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Case Reports
. 2006 Mar;35(3 Pt 1):383-7.
doi: 10.1016/s0755-4982(06)74600-0.

[Treatment of super super morbid obesity by sleeve gastrectomy]

[Article in French]
Affiliations
Free article
Case Reports

[Treatment of super super morbid obesity by sleeve gastrectomy]

[Article in French]
Jean-Marc Catheline et al. Presse Med. 2006 Mar.
Free article

Abstract

INTEREST OF WORK: The longitudinal or "sleeve" gastrectomy was recently introduced into the therapeutic arsenal of the bariatric surgeon. It is a restrictive procedure that reduces stomach capacity by 75%. We present here a preliminary experience with four patients.

Methods: Four patients with super super obesity (body mass index (BMI)>60 kg/m2) underwent longitudinal or "sleeve" gastrectomy. Their average preoperative weight was 173 kg (range: 147-190 kg) and mean BMI 65 kg/m2 (range: 61-67 kg/m2).

Results: The average post-operative follow-up was 6 months (range: 2-12 months). Average weight loss at 6 months was 40 kg (range: 20-60 kg) and average decrease in BMI at 6 months 16.3 kg/m2 (range: 6-23 kg/m2). We noted a postsurgical complication in only one patient (subdiaphragmatic abscess treated with drainage).

Perspectives: These preliminary results suggest that the sleeve gastrectomy is associated with few perioperative complications and offers rapidly effective treatment for super super morbid obesity. Long-term results require further investigation.

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