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Objective: Obesity, which is considered as a chronic disease today, has become an epidemic problem especially in developed countries. Laparoscopic sleeve gastrectomy (LSG) is currently one of the most common bariatric procedures in obesity treatment. This study aimse aims to present our demographic, clinical, histopathological and postoperative early and late complications of patients who underwent LSG.
Material and Methods: Patients who underwent LSG due to obesity between March 2018 and December 2019 in our clinic were included in the study. The patients' age, gender, comorbid diseases, preoperative body mass index (BMI) and length of hospital stay, postoperative complications and pathology results were recorded retrospectively.
Results: Of the 278 patients included in the study, 201 (72.3%) were female, 77 (27.6%) were male and the mean age was 36.2 (min: 18-max: 60 years). The mean BMI of the patients was 46.4 (min: 35.2-max: 75.1). The average hospital stay of the patients was 4.2 days (3-13 days). When the early and late complications of the patients are examined; It was observed that 25 (8.9%) patients developed early postoperative complications, and 2 (0.7%) patients developed late postoperative complications.
Conclusion: LSG is a reliable surgical method with low mortality and morbidity rates. It is important that we do not have mortality and that our morbidity is within acceptable limits. Bariatric surgery is an effective and reliable application in the treatment of obesity and metabolic surgery today, in terms of its results, if the right patient is selected and performed in experienced centers.
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2. Ali M, El Chaar M, Ghiassi S, Rogers AM; American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. American Society for Metabolic and Bariatric Surgery updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2017 Oct;13(10):1652-1657
3. Fobi MA. Surgical treatment of obesity: a review. J Natl Med Assoc 2004;96:61–75
4. World Health Organization. WHO global database on body mass index.
5. Adams T, Gress M, Smith S, et al. Long-term mortality after gastric bypass surgery. N Engl J Med 2007;357:753-761.
6. Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, Thomas S, Abood B, Nissen SE, Bhatt DL. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med 2012;366:1567-1576.
7. Lazzati A, Guy-Lachuer R, Delaunay V, et al. Bariatric surgery trends in France: 2005-2011. Surg Obes Relat Dis 2014;10(2):328-34.
8. Guetta O, Vakhrushev A, Dukhno O, Ovnat A, Sebbag G. New results on the safety of laparoscopic sleeve gastrectomy bariatric procedure for type 2 diabetes patients. World Journal of Diabetes.2019; 10(2), 78.
9. World Health Organization. “Obesity: preventing and managing the global epidemic: report of a WHO consultation on obesity, Geneva, 3-5 June 1997.” (1998).
10. Baysal A. Aksoy M, Bozkurt N ve ark. Diyet El Kitabı. Ankara: Hatiboğlu Yayınevi: 2011.
11. Gagner M, Hutchinson C, Rosenthal R. Fifth International Consensus Conference: current status of sleeve gastrectomy. Surg Obes Relat Dis 2016;12:750–6.
12. Bariyatrik Cerrahi Klavuzu. Türkiye Endokrinoloji ve Metabolizma Derneği. 2018
13. Melmer A, Sturm W, Kuhnert B et al. Incidence of gallstone formation and cholecystectomy 10 years after bariatric surgery. Obes Surg 2015;25(7):1171-6.
14. Larjani S, Spivak I, Hao Guo M, Aliarzadeh B, Wang W, Robinson S, et al. Preoperative predictors of adherence to multidisciplinary follow-up care postbariatric surgery. Surg Obes Relat Dis 2016;12:350–6.
15. Benaiges D, Goday A, Pedro-Botet J, Más A, Chillarón JJ, Flores-Le Roux JA. Bariatric surgery: to whom and when? Minerva Endocrinol 2015;40:119–28.
16. Baker RS, Foote J, Kemmeter P, et al. The science of stapling and leaks. Obes Surg 2004;14(10):1360-6
17. Consten EC, Gagner M, Pomp A, et al. Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane. Obes Surg. 2004 Nov-Dec;14(10):1360-6.
18. Omarov T, Ibrahimova A, Abdullayev A, Bayramov N, Şahin TT. Bariatric surgery in Azerbaijan: a single center experience. Laparoscopic Endoscopic Surgical Science (LESS). 2017; 24(4), 122-127.