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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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. Published by Elsevier Ltd. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-a1bbef9f879b33cf29dc39e9a11ddd97ecdae21e8463e55f25b6ad9028ca54573</citedby><cites>FETCH-LOGICAL-c445t-a1bbef9f879b33cf29dc39e9a11ddd97ecdae21e8463e55f25b6ad9028ca54573</cites><orcidid>0000-0003-4424-0981 ; 0000-0002-2414-3511</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1743919116300322$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27063637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-01872134$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Lemaître, Frédéric</creatorcontrib><creatorcontrib>Léger, Philippe</creatorcontrib><creatorcontrib>Nedelcu, Marius</creatorcontrib><creatorcontrib>Nocca, David</creatorcontrib><title>Laparoscopic sleeve gastrectomy in the South Pacific. 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%. 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.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>27063637</pmid><doi>10.1016/j.ijsu.2016.04.002</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4424-0981</orcidid><orcidid>https://orcid.org/0000-0002-2414-3511</orcidid><oa>free_for_read</oa></addata></record> |
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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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