Bariatric Times - Supplement A - Covidien - (Page 13)

THE 2007 INTERNATIONAL CONSENSUS SUMMIT ON SLEEVE GASTRECTOMY The Three-Year Results of Laparoscopic Sleeve Gastrectomy in the Treatment of Morbid Obesity in Korea by WONWOO KIM, MD AUTHOR AFFILIATION: Dr. Kim is Chief Director of MediHeal Weight Loss Surgery Center, Seoul, Korea. ADDRESS CORRESPONDENCE TO: Dr. Wonwoo Kim, Hillside Bldg., 3F, 83-21, Cheongdam-dong, Gangnam-gu, Seoul, 135-100, Korea; Phone: 82-2-511-1516; Fax: 82-2-511-1687; E-mail:wonwook@gmail.com KEY POINTS • Eating habits and the types of food eaten are different in Asia compared to Western countries. • Estimating method of ideal body weight should be applied differently in Asian people. • Treatment of obesity and bariatric procedures are different in Asia. n Asia, the types and the main cause of morbid obesity are different from those in Western society. Therefore, the treatment plan should be different and the surgery for morbid obesity should be carefully chosen. The three-year results from isolated laparoscopic sleeve gastrectomy (LSG) performed in the Korean population are reported. We retrospectively reviewed 150 patients who underwent LSG from January 2003 to July 2006. Eightythree of these patients had more than three years of follow-up and represent the subject of this report. Sleeve gastrectomy was performed laparoscopically using Endo-GIA stapler to create a lesser curve gastric tube over 48-Fr bougie. We used a bioelectrical impedance analysis (BIA) (Figure 1) and New York Metropolitan Insurance table to check the ideal I body weight. The preoperative body mass index (BMI) was 36.6±4.9 (30.0–56.1). The percent excess weight loss (EWL) after postoperative one, two, and three years were 88.0±26.8, 87.0±35.8, and 84.3±38.1 in BIA, respectively, which were 71.1±22.2, 69.1±28.6, and 66.8±30.4 in the New York Metropolitan Insurance table, respectively (Figure 2). The percent of excess BMI loss (%EBMIL) after one, two, and three years (Figure 3) was 72.6±24.1, 70.9±31.1, and 68.7±32.7, respectively (Figure 4). Weight loss plateaued at 18 months for the majority of patients. According to the Reinhold’s classification (Figure 5), of 83 patients three years postoperatively, 37 patients (44.6%) had greater than 75percent EBMIL, 22 patients SUPPLEMENT A] [JUNE 2008, Bariatric Times 13

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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