Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese

J Gastrointest Surg. 2008 Apr;12(4):662-7. doi: 10.1007/s11605-008-0480-4. Epub 2008 Feb 9.


Background: Single-stage laparoscopic sleeve gastrectomy (LSG) may represent an additional surgical option for morbid obesity.

Methods: We performed a retrospective review of a prospectively maintained database of LSG performed from November 2004 to April 2007 as a one-stage primary restrictive procedure.

Results: One hundred forty-eight LSGs were performed as primary procedures for weight loss. The mean patient age was 42 years (range, 13-79), mean body mass index of 43.4 kg/m(2) (range, 35-75), mean operative time of 60 min (range, 58-190), and mean blood loss of 60 ml (range, 0-300). One hundred forty-seven procedures (99.3%) were completed laparoscopically, with a mean hospital stay of 2.7 days (range, 2-25). A 2.7% major complication rate was observed with four events in three patients and no deaths. Four patients required readmission; mild dehydration in two, choledocholithiasis in one, and a gastric sleeve stricture in one.

Conclusion: Laparoscopic SG is a safe one-stage restrictive technique as a primary procedure for weight loss in the morbidly obese with an acceptable operative time, intraoperative blood loss, and perioperative complication rate.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Bariatric Surgery / methods*
  • Female
  • Gastrectomy / methods*
  • Humans
  • Laparoscopy
  • Male
  • Middle Aged
  • Obesity, Morbid / surgery*