Laparoscopic sleeve gastrectomy in the treatment of obesity – own experience

Introduction. Sleeve gastrectomy has become more and more popular due to a seemingly easy method of performance, good outcomes with regard to body mass reduction and elimination of obesity-related diseases and an acceptable number of complications. The paper presents outcomes of surgical treatment of patients with morbid obesity using laparoscopic sleeve gastrectomy, based on authors’ own material. Material and methods. The analysis included prospectively collected data of subsequent patients operated on between January 2010 and February 2012. Demographic data, parameters of body weight reduction, surgery parameters, complications and resolution of co-morbidities were evaluated. Results. 95 patients (63 females and 32 males) were operated. The body weight prior to the surgery was 126 ± 19 kg and BMI 44 ± 5 kg/m2, whereas one year after the surgery the values were 92 ± 18 kg and 32 ± 5 kg/m2, respectively. The percentage of excess weight loss (%EWL) after 12 months was 56 ± 19%. Two serious complications, including 1 (1.1%) leak and 1 (1.1%) stenosis were observed. Complete remission or improvement after the surgery was observed for arterial hypertension in 61 (84.7%) patients, type 2 diabetes in 20 (58.8%) patients, regression of dyslipidaemia in 29 (50%) and of articular complaints in 25 (51%) patients. Conclusions. Laparoscopic sleeve gastrectomy is effective weight loss procedure in the majority of patients. Sleeve gastrectomy has beneficial effects on the elimination of obesity-related diseases. This surgery is associated with a relatively low number of complications. In the case of serious complications such as a leak or stenosis long-term treatment at hospital is necessary.