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Vol. 100. Issue 2.
Pages 88-94 (February 2022)
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Vol. 100. Issue 2.
Pages 88-94 (February 2022)
Original article
Sleeve gastrectomy as a surgical technique in bariatric surgery: Results of safety and effectiveness
Gastrectomía vertical como técnica quirúrgica en cirugía bariátrica: análisis de resultados de seguridad y efectividad
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Joseba Castro Vázquez
Corresponding author
, Fátima Saravia Barahona, Carlos Loureiro González, Saioa Leturio Fernández, Marta García Fernández, Ana Moro Delgado, Julen Barrenetxea Asua, Javier Ortiz Lacorzana, Ismael Díez del Val
Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Basurto, Bilbao, Vizcaya, Spain
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Luisa Fernanda Hurtado Quiros, Laura Cristina Carreño Mancilla, Lesmer Alirio Galindo Ruiz, Gonzalo Andrés Domínguez-Alvarado
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Tables (6)
Table 1. Main indicators with their objectives and recommendations.
Table 2. Weight evolution of patients who treated with SG as a primary technique (group 1).
Table 3. Evolution of weight according to sex (group 1).
Table 4. Evolution of weight according to age (group 1).
Table 5. Evolution of weight according to BMI (group 1).
Table 6. Weight evolution of SG (group 2).a
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Figures (1)
Abstract
Introduction

The aim of this study is to evaluate the safety and effectiveness results of sleeve gastrectomy as a bariatric technique.

Methods

Observational follow-up study of a cohort of patients who underwent sleeve gastrectomy in our center between 2008 and 2017. A total of 223 patients were included: 166 as a primary technique (group 1) and 57 as a hypothetical first stage (group 2).

Results

In group 1, the postoperative morbidity is 12.6%, with a fistula rate of 4.2%; 5.4% required reoperation and mortality was 0.6%. In group 2, postoperative morbidity is 14%, with a fistula rate of 5.3%; 10.5% required reoperation and mortality was 5.3%. In group 1, 79.6% and 62.5% of patients at 2 and 5 years respectively managed to achieve a % EBMIL > 50%. In group 2, the second stage was completed only in 8 patients (14.0%). Of the patients who did not complete the second stage, 32.2% and 5.9% achieved a % EEBMIL > 100% at 2 and 5 years. Analyzing those who completed the second stage, the mean EEBMIL% was 90.5% and 93.4% at 2 and 5 years.

Conclusions

Sleeve gastrectomy is a safe technique in patients with BMI < 45 and effective in terms of weight loss in the short-medium term. In patients with BMI > 55, a preoperative optimization aimed at reducing morbidity and mortality is necessary, as well as adequately planning the second stage, without which it is clearly insufficient.

Keywords:
Obesity
Bariatric surgery
Gastroplasty
Treatment outcome
Benchmarking
Resumen
Introducción

El objetivo de este trabajo es evaluar los resultados de seguridad y efectividad de la gastrectomía vertical como técnica bariátrica.

Métodos

Estudio observacional de seguimiento de una cohorte de Patients intervenidos de gastrectomía vertical en nuestro centro entre los years 2008 y 2017. Se incluyen en total de 223 Patients: 166 como técnica primaria (grupo 1) y 57 como teórico primer tiempo (grupo 2).

Resultados

En el grupo 1, la morbilidad postoperatoria es del 12,6%, siendo la tasa de fístula del 4,2%; un 5,4% precisó reintervención quirúrgica, y la mortalidad es del 0,6%. En el grupo 2, la morbilidad postoperatoria es del 14%, con una tasa de fístula del 5,3%; un 10,5% precisó reintervención quirúrgica y la mortalidad es del 5,3%. En el grupo 1, un 79,6 y un 62,5% de los Patients a los 2 y 5 years, respectivamente, consiguen alcanzar un %EBMIP > 50%. En el grupo 2, el segundo tiempo se completó únicamente en 8 Patients (14,0%). De los Patients que no completaron el segundo tiempo, el 32,2 y el 5,9% alcanzan un %EBMIPE > 100% a 2 y 5 years. Analizando los Patients que completaron el segundo tiempo, el %EBMIPE medio fue de 90,5 y 93,4% a los 2 y 5 years del mismo.

Conclusiones

La gastrectomía vertical es una técnica segura en Patients con BMI < 45 y efectiva en cuanto a la pérdida de peso a corto-medio plazo. En Patients con BMI > 55 es necesario una optimización preoperatoria encaminada a reducir la morbimortalidad, así como planificar adecuadamente el segundo tiempo, sin el cual resulta claramente insuficiente.

Palabras clave:
Obesidad
Cirugía bariátrica
Gastrectomía vertical
Resultados de seguridad y efectividad
Estándares de calidad

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