Tratamiento quirúrgico de la obesidad mórbida

Abstract

Objective: Determine the effectiveness of laparoscopic sleeve gastrectomy in terms of weight loss, percentage of excessive weight loss, reduction of BMI and comorbidities associated to obesity within 18 months of surgery. Evaluate postoperative complications. Material and method: Prospective study of 68 patients who underwent LSC performed according to standard technique from 2004 to 2009. Follow up was done by measuring the above mentioned variables 1, 3, 6, 12 and 18 months after surgery. Results: n = 65. The post operative weight obtained was 115.3, 102.1,95.3, 89.5 and 80.03 kg to the 1,3, 6, 12 and 18 months respectively. The BMI was 38.89, 34.33, 31.5, 29.96 and28.72 kg/m 2 to the 1,3, 6, 12 and 18 months respectively.% EWL was 30.62, 40.25, 51.36, 58.63 and 63.4% to the 1, 3, 6, 12 and 18 months respectively.% of complications was 4.6%.% of comorbidities was 27.66% and was resolved in 92% of the patients. From 65 studied patients 42 of them arrived to be controlled to the 18 months. In these patients a second bariatric procedure was not considered necessary. Conclusion: The LSG is a surgery technique with good results in terms of weight reduction and controlled comorbidities in the time period evaluated. Further follow up is needed to prove LSG efficacy in the long term.