Abstract
Background
Reports on the postoperative outcomes of sleeve gastrectomy (SG) have only been from
small, single-center series and meta-analyses of studies with variable SG management.
The objective of this study was to evaluate post-SG outcomes in a specialized bariatric
surgery center with a routinely performed standardized procedure.
Methods
The postoperative complication rate, operating times, and postoperative data were
evaluated from all patients undergoing a primary SG between November 2004 and February
2012. Results were analyzed for 3 separate surgical periods, which differed with perioperative
management.
Results
Of 600 patients (mean age: 41.8±11.3; mean body mass index [BMI]: 47.2±16 kg/m²; 80%
were women who underwent primary SG), 26.8% had a BMI≥50 kg/m². The mean operating
time was 84 minutes. The rate of conversion was 1%. There were no postoperative deaths.
The overall complication rate was 8.5%; the major complication rate was 5.6%; the
revisional surgery rate was 4.6% and the gastric leak rate was 2.5%. Over the course
of the 3 study periods, the operating time fell from 91±32 to 79±22 minutes (P≤.001); the length of hospital stay decreased from 4.5±4.9 to 3.4±4.3 days (P = .02); the major complication rate fell from 6.4% to 5.5% (P = NS); and the gastric fistula rate decreased from 4.6% to 1.9% (P = NS).
Conclusion
In a specialist bariatric surgery center, SG had an acceptable complication rate.
Modifications in the perioperative management of SG were associated with a shorter
mean operating time and hospital stay and did not increase the major complication
or gastric fistula rates.
Keywords
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Article info
Publication history
Published online: January 13, 2014
Accepted:
December 26,
2013
Received:
October 16,
2013
Identification
Copyright
© 2014 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
