[Treatment of super super morbid obesity by sleeve gastrectomy].

Abstract

UNLABELLED:

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.

• Authors: Jean-Marc Catheline, Régis Cohen, Inès Khochtali, Hélène Bihan, Gérard Reach, Robert Benamouzig, Joseph Benichou
• Journal: Presse medicale (Paris, France : 1983) (Presse Med) Vol. 35 Issue 3 Pt 1 Pg. 383-7 (Mar 2006) ISSN: 0755-4982 [Print] France
• Vernacular Title: Traitement de la super super obésité morbide par gastrectomie longitudinale.
• PMID: 16550126 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Body Mass Index
• Female
• Gastrectomy (methods)
• Humans
• Male
• Middle Aged
• Obesity, Morbid (surgery)
• Postoperative Complications
• Treatment Outcome