Two Years Outcome of Laparoscopic Sleeve Gastrectomy in Obese Patients in A Government Hospital of Central India (2017-2019) with Review of Literature

Background: Bariatric surgery is an established mode of weight loss which has metabolic effects in addition to weight loss. Laparoscopic sleeve gastrectomy is a restrictive procedure which entails creation of gastric sleeve laparoscopically by using laparoscopic staplers.

Materials and Methods: The present study was carried out in the Department of Surgery in Government Medical College and Hospital on 50 patients admitted in different surgical wards from July 2017 to November 2019. They were evaluated for weight loss and co-morbidity resolution in addition to studying the clinical profile.

Objectives: To study the safety and effectiveness of the sleeve gastrectomy as a bariatric procedure

Results: The mean age of participants in this study is 38.8 years. The youngest participant is 18 years old. The oldest participant is 58 years old. The male to female sex ratio is 1:1.94. Out of 50 (22%) patients belonged to the middle class and remaining 39 out of 50 patients (78%) belonged to the lower socioeconomic scale according to 2019 revised Kuppuswamy scale. The lowest Body Mass Index (BMI) operated was 33 kg/m2. The mean BMI operated was 38.81 kg/m2. The most common group of patients belonged to the group of BMIs between 35-39.9kg/m2. %EWL at 2 years is 81.83. Percentage of complete resolution of DM, HTN, OSA and hypothyroidism is 61.53%, 70.59%, 90% and 66.67%.

Conclusions: Laparoscopic sleeve gastrectomy is a safe and effective form of bariatric surgery with comparable weight-loss and co-morbidity resolution.