Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry

Background Reports on laparoscopic sleeve gastrectomy (LSG) communicate very good short-term results on very high-risk morbid obese patients. However, mid- and longterm results are still unknown. A National Registry has been created in Spain to achieve information on the outcomes of this bariatric p...

Descripción completa

Detalles Bibliográficos
Autores: Sánchez Santos, Raquel, Masdevall, Carles, Baltasar, Aniceto, Martínez Blazquez, Cándido, García Ruiz de Gordejuela, Amador, Ponsi, Enric, Sánchez Pernaute, Andrés, Vesperinas, Gregorio, Del Castillo, Daniel, Bombuy, Ernest, Durán Escribano, Carlos, Ortega, Luis, Ruiz de Adana, Juan Carlos, Baltar, Javier, Maruri, Ignacio, García Blázquez, Emilio, Torres, Antonio
Tipo de recurso: artículo
Fecha de publicación:2009
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/71402
Acceso en línea:http://hdl.handle.net/10810/71402
Access Level:acceso abierto
Palabra clave:Sleeve gastrectomy
Mid-term results
Spanish National Registry
Obesity surgery
id ES_0bf656cd7b33c859be14821cd4d84d50
oai_identifier_str oai:addi.ehu.eus:10810/71402
network_acronym_str ES
network_name_str España
repository_id_str
spelling Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National RegistrySánchez Santos, RaquelMasdevall, CarlesBaltasar, AnicetoMartínez Blazquez, CándidoGarcía Ruiz de Gordejuela, AmadorPonsi, EnricSánchez Pernaute, AndrésVesperinas, GregorioDel Castillo, DanielBombuy, ErnestDurán Escribano, CarlosOrtega, LuisRuiz de Adana, Juan CarlosBaltar, JavierMaruri, IgnacioGarcía Blázquez, EmilioTorres, AntonioSleeve gastrectomyMid-term resultsSpanish National RegistryObesity surgeryBackground Reports on laparoscopic sleeve gastrectomy (LSG) communicate very good short-term results on very high-risk morbid obese patients. However, mid- and longterm results are still unknown. A National Registry has been created in Spain to achieve information on the outcomes of this bariatric procedure. Methods Data were obtained from 17 centers and collected in a database. Technical issues, preoperative comorbid conditions, hospital stay, early and late complications, and short- and mid-term weight loss were analyzed. Results Five hundred forty patients were included; 76% were women. Mean BMI was 48.1±10. Mean age was 44.1±11.8. Morbidity rate was 5.2% and mortality rate 0.36%. Complications presented more frequently in superobese patients (OR, 2.8 (1.18–6.65)), male (OR, 2.98 (1.26–7.0)), and patients >55 years old (OR, 2.8 (1.14–6.8)). Staple-line reinforcement was related to a lower complication rate (3.7 vs 8.8%; p=0.039). Mean hospital stay was 4.8±8.2 days. Mean follow-up was 16.5±10.6 months (1–73). Mean percent excess BMI loss (EBL) at 3 months was 38.8±22, 55.6±8 at 6 months, 68.1±28 at 12 months, and 72.4±31 at 24 months. %EBL was superior in patients with lower initial BMI and lower age. Bougie caliber was an inverse predictive factor of%EBL at 12 and 24months (RR, 23.3 (11.4–35.2)). DMis remitted in 81% of the patients and HTA improved in 63.2% of them. A second-stage surgery was performed in 18 patients (3.2%). Conclusions LSG provides good short- and mid-term results with a low morbid-mortality rate. Better results are obtained in younger patients with lowest BMI. Staple-line reinforcement and a thinner bougie are recommended to improve outcome.Springer202520252009info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/71402reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://doi.org/10.1007/s11695-009-9892-9info:eu-repo/semantics/openAccess© 2009, Springer Science Business Media, LLCoai:addi.ehu.eus:10810/714022026-06-18T09:23:17Z
dc.title.none.fl_str_mv Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry
title Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry
spellingShingle Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry
Sánchez Santos, Raquel
Sleeve gastrectomy
Mid-term results
Spanish National Registry
Obesity surgery
title_short Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry
title_full Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry
title_fullStr Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry
title_full_unstemmed Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry
title_sort Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry
dc.creator.none.fl_str_mv Sánchez Santos, Raquel
Masdevall, Carles
Baltasar, Aniceto
Martínez Blazquez, Cándido
García Ruiz de Gordejuela, Amador
Ponsi, Enric
Sánchez Pernaute, Andrés
Vesperinas, Gregorio
Del Castillo, Daniel
Bombuy, Ernest
Durán Escribano, Carlos
Ortega, Luis
Ruiz de Adana, Juan Carlos
Baltar, Javier
Maruri, Ignacio
García Blázquez, Emilio
Torres, Antonio
author Sánchez Santos, Raquel
author_facet Sánchez Santos, Raquel
Masdevall, Carles
Baltasar, Aniceto
Martínez Blazquez, Cándido
García Ruiz de Gordejuela, Amador
Ponsi, Enric
Sánchez Pernaute, Andrés
Vesperinas, Gregorio
Del Castillo, Daniel
Bombuy, Ernest
Durán Escribano, Carlos
Ortega, Luis
Ruiz de Adana, Juan Carlos
Baltar, Javier
Maruri, Ignacio
García Blázquez, Emilio
Torres, Antonio
author_role author
author2 Masdevall, Carles
Baltasar, Aniceto
Martínez Blazquez, Cándido
García Ruiz de Gordejuela, Amador
Ponsi, Enric
Sánchez Pernaute, Andrés
Vesperinas, Gregorio
Del Castillo, Daniel
Bombuy, Ernest
Durán Escribano, Carlos
Ortega, Luis
Ruiz de Adana, Juan Carlos
Baltar, Javier
Maruri, Ignacio
García Blázquez, Emilio
Torres, Antonio
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Sleeve gastrectomy
Mid-term results
Spanish National Registry
Obesity surgery
topic Sleeve gastrectomy
Mid-term results
Spanish National Registry
Obesity surgery
description Background Reports on laparoscopic sleeve gastrectomy (LSG) communicate very good short-term results on very high-risk morbid obese patients. However, mid- and longterm results are still unknown. A National Registry has been created in Spain to achieve information on the outcomes of this bariatric procedure. Methods Data were obtained from 17 centers and collected in a database. Technical issues, preoperative comorbid conditions, hospital stay, early and late complications, and short- and mid-term weight loss were analyzed. Results Five hundred forty patients were included; 76% were women. Mean BMI was 48.1±10. Mean age was 44.1±11.8. Morbidity rate was 5.2% and mortality rate 0.36%. Complications presented more frequently in superobese patients (OR, 2.8 (1.18–6.65)), male (OR, 2.98 (1.26–7.0)), and patients >55 years old (OR, 2.8 (1.14–6.8)). Staple-line reinforcement was related to a lower complication rate (3.7 vs 8.8%; p=0.039). Mean hospital stay was 4.8±8.2 days. Mean follow-up was 16.5±10.6 months (1–73). Mean percent excess BMI loss (EBL) at 3 months was 38.8±22, 55.6±8 at 6 months, 68.1±28 at 12 months, and 72.4±31 at 24 months. %EBL was superior in patients with lower initial BMI and lower age. Bougie caliber was an inverse predictive factor of%EBL at 12 and 24months (RR, 23.3 (11.4–35.2)). DMis remitted in 81% of the patients and HTA improved in 63.2% of them. A second-stage surgery was performed in 18 patients (3.2%). Conclusions LSG provides good short- and mid-term results with a low morbid-mortality rate. Better results are obtained in younger patients with lowest BMI. Staple-line reinforcement and a thinner bougie are recommended to improve outcome.
publishDate 2009
dc.date.none.fl_str_mv 2009
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/71402
url http://hdl.handle.net/10810/71402
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.1007/s11695-009-9892-9
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
© 2009, Springer Science Business Media, LLC
eu_rights_str_mv openAccess
rights_invalid_str_mv © 2009, Springer Science Business Media, LLC
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869403257724469248
score 15,812429

Similares en LA Referencia