Long-term results of laparoscopic gastric sleeve resection due to morbid obesity and metabolic syndrome

Abstract

Introduction The aim of this paper was to presents long-term results of a laparoscopic gastric sleeve resection in a “super super” obese patient and a follow-up period of eight years.

Case outline A patient with body mass index of 70 kg/m² and Stage 3 obesity according to the King’s Obesity Staging Criteria, with metabolic syndrome and cardiovascular risk of over 20%, and a pronounced severe obstructive sleep apnea, underwent a laparoscopic gastric sleeve resection. After two years, the patient reached body mass index of 28.4 kg/m² and eight years after the surgery has a body mass index of 34.3 kg/m², and the percentage of excess body mass index loss of 79.3%. According to the King’s Obesity Staging Criteria, he falls under Stage 0.

Conclusion Laparoscopic gastric sleeve resection may be performed as a stand-alone procedure in “super super” obese patients, with excellent long-term results.

Keywords: morbid obesity; bariatric surgery; laparoscopy; sleeve gastrectomy; weight loss