Laparoscopic sleeve gastrectomy in the South Pacific. Retrospective evaluation of 510 patients in a single institution

Abstract Introduction The South Pacific has a high prevalence of obesity and super-obesity. We reviewed our experience with laparoscopic sleeve gastrectomy (LSG) to evaluate its efficacy and safety. Methods A retrospective review of a prospectively collected database of LSGs carried out by one surge...

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Veröffentlicht in:International journal of surgery (London, England) England), 2016-06, Vol.30, p.1-6
Hauptverfasser: Lemaître, Frédéric, Léger, Philippe, Nedelcu, Marius, Nocca, David
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creator Lemaître, Frédéric
Léger, Philippe
Nedelcu, Marius
Nocca, David
description Abstract Introduction The South Pacific has a high prevalence of obesity and super-obesity. We reviewed our experience with laparoscopic sleeve gastrectomy (LSG) to evaluate its efficacy and safety. Methods A retrospective review of a prospectively collected database of LSGs carried out by one surgeon in one center. The percentage of excess weight loss and the rate of resolution or improvement of comorbidities reflected efficacy, and major complications or mortalities reflected safety. Results From January 2008 to February 2013, we performed 510 surgeries and included 494 consecutive patients (367 females) (45.5 ± 11.2 years) in our study. LSG was the primary procedure in 384 patients, 6 patients had redo bariatric surgery after failure of initial LSG, 57 patients had a history of gastric banding with insufficient weight loss or band-related complications, and 46 super-obese patients had an intragastric balloon placed before LSG. Average starting body mass index was 47.8 kg m−2 . Mean percent excess weight loss was 64.3% at 1 year; 67.3% at 2 years and 66.4% at 3 years. The percentages of resolved comorbidities were as follows: hypertension: 48.3%, type 2 diabetes mellitus: 72.5%, dyslipidemia: 61.0%, and obstructive sleep apnea: 77.8%. The mortality rate was 1/494. The postoperative morbidity included gastric fistula in 3.0%, hemorrhaging in 2.4%, and postoperative gastroesophageal reflux in 9.4%. Conclusions In the South Pacific, LSG is a safe and effective means of treating morbid obesity with sustained weight loss and resolution of comorbid medical conditions.
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Retrospective evaluation of 510 patients in a single institution</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><source>Free E-Journal (出版社公開部分のみ)</source><creator>Lemaître, Frédéric ; Léger, Philippe ; Nedelcu, Marius ; Nocca, David</creator><creatorcontrib>Lemaître, Frédéric ; Léger, Philippe ; Nedelcu, Marius ; Nocca, David</creatorcontrib><description>Abstract Introduction The South Pacific has a high prevalence of obesity and super-obesity. We reviewed our experience with laparoscopic sleeve gastrectomy (LSG) to evaluate its efficacy and safety. Methods A retrospective review of a prospectively collected database of LSGs carried out by one surgeon in one center. The percentage of excess weight loss and the rate of resolution or improvement of comorbidities reflected efficacy, and major complications or mortalities reflected safety. Results From January 2008 to February 2013, we performed 510 surgeries and included 494 consecutive patients (367 females) (45.5 ± 11.2 years) in our study. LSG was the primary procedure in 384 patients, 6 patients had redo bariatric surgery after failure of initial LSG, 57 patients had a history of gastric banding with insufficient weight loss or band-related complications, and 46 super-obese patients had an intragastric balloon placed before LSG. Average starting body mass index was 47.8 kg m−2 . Mean percent excess weight loss was 64.3% at 1 year; 67.3% at 2 years and 66.4% at 3 years. The percentages of resolved comorbidities were as follows: hypertension: 48.3%, type 2 diabetes mellitus: 72.5%, dyslipidemia: 61.0%, and obstructive sleep apnea: 77.8%. The mortality rate was 1/494. The postoperative morbidity included gastric fistula in 3.0%, hemorrhaging in 2.4%, and postoperative gastroesophageal reflux in 9.4%. Conclusions In the South Pacific, LSG is a safe and effective means of treating morbid obesity with sustained weight loss and resolution of comorbid medical conditions.</description><identifier>ISSN: 1743-9191</identifier><identifier>EISSN: 1743-9159</identifier><identifier>DOI: 10.1016/j.ijsu.2016.04.002</identifier><identifier>PMID: 27063637</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Bariatric surgery ; Bariatric Surgery - adverse effects ; Bariatric Surgery - methods ; Body Mass Index ; Comorbidity ; Databases, Factual ; Female ; Gastrectomy - adverse effects ; Gastrectomy - methods ; Gastric Balloon ; Gastric Bypass - methods ; Gastric Fistula - etiology ; Gastroesophageal Reflux - etiology ; Human health and pathology ; Humans ; Laparoscopic sleeve gastrectomy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Life Sciences ; Male ; Middle Aged ; Morbidity ; Obesity, Morbid - surgery ; Postoperative Period ; Prevalence ; Reoperation ; Retrospective Studies ; South Pacific ; Surgery ; Treatment Outcome ; Weight Loss</subject><ispartof>International journal of surgery (London, England), 2016-06, Vol.30, p.1-6</ispartof><rights>2016 IJS Publishing Group Ltd</rights><rights>Copyright © 2016 IJS Publishing Group Ltd. 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Retrospective evaluation of 510 patients in a single institution</title><title>International journal of surgery (London, England)</title><addtitle>Int J Surg</addtitle><description>Abstract Introduction The South Pacific has a high prevalence of obesity and super-obesity. We reviewed our experience with laparoscopic sleeve gastrectomy (LSG) to evaluate its efficacy and safety. Methods A retrospective review of a prospectively collected database of LSGs carried out by one surgeon in one center. The percentage of excess weight loss and the rate of resolution or improvement of comorbidities reflected efficacy, and major complications or mortalities reflected safety. Results From January 2008 to February 2013, we performed 510 surgeries and included 494 consecutive patients (367 females) (45.5 ± 11.2 years) in our study. LSG was the primary procedure in 384 patients, 6 patients had redo bariatric surgery after failure of initial LSG, 57 patients had a history of gastric banding with insufficient weight loss or band-related complications, and 46 super-obese patients had an intragastric balloon placed before LSG. Average starting body mass index was 47.8 kg m−2 . Mean percent excess weight loss was 64.3% at 1 year; 67.3% at 2 years and 66.4% at 3 years. The percentages of resolved comorbidities were as follows: hypertension: 48.3%, type 2 diabetes mellitus: 72.5%, dyslipidemia: 61.0%, and obstructive sleep apnea: 77.8%. The mortality rate was 1/494. The postoperative morbidity included gastric fistula in 3.0%, hemorrhaging in 2.4%, and postoperative gastroesophageal reflux in 9.4%. Conclusions In the South Pacific, LSG is a safe and effective means of treating morbid obesity with sustained weight loss and resolution of comorbid medical conditions.</description><subject>Adult</subject><subject>Bariatric surgery</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - methods</subject><subject>Body Mass Index</subject><subject>Comorbidity</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - methods</subject><subject>Gastric Balloon</subject><subject>Gastric Bypass - methods</subject><subject>Gastric Fistula - etiology</subject><subject>Gastroesophageal Reflux - etiology</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Laparoscopic sleeve gastrectomy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Period</subject><subject>Prevalence</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>South Pacific</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><issn>1743-9191</issn><issn>1743-9159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kkFv1DAQhSMEoqXwBzggH-lhg8d24lhCSFUFFGmlVrQ9W44z6Tpk4xA7kfbf42jLHjhw8tj63pP83mTZe6A5UCg_dbnrwpyzNOdU5JSyF9k5SME3Cgr18jQrOMvehNBRKmgF1evsjEla8pLL82zZmtFMPlg_OktCj7ggeTIhTmij3x-IG0jcIbn3c9yRO2Nd62xOfmJMojExLvG4mH420fmB-JYUQMmYbjjEsMoNCW546jHNIbo4r9zb7FVr-oDvns-L7PHb14frm8329vuP66vtxgpRxI2BusZWtZVUNee2ZaqxXKEyAE3TKIm2McgAK1FyLIqWFXVpGkVZZU0hCskvssuj7870epzc3kwH7Y3TN1dbvb5RqCQDLhZI7McjO07-94wh6r0LFvveDOjnoEEqISSUjCWUHVGbUggTtidvoHrtRnd67Uav3WgqdOomiT48-8_1HpuT5G8ZCfh8BDAlsjicdLApRYuNW9vQjXf_9__yj9z2bnDW9L_wgKHz8zSkrDXowDTV9-t2rMsBJaeUp1_9ATbAtks</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Lemaître, Frédéric</creator><creator>Léger, Philippe</creator><creator>Nedelcu, Marius</creator><creator>Nocca, David</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0003-4424-0981</orcidid><orcidid>https://orcid.org/0000-0002-2414-3511</orcidid></search><sort><creationdate>20160601</creationdate><title>Laparoscopic sleeve gastrectomy in the South Pacific. Retrospective evaluation of 510 patients in a single institution</title><author>Lemaître, Frédéric ; Léger, Philippe ; Nedelcu, Marius ; Nocca, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-a1bbef9f879b33cf29dc39e9a11ddd97ecdae21e8463e55f25b6ad9028ca54573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Bariatric surgery</topic><topic>Bariatric Surgery - adverse effects</topic><topic>Bariatric Surgery - methods</topic><topic>Body Mass Index</topic><topic>Comorbidity</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Gastrectomy - adverse effects</topic><topic>Gastrectomy - methods</topic><topic>Gastric Balloon</topic><topic>Gastric Bypass - methods</topic><topic>Gastric Fistula - etiology</topic><topic>Gastroesophageal Reflux - etiology</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Laparoscopic sleeve gastrectomy</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Period</topic><topic>Prevalence</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>South Pacific</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lemaître, Frédéric</creatorcontrib><creatorcontrib>Léger, Philippe</creatorcontrib><creatorcontrib>Nedelcu, Marius</creatorcontrib><creatorcontrib>Nocca, David</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>International journal of surgery (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lemaître, Frédéric</au><au>Léger, Philippe</au><au>Nedelcu, Marius</au><au>Nocca, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic sleeve gastrectomy in the South Pacific. Retrospective evaluation of 510 patients in a single institution</atitle><jtitle>International journal of surgery (London, England)</jtitle><addtitle>Int J Surg</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>30</volume><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>1743-9191</issn><eissn>1743-9159</eissn><abstract>Abstract Introduction The South Pacific has a high prevalence of obesity and super-obesity. We reviewed our experience with laparoscopic sleeve gastrectomy (LSG) to evaluate its efficacy and safety. Methods A retrospective review of a prospectively collected database of LSGs carried out by one surgeon in one center. The percentage of excess weight loss and the rate of resolution or improvement of comorbidities reflected efficacy, and major complications or mortalities reflected safety. Results From January 2008 to February 2013, we performed 510 surgeries and included 494 consecutive patients (367 females) (45.5 ± 11.2 years) in our study. LSG was the primary procedure in 384 patients, 6 patients had redo bariatric surgery after failure of initial LSG, 57 patients had a history of gastric banding with insufficient weight loss or band-related complications, and 46 super-obese patients had an intragastric balloon placed before LSG. Average starting body mass index was 47.8 kg m−2 . Mean percent excess weight loss was 64.3% at 1 year; 67.3% at 2 years and 66.4% at 3 years. The percentages of resolved comorbidities were as follows: hypertension: 48.3%, type 2 diabetes mellitus: 72.5%, dyslipidemia: 61.0%, and obstructive sleep apnea: 77.8%. The mortality rate was 1/494. The postoperative morbidity included gastric fistula in 3.0%, hemorrhaging in 2.4%, and postoperative gastroesophageal reflux in 9.4%. 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source MEDLINE; Elsevier ScienceDirect Journals Complete; Free E-Journal (出版社公開部分のみ)
subjects Adult
Bariatric surgery
Bariatric Surgery - adverse effects
Bariatric Surgery - methods
Body Mass Index
Comorbidity
Databases, Factual
Female
Gastrectomy - adverse effects
Gastrectomy - methods
Gastric Balloon
Gastric Bypass - methods
Gastric Fistula - etiology
Gastroesophageal Reflux - etiology
Human health and pathology
Humans
Laparoscopic sleeve gastrectomy
Laparoscopy - adverse effects
Laparoscopy - methods
Life Sciences
Male
Middle Aged
Morbidity
Obesity, Morbid - surgery
Postoperative Period
Prevalence
Reoperation
Retrospective Studies
South Pacific
Surgery
Treatment Outcome
Weight Loss
title Laparoscopic sleeve gastrectomy in the South Pacific. Retrospective evaluation of 510 patients in a single institution
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