The impact of preoperative body mass index on early complications post laparoscopic sleeve gastrectomy for morbid obesity

Document Type : Original Article

Authors

1 General surgery

2 Surgery department, Faculty of Medicine, Zagazige University, Zagazige, Egypt

3 G S

Abstract

Abstract.
Laproscopic sleeve gastrectomy is one of the most popular bariatric surgery for morbid obesity although it is associated with some complications ,this study aims to evaluate the impact of preoperative body mass index on early complications after laparoscopic sleeve gastrectomy for morbid obesity.
Methods. This study included 15 patient who underwent laparoscopic sleeve gastrectomy in gastrointestinal and laparoscopic unit in zagazig hospital between march 2018 and February 2019.3 males and 12 females .patients were divided in two groups according to their BMI (group 1 < 50kg/m2,group 2 >50kg/m2).mean preoperative BMI was 51.17 kg /m2,mean age was 33 years, mean operatve time was 150 minutes.mean duration of hospital stay was 1.8 days, operative data and complications ,length of hospital stay and complications after discharge were recorded and evaluated.
Results: When comparing between group with BMI >50 and group with BMI 50kg/m2 and below 50kg/m2 respectively . Complications during surgery and overall complications in ward and after discharge significantly were associated with BMI >50kg/m2. and longer in operation time and also longer in hospital stay, In this study, the mean operative time for group B was longer than group A, (90±15.6 minutes for group A (range 60-120) and 150±10.12 minutes for group B(range 120-180 )..
Conclusion:The therapeutic effect of LSG is more significantly observed in patients with BMI less than 50 kg/m2, there is increase in probability of early postoperative complications with increasing body mass index (BMI),.

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Zagazig University Medical Journal
Volume 26, Issue 6
November 2020
Pages 892-899

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