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W2024411906 startingPage "63" @default.
W2024411906 abstract "Background:The laparoscopic sleeve gastrectomy (LSG) is emerging as an effective bariatric operation and is especially attractive in high-risk populations. In this study we examine the efficacy of LSG as a stand-alone operation in the veteran population.Methods:This is a retrospective review of consecutive patients who underwent LSG as a stand-alone procedure at the Palo Alto Veterans Affairs medical center with a minimum 12-month follow-up.Results:Of 205 patients undergoing bariatric surgery, 71 patients had a sleeve gastrectomy, 40 of whom had the operation performed at least 12 months previously. Thirty-six (90%) were available for 1-year follow-up, with a mean follow-up duration of 22 months (range: 12–42), a mean body mass index of 48.3 kg/m2, and an 83% male population. Mean percent excess weight loss was 61% at an average of 22 months, with no significant difference between severely obese, morbidly obese, and super obese cohorts. Diabetes remission was seen in 56% of patients, hypertension remission in 51.6%, and obstructive sleep apnea remission in 46.4%, and gastroesophageal reflux disease improved or did not change in 83%. Medication use significantly decreased after surgery.Conclusion:LSG is safe and effective as a stand-alone bariatric operation in the high-risk veteran population. It is effective in severely obese, morbidly obese, and super obese patients. LSG induces remission or improvement in comorbidities of nearly all patients, translating to a decrease in medication use." @default.
W2024411906 created "2016-06-24" @default.
W2024411906 creator A5022920852 @default.
W2024411906 creator A5032665301 @default.
W2024411906 creator A5062602363 @default.
W2024411906 date "2013-01-01" @default.
W2024411906 modified "2023-10-02" @default.
W2024411906 title "Sleeve Gastrectomy as a Stand-alone Bariatric Operation for Severe, Morbid, and Super Obesity" @default.
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W2024411906 doi "https://doi.org/10.4293/108680812x13517013317077" @default.
W2024411906 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3662747" @default.
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