262199

Assessment of Late Complications after Laparoscopic Sleeve Gastrectomy for Morbid Obesity Patients

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Last updated: 03 Jan 2025

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Abstract

Background: Despite laparoscopic sleeve gastrectomy's (LSG) success as a surgical treatment for morbid obesity, complications are not uncommon and can have serious consequences, including patient death. Objective: To report late complications of LSG that may be encountered after one month, including stricture, nutritional complications, and gastroesophageal reflux disease (GERD). Subjects and Methods: At General Surgery Department, Zagazig University Hospitals, 18patients were involved in our prospective cohort study, they were obese with body mass index (BMI) exceeding 40kg/m2 or BMI exceeding 35kg/m2, and associated comorbidities such as hypertension and diabetes mellitus (DM). Results: More than fourth (27.7%) of the patients were positive GERD. No mortality was reported among them, 16.7% of cases were positive gall bladder stones (GBS). Two cases (11.1%) suffered from hiatus hernia. Post-operatively, there was a considerable drop in BMI, the mean baseline BMI of cases group was 47±1.85 ranging from 44 to 50, the mean post-operative BMI after 6months became 36.78±2.67 and the mean BMI after 1year reached 31.61±2.99kg/m2 and significant increase in percentage of weight loss after operation was observed. About 2/3 (64.3%) of DM cases showed full remission and 35.7% of cases were good DM controlled. Conclusion: Laparoscopic sleeve gastrectomy is a simple surgical procedure resulting in low rate of late complication with insignificant long-term nutritional deficiencies, especially when compared to the other alternatives. General surgeons should have understood of the complications associated with LSG and an approach for dealing with them. Late complications include strictures, nutritional deficiencies, and GERD.  

DOI

10.21608/ejhm.2022.262199

Keywords

Laparoscopic sleeve gastrectomy, Late Complications

Authors

First Name

Amr

Last Name

Ibrahim

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First Name

Tarek Ezzat

Last Name

Abdel Latif

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First Name

Amir Ahmed

Last Name

Eldurssi

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Email

aldrsyamyr@gmail.com

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First Name

Tamer Mohamed

Last Name

Elshahidy

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-09-29

Publish Date

2022-10-01

Page Start

5,213

Page End

5,219

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_262199.html

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https://ejhm.journals.ekb.eg/service?article_code=262199

Order

169

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Assessment of Late Complications after Laparoscopic Sleeve Gastrectomy for Morbid Obesity Patients

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Article

Created At

22 Jan 2023