Laparoscopic sleeve gastrectomy: Perioperative outcomes, weight loss and impact on type 2 diabetes mellitus over 2 years

Marius Hoogerboord, Shannon Wiebe, Dennis Klassen, Tom Ransom, Diana Lawlor, James Ellsmere

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)

Abstract

Background: Laparoscopic sleeve gastrectomy (LSG) is an increasingly performed operation for morbid obesity worldwide. To date there has been limited experience in Canada. We report our intermediate results, assessing whether LSG can be safely performed at a Canadian academic teaching hospital and whether it is effective as a bariatric procedure and as metabolic therapy for type 2 diabetes mellitus. Methods: We performed a retrospective review of all patients who underwent LSG at our institution from Sept. 1, 2007, to June 30, 2011. Results: We included 166 patients (mean age 44 yr, 82% female) in our study. The mean preoperative body mass index was 49.61. At baseline, 87 (52%) patients had type 2 diabetes. For this subgroup, mean preoperative HbA1c and AC glucose were 7.6% and 8.3 mmol/L, respectively. The mean duration of surgery was 93 minutes. Major complications included 1 staple line leak (0.6%), and 2 patients required reintervention for bleeding (1.2%). The mean hospital stay was 2.6 days. Two patients required readmission (1.2%). Seven minor complications occurred (4%). Postoperative excess weight loss was 49.3% at 6 months, 54.2% at 12 months and 64.4% at 24 months. In the type 2 diabetes subgroup, resolution occurred in 78% and improvement in 7% of patients at 12 months. Conclusion: Laparoscopic sleeve gastrectomy can be safely performed at Canadian teaching hospitals. It is effective both as a bariatric procedure and as a therapeutic intervention for type 2 diabetes mellitus.

Original languageEnglish
Pages (from-to)101-105
Number of pages5
JournalCanadian Journal of Surgery
Volume57
Issue number2
DOIs
Publication statusPublished - Apr 2014

ASJC Scopus Subject Areas

  • Surgery

PubMed: MeSH publication types

  • Journal Article

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