[Calibrated sleeve gastrectomy or sleeve gastrectomy: experiences in Abidjan].

Autor: N'Dri KJ, Blegole OC, Sidibe AM, Moussa B, Keli E, Aboua AG, Yamousso AF, Goho M, Adon A, N'Guessan HA
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2017; Vol. 32 (2), pp. 19-23.
Abstrakt: Introduction: The aim of this study was to evaluate and analyze the first 29 cases of sleeve gastrectomy in Abidjan.
Patients and Methods: We analyzed the records of patients operated for morbid obesity in 3 private clinics in Abidjan by the team of Professor Alexandre N'Guessan from 2009 to 2014. This study included all patients who underwent laparoscopic sleeve gastrectomy for morbid obesity.
Results: A total of 29 patients were operated; 28 women and 1 man with a mean age of 34 years. Their body mass index (BMI) ranged between 35 and 49 kg/m 2 with comorbidities. The laparoscopic procedure was possible in all cases without conversion. The average operative time was 3 hours. Patients were exeat in 70% of cases in the second postoperative day after methylene blue checks were conducted. Only 4 complications (1 phrenic abscess, 1 small bowel obstruction, 1 gastric stenosis and 1 digestive fistula) required surgical recovery. The operative mortality was 6.89%. Around 92.85% of patients had a loss of excess weight greater than 50% over 4 years, with an improvement of comorbidities.
Conclusion: The sleeve gastrectomy is a feasible technique with our current working conditions. It requires a good patient selection, and a multidisciplinary team.
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Databáze: MEDLINE