Skip to main content
Top
Published in: Obesity Surgery 12/2008

01-12-2008 | Research Article

Laparoscopic Sleeve Gastrectomy in Ethnic Obese Chinese

Authors: Wilfred Lik-Man Mui, Enders Kwok-Wai Ng, Bonnie Yuk-San Tsung, Candice Chuen-Hing Lam, Man-Yee Yung

Published in: Obesity Surgery | Issue 12/2008

Login to get access

Abstract

Background

The aim of this study was to evaluate the effectiveness and safety of laparoscopic sleeve gastrectomy (LSG) for the treatment of obesity in ethnic Chinese in Hong Kong.

Methods

Seventy consecutive Chinese patients (49 females; mean age 34.7 ± 8.8 [range 18–56] years) received LSG for the treatment of obesity from May 2006 to Nov 2007 as a stand-alone procedure for weight reduction. Mean baseline body weight (BW) and body mass index (BMI) were 108.9 ± 22.1 kg (range 71.0–164.9 kg) and 40.7 ± 7.8 kg/m2 (range 27.4–68.4 kg/m2), respectively. Outcome measures were collected and assessed in a prospective manner.

Results

All procedures were performed laparoscopically with no conversion. There was neither mortality nor any postoperative complications that required reoperation. Major complication occurred in two patients (2.9%; esophagogastric junction [EGJ] leak and stomach tube stricture). Mean follow-up was 7.1 ± 5.0 months. Mean procedure time was 90.6 ± 39.4 min, and mean hospital stay was 3.8 ± 2.3 days. Mean BMI loss was 6.3 ± 2.5, 9.0 ± 3.4 and 12.3 ± 4.5 kg/m2 at 3, 6, and 12 months. Mean percent of excess BW loss was 48.5 ± 28.4, 69.7 ± 31.7, and 63.5 ± 29.4 at 3, 6, and 12 months.

Conclusion

LSG is safe and effective in achieving significant weight loss in obese ethnic Chinese patients.
Literature
1.
go back to reference Johnston D, Dachtler J, Sue-Ling HM, et al. The Magenstrasse and Mill operation for morbid obesity. Obes Surg. 2003;13:10–6.PubMedCrossRef Johnston D, Dachtler J, Sue-Ling HM, et al. The Magenstrasse and Mill operation for morbid obesity. Obes Surg. 2003;13:10–6.PubMedCrossRef
2.
go back to reference Lee CM, Cirangle PT, Jossart GH. Vertical gastrectomy for morbid obesity in 216 patients: report of two-year results. Surg Endosc. 2007;21:1810–6.PubMedCrossRef Lee CM, Cirangle PT, Jossart GH. Vertical gastrectomy for morbid obesity in 216 patients: report of two-year results. Surg Endosc. 2007;21:1810–6.PubMedCrossRef
3.
go back to reference Himpens J, Dapri G, Cadiere GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;169:1450–6.CrossRef Himpens J, Dapri G, Cadiere GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;169:1450–6.CrossRef
4.
go back to reference Baltasar A, Serra C, Perez N, et al. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15:1124–8.PubMedCrossRef Baltasar A, Serra C, Perez N, et al. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15:1124–8.PubMedCrossRef
5.
go back to reference Clinical Issues Committee of American Society for Metabolic and Bariatric Surgery. Sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2007;3:573–6.CrossRef Clinical Issues Committee of American Society for Metabolic and Bariatric Surgery. Sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2007;3:573–6.CrossRef
6.
go back to reference Vidal J, Ibarzabal A, Niolau J, et al. Short-term effects of sleeve gastrectomy on type 2 diabetes mellitus in severely obese subjects. Obes Surg. 2007;17:1069–74.PubMedCrossRef Vidal J, Ibarzabal A, Niolau J, et al. Short-term effects of sleeve gastrectomy on type 2 diabetes mellitus in severely obese subjects. Obes Surg. 2007;17:1069–74.PubMedCrossRef
7.
go back to reference Depaula AL, Macedo Al, Rassi N, et al. Laparoscopic treatment of type 2 diabetes mellitus for patient with body mass index less than 35. Surg Endosc. 2008;22:706–16.PubMedCrossRef Depaula AL, Macedo Al, Rassi N, et al. Laparoscopic treatment of type 2 diabetes mellitus for patient with body mass index less than 35. Surg Endosc. 2008;22:706–16.PubMedCrossRef
8.
go back to reference Frezza EE. Laparoscopic vertical sleeve gastrectomy for morbid obesity. The future procedure of choice? Surg Today. 2007;37:275–81, Review.PubMedCrossRef Frezza EE. Laparoscopic vertical sleeve gastrectomy for morbid obesity. The future procedure of choice? Surg Today. 2007;37:275–81, Review.PubMedCrossRef
9.
go back to reference Gumbs AA, Gagner M, Dakin G. Sleeve gastrectomy for morbid obesity. Obes Surg. 2007;17:962–9, Review.PubMedCrossRef Gumbs AA, Gagner M, Dakin G. Sleeve gastrectomy for morbid obesity. Obes Surg. 2007;17:962–9, Review.PubMedCrossRef
10.
go back to reference Moon Han S, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75.PubMedCrossRef Moon Han S, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75.PubMedCrossRef
11.
go back to reference Langer FB, Reza Hoda NA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effect on plasma ghrelin levels. Obes Surg. 2005;15:1024–9.PubMedCrossRef Langer FB, Reza Hoda NA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effect on plasma ghrelin levels. Obes Surg. 2005;15:1024–9.PubMedCrossRef
12.
go back to reference Kotidis EV, Koliakos G, Papavramidis TS, et al. The effect of biliopancreatic diversion with pylorus-preserving sleeve gastrectomy and duodenal switch on fasting serum ghrelin, leptin and adiponectin levels: is there a hormonal contribution to weight-reducing effect of this procedure? Obes Surg. 2006;16:554–9.PubMedCrossRef Kotidis EV, Koliakos G, Papavramidis TS, et al. The effect of biliopancreatic diversion with pylorus-preserving sleeve gastrectomy and duodenal switch on fasting serum ghrelin, leptin and adiponectin levels: is there a hormonal contribution to weight-reducing effect of this procedure? Obes Surg. 2006;16:554–9.PubMedCrossRef
13.
go back to reference Sabench Pereferrer F, Hernandez Gonzalez M, Feliu Roviva A, et al. Influence of sleeve gastrectomy on several experimental models of obesity: metabolic and hormonal implications. Obes Surg. 2008;18:97–108.CrossRef Sabench Pereferrer F, Hernandez Gonzalez M, Feliu Roviva A, et al. Influence of sleeve gastrectomy on several experimental models of obesity: metabolic and hormonal implications. Obes Surg. 2008;18:97–108.CrossRef
14.
go back to reference Gagner M, Inabet WB, Pomp A. Laparoscopic sleeve gastrectomy with second stage biliopancreatic diversion and duodenal switch in the superobese. In: Inabet WB, Demaria EJ, Ikramuddin S, editors. Laparosopic Bariatric Surgery. Philadelphia: Lippincott William & Wilkins. 2005:143–50. Gagner M, Inabet WB, Pomp A. Laparoscopic sleeve gastrectomy with second stage biliopancreatic diversion and duodenal switch in the superobese. In: Inabet WB, Demaria EJ, Ikramuddin S, editors. Laparosopic Bariatric Surgery. Philadelphia: Lippincott William & Wilkins. 2005:143–50.
15.
go back to reference Almogy G, Crookes PF, Anthone GJ. Longitudinal gastrectomy as a treatment for high risk super-obese patient. Obes Surg. 2004;14:492–7.PubMedCrossRef Almogy G, Crookes PF, Anthone GJ. Longitudinal gastrectomy as a treatment for high risk super-obese patient. Obes Surg. 2004;14:492–7.PubMedCrossRef
16.
go back to reference Hamoui N, Anthone GJ, Kaufman HS, et al. Sleeve gastrectomy in the high-risk patient. Obes Surg. 2006;16:1445–9.PubMedCrossRef Hamoui N, Anthone GJ, Kaufman HS, et al. Sleeve gastrectomy in the high-risk patient. Obes Surg. 2006;16:1445–9.PubMedCrossRef
17.
go back to reference Milone L, Strong V, Gagner M. Laparoscopic sleeve gastrectomy is superior to endoscopic intragastric balloon as a first stage procedure for super-obese patients (BMI > or =50). Obes Surg. 2005;15:612–7.PubMedCrossRef Milone L, Strong V, Gagner M. Laparoscopic sleeve gastrectomy is superior to endoscopic intragastric balloon as a first stage procedure for super-obese patients (BMI > or =50). Obes Surg. 2005;15:612–7.PubMedCrossRef
18.
go back to reference Huxley R, James WP, Barzi F, et al. Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension. Obes Rev. 2008;9 Suppl 1:53–61.PubMedCrossRef Huxley R, James WP, Barzi F, et al. Ethnic comparisons of the cross-sectional relationships between measures of body size with diabetes and hypertension. Obes Rev. 2008;9 Suppl 1:53–61.PubMedCrossRef
Metadata
Title
Laparoscopic Sleeve Gastrectomy in Ethnic Obese Chinese
Authors
Wilfred Lik-Man Mui
Enders Kwok-Wai Ng
Bonnie Yuk-San Tsung
Candice Chuen-Hing Lam
Man-Yee Yung
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 12/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9538-3

Other articles of this Issue 12/2008

Obesity Surgery 12/2008 Go to the issue