbidities were detected in 44 (36%) patients.

Results.

Mean operative time was 58±15 min (range 40–95), and postoperative stay was 1.8±0.19 days (range 1.5–3).

There were no admissions to intensive care unit and no deaths within 30 days of surgery.

The rates of leaks and strictures were 0%, and of hemorrhage 1.6%.

At 12 months, BMI decreased to 24.7±2, and the percentage of excess weight loss (% EWL) reached 76.5%.

None of the patients had a BMI below 20 kg/m2.

Comorbidities resolved in 70.5% or improved in 29.5%.

Patient satisfaction scoring (1–5) at least 1 year after was 4.6±0.8 for body image and 4.4±0.6 for food tolerance.

Conclusion.

LSG for mildly obese patients has proved to be technically relatively easy, safe, and benefic in the short term.