Results of Longitudinal gastrectomy in treating diseases associated with obesity

Abstract

Abstract Background & Objective: Laparoscopic gastric bypass surgery is one of the modern obesity operations that relies on the principle of size reduction. The doctors’ motivation behind performing this operation was to obtain better results than other operations, taking into account the costs. The goal of this study is to present the doctors’ experience in this operation. The surgical technique used, and the results they obtained while performing this operation to treat obese patients in Syria. Methods & Material A prospective study was carried out, following a laparoscopic gastric plication technique and was applied on 84 morbidly obese patients between February 2019 and September 2023. There were 14 men and70 women, with a mean age of 29.7 years (range18–65 years) and a mean body mass index of 39.5kg/m2 (range 32–49 kg/m2) superscripted. Results All operations were performed laparoscopically, The average surgical time was 82 minutes (53–175 minutes), and the average hospital stay was 35 hours (30 hours - four days), The average rate of return to usual activity after surgery 7 days (4–25 days), the leading weight loss rates were: 70%, 75%, 80%. 77%, 71%, 78% after: After 6, 12, 18, 24, 30, and 36 months, respectively, weight gain occurred in 4%, 7%, and 7.9% of patients after: 12, 24, and 36 months, respectively. Complications of surgery were: pneumonia, minor bleeding during surgery, vomiting, acute renal failure, pulmonary embolism, leakage, and infection. Conclusion Longitudinal sleeve gastrectomy is effective, safe, and acceptable to patients. It is a procedure with a higher rate of major medical problems than others. Its leading weight loss rate is higher than other size reduction operations. The cost of this operation is very high.