LAPAROSCOPIC SLEEVE GASTRECTOMY – OUR EXPERIENCE ON 183 PATIENTS

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Article Title:	LAPAROSCOPIC SLEEVE GASTRECTOMY – OUR EXPERIENCE ON 183 PATIENTS
Authors:	C. Duta1, Carmen Neamtu2*, Dana Barjica1, A.Dobrescu1, C. Lazar1, B. Totolici2
Affiliation:	1„ Victor Babes” University of Medicine and Pharmacy Timisoara, Second Surgical Clinic, Timisoara, Romania 2„Vasile Goldiş” Western University of Arad – Faculty of Medicine, Pharmacy and Dental Medicine, Arad, Romania
Abstract:	. Morbid obesity is an important public health problem worldwide, its impact on the population is extreme due to its comorbidities. So, hypertension, diabetes type I or type II, chronic venous insufficiency of the lower limbs, lumbar problems and other diseases of bones and joints, lead to decreased life span of obese patients more than 20 years. Conservative treatment has temporary effect and is often followed by regaining weight greater than the loss. Laparoscopic sleeve gastrectomy is a relatively new bariatric procedure, being performed for the first time in the year 2000 by Gagner. It is a successful bariatric method due to its high efficacy and feasibility. Our experience includes 183 patients who underwent laparoscopic sleeve gastrectomy in Surgery Clinic II of the Emergency County Hospital Timisoara between January 2008 – December 2012. Sex ratio is in favor of women in the study group, sex ratio was 2.81. Most commonly affected are the third, second and the fourth decade. The most common comorbidity was the type II diabetes, which resolved at a rate of 87.67% after surgery. Postoperative complication rate was 3.27% and mortality rate was 1.09%. Average BMI was 46. The average postoperative follow up was 36 months. ESWL was 74.45% at one year and 68.32% at two years. Three years value was of 63.34%. laparoscopic sleeve gastrectomy is safe and effective in the treatment of morbid obesity and remission of major comorbidities such as diabetes and hypertension.
Keywords:	Laparoscopic sleeve gastrectomy – LSG, morbid obesity – MO, diabetes mellitus – DM, chronic venous insufficiency – CVI
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*Correspondence:	Carmen Neamtu Str. Gradinarilor Nr.43 Arad, Romania Mobile: 0723225793 Mail: carmen.neamtu@gmail.com