Preliminary outcomes of laparoscopic sleeve gastrectomy in a Veterans Affairs medical center

Am J Surg. 2012 Nov;204(5):e1-6. doi: 10.1016/j.amjsurg.2012.07.005. Epub 2012 Aug 14.


Background: Preliminary results of a new bariatric surgery program in a VA Medical Center using laparoscopic sleeve gastrectomy (LSG).

Methods: Prospective review of the first 50 patients who underwent LSG. Percentage change in body mass index (BMI), comorbidities, serum glucose, glycosylated hemoglobin (HbA1c), lipid profiles, and medications were recorded.

Results: Mean age was 52 years. Average BMI was 46 kg/m(2). There were no mortalities or staple line leaks. The percentage excess BMI loss was 47% and 54% at 6 and 12 months, respectively. After 6 months, fasting glucose level decreased from 127 to 93 mg/dL, and mean glycosylated hemoglobin decreased from 6.8% to 5.7%. At 1-year follow-up evaluation, serum cholesterol decreased from 182 to 168 mg/dL, mean triglycerides from 179 to 93 mg/dL, low-density lipoprotein from 110 to 94 mg/dL, and high-density lipoprotein increased from 42 to 50 mg/dL.

Conclusions: Laparoscopic sleeve gastrectomy is safe and effective for morbidly obese VA patients and resulted in significant discontinuation of medication for hypertension, diabetes and hyperlipidemia.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Body Mass Index
  • Diabetes Mellitus, Type 2 / complications
  • Female
  • Follow-Up Studies
  • Gastrectomy / methods*
  • Hospitals, Veterans
  • Humans
  • Hyperlipidemias / complications
  • Hypertension / complications
  • Laparoscopy*
  • Male
  • Middle Aged
  • New York City
  • Obesity, Morbid / complications
  • Obesity, Morbid / surgery*
  • Prospective Studies
  • Treatment Outcome
  • Weight Loss