Laparoscopic Sleeve Gastrectomy: Determine the Outcomes of Approach in Patients with Morbid Obesity

Aim: To examine outcomes in term of excess weight loss of laparoscopic sleeve gastrectomy in morbid obesity. Study design: Prospective/observational study. Place & duration of study: Capital Hospital CDA Islamabad from 20th Aug 2018 to 30th September 2019. Methods:Thirty two patients of both genders with ages 25 to 65 years presented with morbid obesity were enrolled. Patients detailed demographics including age, sex and co-morbidities were recorded after written consent. Laparoscopic sleeve gastrectomy procedure was done on all the patients. Weight loss, BMI and excess weight loss were examined pre and postoperatvely. Outcomes were analyzed by BAROS scoring system. Results: Twenty three (71.88%) patients were females while 9(28.13%) were males with mean age of 39.69 +/- 9.35 years. Co-morbidities such as hypertension, diabetes mellitus, hypelipidemia and obstructive sleep apnea were recorded as 8(25%), 15(46.88%), 4(12.5%) and 6(18.75%) patients respectively. A significant difference was observed regarding excess body weight loss pre and postoperatively 119.3 +/- 25.63kg and 89.62 +/- 16.42kg (p=<0.001). Mean difference of EBWL was 29.70 +/- 9.88 kg at 12 months follow-up and mean BMI was 13.85 +/- 3.45 kg/m2. Postoperative systolic blood pressure improvement was observed in 18 (56.25%) patients. Conclusion: Laparoscopic sleeve gastrectomy in patients with morbid obesity was safe and effective treatment modalities with very low rate of complications.