doiSerbia

Long-term results of laparoscopic gastric sleeve resection due to morbid obesity and metabolic syndrome

Ilić Miroslav (Institute for Pulmonary Diseases of Vojvodina, Clinic for Thoracic Surgery, Sremska Kamenica + Medical Faculty, Novi Sad)
Putnik Srđan S. (General Hospital Vršac, Department of General Surgery, Vršac + Faculty of Medical Sciences, Kragujevac)
Raspopović Katarina (Faculty of Medical Sciences, Kragujevac)

Introduction. The aim of this paper was to presents long-term results of a laparoscopic gastric sleeve resection in a “super super” obese patient and a follow-up period of eight years. Case Outline. A patient with Body Mass Index (BMI) of 70 kg/m2 and Stage 3 obesity according to “King’s Obesity Staging Criteria” (KOSC), with metabolic syndrome and cardiovascular risk of over 20%, and a pronounced severe obstructive sleep apnea, underwent a laparoscopic gastric sleeve resection (LGS). After two years, the patient reached BMI of 28.4 kg/m2 and eight years after the surgery has BMI of 34.3 kg/m2, and %EBMIL (% Excess BMI Loss) of 79.3%. According to the KOCS, he falls under Stage 0. Conclusion. LGS resection may be performed as a stand-alone procedure in “super super” obese patients, with excellent long-term results.

Keywords: morbid obesity, bariatric surgery, laparoscopy, sleeve gastrectomy, weight loss