Sleeve gastrectomy as a surgical technique in bariatric surgery: Results of safety and effectiveness

• Published in: Cirugia española (English ed.)
• Main Authors: Castro Vázquez, Joseba, Saravia Barahona, Fátima, Loureiro González, Carlos, Leturio Fernández, Saioa, García Fernández, Marta, Moro Delgado, Ana, Barrenetxea Asua, Julen, Ortiz Lacorzana, Javier, Díez Del Val, Ismael
• Format: Journal Article
• Language: English; Spanish
• Published: Spain 29.12.2020
• Subjects: Obesidad; Obesity; Treatment outcome; Cirugía bariátrica; Resultados de seguridad y efectividad; Bariatric surgery; Estándares de calidad; Benchmarking; Gastrectomía vertical; Gastroplasty
• ISSN: 2173-5077
• DOI: 10.1016/j.ciresp.2020.11.009

The aim of this study is to evaluate the safety and effectiveness results of sleeve gastrectomy as a bariatric technique. Observational follow-up study of a cohort of patients who underwent sleeve gastrectomy in our center between 2008 and 2017. A total of 223 patients were included: 166 as a primary technique (group 1) and 57 as a hypothetical first stage (group 2). In group 1, the postoperative morbidity is 12.6%, with a fistula rate of 4.2%; 5.4% required reoperation and mortality was 0.6%. In group 2, postoperative morbidity is 14%, with a fistula rate of 5.3%; 10.5% required reoperation and mortality was 5.3%. In group 1, 79.6% and 62.5% of patients at 2 and 5 years respectively managed to achieve a % EBMIL>50%. In group 2, the second stage was completed only in 8 patients (14.0%). Of the patients who did not complete the second stage, 32.2% and 5.9% achieved a % EEBMIL>100% at 2 and 5 years. Analyzing those who completed the second stage, the mean EEBMIL% was 90.5% and 93.4% at 2 and 5 years. Sleeve gastrectomy is a safe technique in patients with BMI<45 and effective in terms of weight loss in the short-medium term. In patients with BMI>55, a preoperative optimization aimed at reducing morbidity and mortality is necessary, as well as adequately planning the second stage, without which it is clearly insufficient.