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ORIGINAL ARTICLE
Year : 2015  |  Volume : 3  |  Issue : 1  |  Page : 8-11

Initial experience with laparoscopic sleeve gastrectomy in Dubai hospital, United Arab Emirates


1 Department of Surgery, Dubai Hospital, Dubai, United Arab Emirates
2 Department of Surgery, AzSint Jan Hospital, Brugge, Belgium

Correspondence Address:
Dildar Hussain
Department of Surgery, 5 West, Dubai Hospital, PO Box 7272, Dubai
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2347-2618.158686

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Aims: To determine the outcome of patients in terms of reduction of body mass index (BMI), gastric leak, and bleeding after laparoscopic sleeve gastrectomy. Setting and Design: This was a descriptive study, and the data was collected retrospectively in Dubai Hospital, Dubai, United Arab Emirates. Materials and Methods: All patients who underwent laparoscopic sleeve gastrectomy from April 2012 to July 2013, were included in the study. Multiple parameters were studied, including demographic features, BMI, and comorbid conditions of these patients. The duration of surgery, and reduction of BMI at 3, 6, and 12 month's duration after the surgery were calculated. Postoperative complications, including gastric leak and bleeding were also analyzed. The data was expressed as frequency, percentages, and mean ± standard deviation. Results: A total of 100 patients with mean age of 34 ± 8 years were included in the study. There were 21 (21%) male and 79 (79%) female patients. The mean BMI was 46 ± 6 kg/m 2 . Sixteen (16%) patients had diabetes mellitus, 19 (19%) had hypertension, nine (9%) had joint pain, six (6%) had back pain, and three (3%) patients had sleep apnea as comorbid conditions.Thirty-two (32%) patients had high blood cholesterol level, six (6%) patients had asthma, and seven (7%) patients had gall stones. Five (5%) patients had gastric band removal and two (2%) patients had history of laparoscopic cholecystectomy in the past. All patients underwent laparoscopic sleeve gastrectomy. The mean hospital stay was 3 ± 1 days, and mean duration of surgery was 80 ± 23 min. Five (5%) patients had laparoscopic cholecystectomy, and two (2%) patients had umbilical hernia repair at the same time. The mean BMI after 3 months was 41 ± 6 kg/m 2 , after 6 months was 37 ± 5 kg/m 2 , and after 12 months was 32 ± 5 kg/m 2 . Complete resolution of diabetes was observed in 11 (68.8%) patients and improved in six (31.2%) patients, resolution of hypertension in 11 (57.8%) patients and improvement in eight (42.2%) patients, and joint pain resolved in six (66.6%) patients and improved in three (33.3%) patients. Sleep apnea resolved in all three patients. Blood cholesterol was normal in 18 (56.3%) patients and improved in 14 (43.7%) patients. Postoperative bleeding occurred in four (4%) patients, and there was no leak in this group of patients. The mean follow-up duration was 13.6 ± 3 months. Conclusion: Laparoscopic sleeve gastrectomy is an effective procedure for reduction of BMI in obese patients. This results in resolution and improvement of obesity-related comorbid conditions in majority of patients. There was no gastric leak in this group of patients.


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