Effectiveness of Laparoscopic Sleeve Gastrectomy for Weight Loss in Morbid Obese Patients

Muhammad Naeem Taj, Israr Ahmed, Yasmin Iqbal, Zakia Akbar, Muhammad Aamir Saeed, Muhammad Adnan
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Abstract

Objective: To determine the effectiveness of laparoscopic sleeve gastrectomy for weight loss in morbidly obese patients at Capital Hospital, Islamabad. Methodology: This descriptive case series study was done at Capital Hospital, CDA, Islamabad during a period of one-year from February 2019 to January 2020. All the patients with a body mass index of 35 or greater, with or without comorbidities, aged 18 to 65 years of either gender were included. All the patients underwent laparoscopic sleeve gastrectomy for weight loss. At the 1st, third, and 6th month’s follow-up, postoperative weight loss was noted. Effectiveness was taken in terms of > 10% weight loss maintained at 6 months.  Results: The overall study participants' average age was 57±9.77 years, and females were in the majority (62%). Overall, laparoscopic sleeve gastrectomy was effective in 85% of patients and was not effective in 15% of patients. The average BMI was 37.31 kg/m2. Laparoscopic sleeve gastrectomy showed effectiveness in 57 (85%) patients, while 10 (15%) of the patients' weight was not lost. Effectiveness was statistically insignificant according to age, gender, and comorbidities, p-values were quite insignificant (>0.05). Conclusion: Laparoscopic sleeve gastrectomy was observed to be an effective technique for weight loss in morbid obese patients. It did decrease the morbidities and improve the quality of life.
腹腔镜袖式胃切除术对病态肥胖患者减肥的效果
目的:探讨伊斯兰堡首都医院腹腔镜袖胃切除术治疗病态肥胖患者减肥的效果。方法:本描述性病例系列研究于2019年2月至2020年1月在伊斯兰堡CDA首都医院进行,为期一年。所有体重指数大于或等于35的患者,不论有无合并症,年龄在18岁到65岁之间,男女不限。所有患者均行腹腔镜袖胃切除术以减轻体重。在第1、3、6个月的随访中,观察到术后体重减轻。以体重减轻> 10%维持6个月为有效标准。结果:研究对象的平均年龄为57±9.77岁,女性居多(62%)。总的来说,腹腔镜袖胃切除术在85%的患者中有效,在15%的患者中无效。平均BMI为37.31 kg/m2。腹腔镜袖胃切除术57例(85%)患者有效,10例(15%)患者体重未减轻。不同年龄、性别、合并症的疗效差异均无统计学意义,p值均无统计学意义(>0.05)。结论:腹腔镜袖胃切除术是一种治疗病态肥胖的有效方法。它确实降低了发病率,提高了生活质量。
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