Laparoscopic Sleeve Gastrectomy as an Alternative to Gastric Bypass in Patients with Multiple Intraabdominal Adhesions

Background Laparoscopic sleeve gastrectomy and its indications are currently being evaluated. The objective of this study was to show the preliminary results obtained with this technique indicated as an alternative to gastric bypass in patients with multiple intraabdominal adhesions, therefore prese...

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Veröffentlicht in:Obesity surgery 2008-05, Vol.18 (5), p.566-568
Hauptverfasser: Quesada, Bernabé Matías, Roff, Hernán Eduardo, Kohan, Gustavo, Salvador Oría, Alejandro, Chiappetta Porras, Luis Tomás
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container_end_page 568
container_issue 5
container_start_page 566
container_title Obesity surgery
container_volume 18
creator Quesada, Bernabé Matías
Roff, Hernán Eduardo
Kohan, Gustavo
Salvador Oría, Alejandro
Chiappetta Porras, Luis Tomás
description Background Laparoscopic sleeve gastrectomy and its indications are currently being evaluated. The objective of this study was to show the preliminary results obtained with this technique indicated as an alternative to gastric bypass in patients with multiple intraabdominal adhesions, therefore preserving the benefits of the laparoscopic approach. Methods An analysis of all patients who underwent a laparoscopic sleeve gastrectomy for the above indication was done. Data included demographics, number of previous surgeries, operative time, morbidity, mortality, and %EWL at 3 and 6 months. Results Fifteen patients underwent laparoscopic sleeve gastrectomy as an alternative to gastric bypass because of multiple intraabdominal adhesions. No patient required conversion to an open procedure; morbidity was 6% with no mortality. %EWL at 3 months was 41% and at 6 months was 44%. Mean follow-up was 6 months. Conclusion In our initial experience, laparoscopic sleeve gastrectomy proved to be a safe and effective alternative to gastric bypass for patients with multiple intraabdominal adhesions.
doi_str_mv 10.1007/s11695-007-9302-0
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The objective of this study was to show the preliminary results obtained with this technique indicated as an alternative to gastric bypass in patients with multiple intraabdominal adhesions, therefore preserving the benefits of the laparoscopic approach. Methods An analysis of all patients who underwent a laparoscopic sleeve gastrectomy for the above indication was done. Data included demographics, number of previous surgeries, operative time, morbidity, mortality, and %EWL at 3 and 6 months. Results Fifteen patients underwent laparoscopic sleeve gastrectomy as an alternative to gastric bypass because of multiple intraabdominal adhesions. No patient required conversion to an open procedure; morbidity was 6% with no mortality. %EWL at 3 months was 41% and at 6 months was 44%. Mean follow-up was 6 months. 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subjects Abdomen - pathology
Adult
Female
Gastrectomy - methods
Gastric Bypass
Gastrointestinal surgery
Humans
Laparoscopy
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Research Article
Surgery
Surgical outcomes
Surgical techniques
Tissue Adhesions
title Laparoscopic Sleeve Gastrectomy as an Alternative to Gastric Bypass in Patients with Multiple Intraabdominal Adhesions
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