[Laparoscopic sleeve gastrectomy. A bariatric procedure with multiple indications]

Abstract

Objectives: We present our experience with laparoscopic sleeve gastrectomy (LSG), a restrictive bariatric procedure with multiple indications.

Methods: We performed LSG in 30 patients. The technique was performed in: 1) 6 patients with superobesity, as the first stage in laparoscopic duodenal switch; 2) 7 morbidly obese patients with severe comorbidities (4 with cirrhosis); 3) 16 obese patients with a low BMI (35-43); and 4) 1 patient with prior lap band requiring conversion.

Results: One patient with a BMI of 74 died (3.2% mortality). The percentage of excess BMI lost was 63.1% at 4-27 months in the 6 patients with superobesity, 76% (69-100) in the 4 cirrhotic patients, 68.5% (58.3-123) at 3-27 months in the 16 obese patients and only 13% in the patient with prior lap-band as this patient had already lost excess weight.

Conclusion: LSG can be the ideal technique in patients with a BMI > 55 and in morbidly obese patients with severe intercurrent diseases. It is an excellent alternative to banding in patients with low BMI and in those with bands requiring conversion.