Open AccessLong-term results of laparoscopic gastric sleeve resection due to morbid obesity and metabolic syndrome
Author(s) -
Miroslav Ilić,
Srdjan S. Putnik,
Katarina Raspopovic
Publication year - 2018
Publication title -
srpski arhiv za celokupno lekarstvo
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 17
eISSN - 2406-0895
pISSN - 0370-8179
DOI - 10.2298/sarh170425129i
Subject(s) - medicine , obstructive sleep apnea , body mass index , obesity , surgery , morbid obesity , metabolic syndrome , stage (stratigraphy) , weight loss , resection , sleep apnea , paleontology , biology
. The aim of this paper was to presents long-term results of a laparoscopic gastric sleeve resection in a ?super super? obese patient and a follow-up period of eight years. Case Outline. A patient with Body Mass Index (BMI) of 70 kg/m2 and Stage 3 obesity according to ?King?s Obesity Staging Criteria? (KOSC), with metabolic syndrome and cardiovascular risk of over 20%, and a pronounced severe obstructive sleep apnea, underwent a laparoscopic gastric sleeve resection (LGS). After two years, the patient reached BMI of 28.4 kg/m2 and eight years after the surgery has BMI of 34.3 kg/m2, and %EBMIL (% Excess BMI Loss) of 79.3%. According to the KOCS, he falls under Stage 0. Conclusion. LGS resection may be performed as a stand-alone procedure in ?super super? obese patients, with excellent long-term results.