SHORT AND MID-TERM MEDICAL OUTCOMES OF SLEEVE GASTRECTOMY IN OBESITY IN SULAIMANI CITY. AN ANALYTICAL CROSS-SECTIONAL STUDY

Volume 12 , Issue 4 , December 2022 , Pages 353-361

Authors

Syamand Awrahman Ahmed 1 ; Karzan Seerwan Abdullah 2 ; Mohammed Ibrahim Mohialdeen Gubarii 3

1 KBMS Candidate in GIT Surgery, Kurdistan Region, Iraq.

2 Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

3 Department of Family and Community Medicine, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10379

Keywords

Abstract

Background
The laparoscopic sleeve gastrectomy (LSG) is a frequently performed bariatric procedure. Studies indicate
that LSG can facilitate successful and sustainable weight loss.
Objectives
To examine the short-term (weight reduction) and mid-term (weight maintenance, quality of life, and medical
conditions) outcomes following sleeve gastrectomy in Sulaimani.
Patients and Methods
A cross-sectional study was conducted on 114 participants from both high-quality and Zhyan hospitals in
Sulaimani. From Feb 3, 2020, to Jul 22, 2021, data was gathered by evaluating the patient data records of 114
patients. Data included patients’ demographics, preoperative BMI& comorbidities, complications, and weight
loss in the first week, second,4th, sixth months, and sixth months. Also, after the sixth month, complications
were recorded and analyzed by SPSS software (IBM, version 25), including frequency and percentage, mean,
and standard deviation, also obtained for parametric data. The associations between the variables were tested
at a P value <0.05.
Results
The study consists of 114 patients (71.9% female and 28.1% male), with an average age of 34.0 years (range
20- 51 years). The average preoperative BMI and weight were 41.2 kg/m2 and 110.80 kg, respectively. Six
months after surgery, the average ± SD of BMI was 32.8 kg/m ± 2 4.5, and the average ± SD of weight was
87.8 kg ±14.4. The prevalence of early postoperative problems (leak, upper GI bleeding, and intraperitoneal
hemorrhage) among 114 patients was 0.9% for each complication, while the proportion of early postoperative
nausea was 66.7%, and vomiting was 39.5%. Preoperative sleep apnea was 34.2%; after six months of surgery,
the percentage was 0%; 19.3% of patients had joint pain; after six months of surgery, the percentage was 0.9%.
In addition, 14 out of 114 patients (12.3%) had preoperative Hypertension, and 2 out of 114 patients (1.75%)
had diabetes; after six months, 50% of both groups discontinued medical treatment. The incidence of gallstone
development six months after surgery was 13.2%. Six months following LSG, 68.4% of individuals had hair
loss.
Conclusion
laparoscopic sleeve gastrectomy can considerably reduce BMI six months following surgery and may help
improve or eliminate obesity-related comorbidities such as Hypertension and type 2 diabetes. A laparoscopic
sleeve gastrectomy is an effective option for obese adults, resulting in significant weight loss with a low
incidence of postoperative complications. LSG could be recommended as a valuable single intervention therapy
for patients who typically fail to achieve and obtain real benefits from a structured weight loss program.

Statistics
  • Article view502
  • Downloads1
  • Published at21 December 2022

  • RIS
  • BibTeX
  • EndNote
  • Mendeley
  • APA (7th edition)
  • MLA (9th edition)
  • Chicago
  • Harvard
  • IEEE
  • Vancouver