What is the Actual Fate of Super-Morbid-Obese Patients Who Undergo Laparoscopic Sleeve Gastrectomy as the First Step of a Two-Stage Weight-Reduction Operative Strategy?

The overall success-rate of the two-stage treatment plan for the treatment of super-morbid obesity has not yet been assessed. We reviewed the long-term results of 41 treated super-morbid-obese patients. Mean initial BMI was 59.5 ± 3.5 kg/m 2 . Twelve patients (29.3 %) achieved after only LSG a BMI 5...

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Veröffentlicht in:	Obesity surgery 2012-10, Vol.22 (10), p.1623-1628
Hauptverfasser:	Alexandrou, A., Felekouras, E., Giannopoulos, A., Tsigris, C., Diamantis, T.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Bariatric Surgery - methods Body Mass Index Clinical Report Female Follow-Up Studies Gastrointestinal surgery Gastroplasty - methods Humans Laparoscopy Male Medicine Medicine & Public Health Middle Aged Obesity Obesity, Morbid - metabolism Obesity, Morbid - physiopathology Obesity, Morbid - surgery Patient Selection Prognosis Retrospective Studies Risk Assessment Surgery Surgical techniques Time Factors Treatment Outcome Weight control
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Zusammenfassung:	The overall success-rate of the two-stage treatment plan for the treatment of super-morbid obesity has not yet been assessed. We reviewed the long-term results of 41 treated super-morbid-obese patients. Mean initial BMI was 59.5 ± 3.5 kg/m 2 . Twelve patients (29.3 %) achieved after only LSG a BMI 50 % of their EBW. The two-stage strategy is an effective treatment plan for super-morbid obesity. A less patient-dependent strategy may be needed for a subset of patients.
ISSN:	0960-8923 1708-0428
DOI:	10.1007/s11695-012-0718-9