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Obesity Surgery
Published in: Obesity Surgery 4/2013

01-04-2013 | Brief Communication

Simultaneous Intra-gastric Balloon Removal and Laparoscopic Sleeve Gastrectomy for the Super-Super Obese Patients—a Prospective Feasibility Study

Authors: Omar Khan, Shashidhar Irukulla, Nimalan Sanmugalingam, Georgios Vasilikostas, Marcus Reddy, Andrew Wan

Published in: Obesity Surgery | Issue 4/2013

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Abstract

Background

The aim of the study was to prospectively evaluate the feasibility and clinical efficacy of a strategy of performing simultaneous balloon removal and sleeve gastrectomy in the super-super obese patients.

Methods

Forty consecutive super-super obese patients underwent intra-gastric balloon insertion followed by simultaneous balloon removal and sleeve gastrectomy 6 months later.

Results

Balloon insertion resulted in a reduction in mean body mass index from 69.3 ± 1.4 to 62.3 ± 1.3 kg/m2. Simultaneous balloon removal and sleeve gastrectomy was achieved in 39 cases. There were no operative mortality and no leaks. Six months following sleeve gastrectomy, the mean BMI of the cohort had fallen to 54.1 ± 1.2 kg/m2.

Conclusions

Simultaneous balloon removal and sleeve gastrectomy in the super-super obese patients is feasible as a single-stage procedure with good perioperative outcomes.
Literature
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Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2006;16:1135–7.CrossRef
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Acholonu E, McBean E, Court I, et al. Safety and short-term outcomes of laparoscopic sleeve gastrectomy as a revisional approach for failed laparoscopic adjustable gastric banding in the treatment of morbid obesity. Obes Surg. 2009;19:1612–16.PubMedCrossRef
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Metadata
Title
Simultaneous Intra-gastric Balloon Removal and Laparoscopic Sleeve Gastrectomy for the Super-Super Obese Patients—a Prospective Feasibility Study
Authors
Omar Khan
Shashidhar Irukulla
Nimalan Sanmugalingam
Georgios Vasilikostas
Marcus Reddy
Andrew Wan
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 4/2013
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-013-0871-9

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