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Sleeve gastrectomy as a surgical technique in bariatric surgery: Results of safety and effectiveness
The aim of this study is to evaluate the safety and effectiveness results of sleeve gastrectomy as a bariatric technique. Observational follow-up study of a cohort of patients who underwent sleeve gastrectomy in our center between 2008 and 2017. A total of 223 patients were included: 166 as a primar...
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Published in: | Cirugia española (English ed.) 2020-12 |
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Main Authors: | , , , , , , , , |
Format: | Article |
Language: | eng ; spa |
Online Access: | Get full text |
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Summary: | The aim of this study is to evaluate the safety and effectiveness results of sleeve gastrectomy as a bariatric technique.
Observational follow-up study of a cohort of patients who underwent sleeve gastrectomy in our center between 2008 and 2017. A total of 223 patients were included: 166 as a primary technique (group 1) and 57 as a hypothetical first stage (group 2).
In group 1, the postoperative morbidity is 12.6%, with a fistula rate of 4.2%; 5.4% required reoperation and mortality was 0.6%. In group 2, postoperative morbidity is 14%, with a fistula rate of 5.3%; 10.5% required reoperation and mortality was 5.3%. In group 1, 79.6% and 62.5% of patients at 2 and 5 years respectively managed to achieve a % EBMIL>50%. In group 2, the second stage was completed only in 8 patients (14.0%). Of the patients who did not complete the second stage, 32.2% and 5.9% achieved a % EEBMIL>100% at 2 and 5 years. Analyzing those who completed the second stage, the mean EEBMIL% was 90.5% and 93.4% at 2 and 5 years.
Sleeve gastrectomy is a safe technique in patients with BMI55, a preoperative optimization aimed at reducing morbidity and mortality is necessary, as well as adequately planning the second stage, without which it is clearly insufficient. |
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ISSN: | 2173-5077 |
DOI: | 10.1016/j.ciresp.2020.11.009 |