Effectiveness of Laparoscopic Sleeve Gastrectomy for Weight Loss and Associated Co-Morbities Follow up and Outcome, Baghdad / Iraq


  • Hussein Adnan Khalaf
  • Omar Salim Khattab


Laparoscopic sleeve gastrectomy, weight loss, comorbidities


Objective: Laparoscopic sleeve gastrectomy (LSG) is becoming a stand-alone bariatric surgery for obesity.  Aim To evaluate the effectiveness of  LSG for weight loss and associted comorbities on obese patients in medium term follow-up Patients and Methods: The study consisted of 47 patients (40 females and 7 males) underwent LSG the period from September 2012 to january 2018 at Medial city Baghdad teaching hospital 3rd floor single team results. The BMI ranged from 36 to 66, and aged from 18 to 66 years. Patients were grouped into three groups according to preop. BMI 3539.9 (11) 40-49.9 (18)   >50 (18).Medium-term outcome measures were: total weight loss (%TWL), excess weight loss (%EWL) and associated co-morbidities. Results 47 patients underwent LSG in our unit comprising 40 women and 7 men with a mean age of 33.7±7.2 years. preoperative mean body weight (BW) and BMI were 127±23.8, 47.2±7.6 respectively, After LSG, the mean BW significantly declined to 97.2±17.1 kg at 6 months, 88.3±14.4 kg at 1 year, 85.1±13.7 kg at 2 years,83.7±13.6 kg at 3 years and 82.2±11.1 at 4 years, Postoperative BMI was 36.1±5.3kg/m2 at 6 months,32.9±4.49 kg/m2 at 1 year, 31.7±4.3 kg/m2 at 2 years,30.8±4.09kg/m2 at 3 years and 30±3.3 at 4 years                                                            Conclusion LSG is effective in weight loss and is a resonable option for obese patients,especially for patients with a BMI >40 kg/m2


Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 2004;291:284750


https://www.omicsonline.org/population-overweight-and-obesity-trends-of-eightyears-in- basrah-iraq-2161-1165.1000110.php?

Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial – a prospective controlled intervention study of bariatric surgery. J Intern Med 2013; 273: 219234.

Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg 2009; 19: 1605-1611. [CrossRef

Rosenthal R, Diaz A, Arvidsson D, Baker R, Basso N, Bellanger D, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis 2012; 8: 8-19. [CrossRef]

PatrikakosP, ToutouzasKG, GazouliM, etal.Long-termplasma ghrelin and leptin modulation after sleeve gastrectomy in Wistarrats in comparison with gastric tissue ghrelin expression. ObesSurg 2011;21(9):1432–7.

Basso N, Casella G, Rizzello M, Abbatini F, Soricelli E, Alessandri G, et al. Laparoscopic sleeve gastrectomy as first stage or definitive intent in 300 consecutive cases. Surg Endosc 2011; 25: 444-449. [CrossRef]

Puzziferri N, Roshek TBIII, Mayo HG, Gallagher R, Belle SH, Livingston EH. Long-term follow-up after bariatric surgery. JAMA 2014;312(9):934–42

Reinhold RB. Critical analysis of long term weight loss following gastric bypass.SurgGynecolObstet1982;155(3):385–94. 18

Juodeikis Ž, Brimas G. Long-term results after sleeve gastrectomy :a systematic review.SurgObesRelatDis2017;13(4):693–9.

Mui WL, Ng EK, Tsung BY, Lam CC, Yung MY. Laparoscopic sleeve gastrectomy in ethnic obese Chinese.ObesSurg2008;18 (12):1571–4.

LiuSY, WongSK, LamCC, et al. Long-term results on weight loss and diabetes remission after laparoscopic sleeve gastrectomy for a morbidly obese Chinesepopulation.ObesSurg2015;25(10):18.

Park JY, Kim YJ. Efficacy of laparoscopic sleeve gastrectomy in mildly obese patients with body mass index of 30–35 kg/m(2).Obes Surg 2015;25(8):1351–7.

BozaC, DarochD, BarrosD, et al. Long-term outcomes of laparoscopic sleeve gastrectomy as aprimary bariatric procedure. Surg ObesRelatDis2014;10(6):1129–33.

MehaffeyJH, LaParDJ, TurrentineFE, MillerMS, HallowellPT, SchirmerBD. Outcomes of laparoscopic Roux-en-Y gastric bypass in super-superobesepatients.SurgObesRelatDis2015;11(4):8149.

SekiY, KasamaK, HashimotoK. Long-term outcome of laparo- scopic sleeve gastrectomy in morbidly obese Japanese patients. Obes Surg 2016;26(1):138–45.

SczepaniakJP, OwensML, ShuklaH, PerlegosJ, GarnerW. Comparability of weight loss reporting after gastric bypass and sleeve gastrectomy using BOLD data 2008– 2011. ObesSurg2015;25(5):788–95 .

Ochner CN, JochnerMC, CarusoEA, TeixeiraJ, Pi-Sunyer FX. Effect of preoperative body mass index on weight loss after obesity surgery. Surg Obes Relat Dis2013;9(3):423.