Complications and nutrient deficiencies two years after sleeve gastrectomy

BMC Surgery

Research Article

Thomas Manger¹  Christine Stroh¹  Nicole Pech¹  Frank Meyer²  Hans Lippert² 

[1] Department of General, Abdominal and Pediatric Surgery, Municipal Hospital Gera, Strasse des Friedens 122, 07548, Gera, Germany;Department of General, Abdominal and Vascular Surgery, University Hospital, Magdeburg, Germany;

关键词: Sleeve gastrectomy;    Laparoscopic sleeve gastrectomy;    Obesity;    Metabolic surgery;    Bariatric surgery;    Nutritional deficiencies;   

DOI  :  10.1186/1471-2482-12-13

 received in 2012-02-01, accepted in 2012-07-05,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe aim of this systematic study was to investigate patient outcomes and nutritional deficiencies following sleeve gastrectomy (SG) during a median follow-up of two years.MethodsOver a period of 56 months, all consecutive patients who underwent SG were documented in this prospective, single-center, observational study. The study endpoints included complication rates, nutritional deficiencies and percentage of excess weight loss (%EWL).ResultsFrom September 26, 2005 to May 28, 2009, 100 patients (female: male = 59:41) with a mean age of 43.6 years (range: 22–64) and a preoperative BMI of 52.3 kg/² (range: 36–77) underwent SG. The mean operative time was 86.4 min (range: 35–275). Major complications were observed in 8.0 % of the patients. During the follow-up period, 25 patients (25.0 %) underwent a second bariatric intervention (22 DS and 3 RYGBP). Out of the total 100 patients, 48 % were supplemented with iron, 33 % with zinc, 34 % with a combination of calcium carbonate and cholecalciferol, 24 % with vitamin D, 42 % with vitamin B12 and 40 % with folic acid. The patients who received only a SG (n = 75) had %EWL of 53.6, 65.8 and 62.6 % after 6, 12 and 24 months, respectively.ConclusionsSG is a highly effective bariatric intervention for morbidly obese patients. Nutritional deficiencies resulting from the procedure can be detected by routine nutritional screening. Results of the study show that Vitamin B12 supplementation should suggested routinely.

【 授权许可】

Unknown   
© Pech et al.; BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.