Bariatric Times - Supplement A - Covidien - (Page 10)

THE 2007 INTERNATIONAL CONSENSUS SUMMIT ON SLEEVE GASTRECTOMY prospective fashion, were reviewed after some five years. RESULTS Over a period of five years, 60 patients were treated by sleeve gastrectomy. The results were evaluated after two years and five years. Forty-seven patients (78%) were available for follow-up after a median of 67 months (59–78 months). There were eight men and 39 women. Median age was 39 EWL. These patients were all offered corrective surgery, either by transforming the construction into a gastric bypass (3 patients) or by adding a duodenal switch procedure (8 patients). The remaining five patients declined all additional surgery. Five-year results. Eleven patients out of the 30 who had been successful initially regained weight and their weight stabilized to approximately 30-percent EWL DISCUSSION The sleeve gastrectomy shows a bimodal pattern of results. At two years, 65 percent of the patients did well. On the other hand, 33 percent of the initially successful patients (approximately 25% of the entire group) lost the benefit of the procedure between two and five years postoperatively. Of the 35 percent who did poorly after two years, half continued to deteriorate, even after a corrective The sleeve gastrectomy shows a bimodal pattern of results. At two years, 65 percent of the patients did well. On the other hand, 33 percent of the initially successful patients (approximately 25% of the entire group) lost the benefit of the procedure between two and five years postoperatively. years (24–65). Body mass index (BMI) averaged 43kg/m2 (35–55). Of the 47 patients available for follow-up, one patient was not considered in the evaluation: She suffered gastric necrosis in the aftermath of the operation and was submitted to a total gastrectomy, with permanent incapacity to work as a result. Of the 46 remaining patients, none had significant perioperative morbidity. Two-year results. Thirty patients did extremely well after two years (excess weight loss [EWL] >60%), with a success rate of 65 percent. Sixteen patients did not meet the goal of 50-percent 10 Bariatric Times [ J U N E 2008, (28–32%). The 19 remaining patients of the initially successful group continued to do well and showed an EWL of greater than 50 percent (51–72%). All the early failure patients who benefited from a duodenal switch procedure lost significant weight (60–81% EWL), whereas the patients submitted to gastric bypass continued to do poorly with a 30-percent EWL (29–33%). All the patients who had had little weight loss from the beginning and who declined any additional surgery continued to deteriorate and regained all their weight (EWL 10–20%). gastric bypass. However, the other half of the initial failures became successful after a duodenal switch procedure. CONCLUSION Like other restrictive procedures, the sleeve gastrectomy has difficulty maintaining results after more than two years. The major benefit and main difference with other restrictive operations is that another complementary procedure can be added at a later time in order to obtain very good weight loss. In our experience, this procedure should be a duodenal switch. SUPPLEMENT A]

Table of Contents Feed for the Digital Edition of Bariatric Times - Supplement A - Covidien

Bariatric Times - Supplement A - Covidien Contents Laparoscopic Sleeve Gastrectomy: From Magenstrasse And Mill To Sleeve Sleeve Gastrectomy Provides Resoultion of Type-2 Diabetes Without Duodenal Exclusion The Relationship Bewtween The Resected Remnant And Weight Loss Laparoscopic Sleeve Gastrectomy: Results After Two And Five Years Laparoscopic Sleeve Gastrectomy As An Initial Weight Loss Procedure For High-Risk Patients With Morbid Obesity Three-Year Results Of Laparoscopic Sleeve Gastrectomy In The Treatment Of Morbid Obesity In Korea Laparoscopic Sleeve Gastrectomy: Nutritional Concerns And PostOperative Dietary Care Laparoscopic Sleeve Gastrectomy: Prevention And Treatment Of Bleeding Prevention And Treatment Of Gerd/Hiatal Hernia And Stenosis Associated With Sleeve Gastrectomy Laparoscopic Revisions Of Sleeve Gastrectomy Survey Results

Bariatric Times - Supplement A - Covidien

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