Outcomes of Laparoscopic Sleeve Gastrectomy in Patients with Morbid Obesity: A Single Institution Study

Objective: To determine the outcomes of laparoscopic sleeve gastrectomy in patients with morbid obesity. Study Design: Retrospective study. Place and Duration of Study: Department of Surgery, Jinnah Hospital Lahore from 1st January 2017 to 31st December 2018. Materials and Methods: Twenty patients of both genders with ages 30 to 60 years were included in this analysis. Informed written consent was taken from all the patients. All the patients had undergone laparoscopic sleeve gastrectomy. Preoperative and postoperative data such as body mass index, weight loss and also of comorbidities were analyzed. Bariatric Analysis and Reporting Outcome System (BAROS) scoring system was used to analyze the outcomes. Follow-up was taken at 1 year post-operatively. Results: There were 14 (70%) female patients and 6 (30%) males with mean age of 42.35 +/- 10.57 years. Comorbidities such as depression, hypertension, diabetes mellitus, hyperlipidemia and obstructive sleep apnea were recorded as 20%, 15%, 25%, 5% and 10% patients respectively. Mean difference of excess body weight loss was 29.35 +/- 13.75 kg at 1 year follow-up and mean body mass index was 12.25+4.58 kg/m(2). Postoperative systolic blood pressure improvement was observed in 11 (55%) patients. A significant improvement was observed regarding diabetes mellitus (preoperatively mean HbA1C 8.2 +/- 2.4 vs postoperatively mean HbA1C 5.24 +/- 1.3) p-value <0.001. According to the BAROS score, 2 (10%) showed excellent, 8 (40%) showed very good, 9 (45%) showed good, 1 (5%) showed fair and no patient showed poor outcomes. Conclusion: Laparoscopic sleeve gastrectomy in patients with morbid obesity was safe and effective treatment modality with very low rate of complications.