Pakkavuth Chanswangphuvana1, Ajjana Techagumpuch1, Karikarn Auksornchart2, Sanit Wichansawakun3. 1Division of Gastrointestinal and Endoscopic Surgery, Department of Surgery, Thammasat University, Pathum Thani, Thailand, 2Division of Trauma and Critical Care, Department of Surgery, Thammasat University, Pathum Thani, Thailand, 3Division of Clinical Nutrition, Department of Medicine, Thammasat University, Pathum Thani, Thailand
Background: Because of technical simplicity and the relatively good outcome, Laparoscopic Sleeve Gastrectomy (LSG) as a standalone bariatric procedure has rapidly gained popularity worldwide. LSG was also the most common bariatric procedure in Thailand. In our hospital, obesity clinic was established in June 2015 and the first bariatric procedure was LSG that was performed in November 2015. The objective of this study was to evaluate the outcomes for LSG in morbidly obese Thai patients.
Methods: There were 64 morbidly obese Thai patients underwent bariatric procedure that 52 procedures (81.3%) were LSG as a standalone procedure. The mean age was 37.6 years (19-58 years). The mean preoperative body weight and body mass index (BMI) were 140.7 kg (85-195 kg) and 51.2 kg/m2 (33.2-71.1 kg/m2) respectively. Twenty four super morbidly obese patients (46.2%) that BMI was more than 50 kg/m2 were included. All patients were evaluated and managed under a strict multidisciplinary team approach.
Results: There were neither morbidity nor mortality. The mean BMI declined to 36.5±9.1 kg/m2 at 1 year and 31.3±7.3 kg/m2 at 2 years (p<0.001). The mean percent total body weight loss (%TWL) and mean percent excess body weight loss was 32.0±13.3% and 62.1±25.1% at 1 year and 39.0±13.2% and 78.5±23.8% at 2 years. Complete remission of type 2 diabetes was achieved in 8 patients (36.4%). Super morbidly obese patients had a tendency to achieve less weight loss. Revision of LSG were required in eight patients (15.4%) due to insufficient weight loss.
Conclusion: LSG for Thai morbidly obese patients is effective with good short-term outcomes. For super morbidly obese patients, other surgical options may be required. The revision of LSG is possible and mainly for insufficient weight loss.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93765
Program Number: P123
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster