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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Sleeve gastric resection, rate of weight reduction, common early and late complications in GIT center of south of Iraq

Abstract: Background: Laparoscopic sleeve gastric resection operations increase in last years and become most popular procedure for decreasing the weight for patients complaining from morbid obesity. The aim of our study is to know the most common early and late complications that may occur in this type of surgery. Methods: a study was done in GIT center in Al- Nassiryia city 360 K.M south of Iraq through 3 years 20/ 1/2015 till 19/1/2018 on 56 patients, prospective study review and analysis was done after fallow up post operatively for 3 years of our patients who done for them LSG , we records the rate of weight reductions in the every 3 months for the first post operative year fallowed the second and third postoperative year.in additions we records the complications that happened for our patients. Results:56 patients who had done for them laparoscopic sleeve gastric resection (LSG) for morbid obesity (body mass index more than 40) . 45 patients females( 80.4%) and 11 males (19.6%) . All of the female patients were decrease in the weight at first 3 months about 20—30 k.g then the weight loss rate were become less , about 9 -12 kg at 2nd 3 mouth post operatively, then 8 to 7 kg in 3rd 3 months and in last 3 months they lost about 5-7 k.g. the rate of decreasing weight in males is faster than the females mostly due to more activities, the weight lost in males at first 3 months about 22---34 k.g then about 10.5—13.3kg at 2nd 3 months post operatively, then 9 to 7.6 kg in 3rd 3 months and in last 3 months they lost about 6-7.5 k.g . most common early complications were occur in our patients , repeated vomiting ( 85.7%) of patients , loss of appetite ( 92%), upper abdominal pain(57.1 %) , chest infection(10.7 %) ,bleeding at the staple line ( 37.8 %), hair loss (42.8 %), , vitamins deficiency symptoms as zinc and vitamin E ( 12.5 %) in spite of oral supplements, UTI (24%) ,renal impairments 5.3%, one case were dead at tenth post-operative day due to leakage and end with peritonitis ,sepsis and septic shock . while the common late complications were skin laxity and redundant of the skin, multiple gall stones 6 cases (10.7%) , weight regain after one year 12% due to removed less than 75% of stomach and due to dietary intolerance. Conclusions: sleeve gastrectomy is a simple operation in hand experience in laparoscopic surgery , it give very good results in treatments of morbid obesity , decreasing in the weight mostly occur in the first 3 months. Regain of weight may occur after first postoperative year . the main early complications can be prevented or decreased in incidence with good fallow up. Cholecystectomy must be done with LSR to prevent additional laparoscopic cholecystectomy due to gall stones which may occur with the time after LSR.
Keyword: sleeve gastrectomy , rate of weight loss, complications.
DOI: https://doi.org/10.31838/ijpr/2020.12.02.0035
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