Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry

OBES SURG (2009) 19:12031210 DOI 10.1007/s11695-009-9892-9

RESEARCH

Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National Registry

Raquel Snchez-Santos & Carlos Masdevall & Aniceto Baltasar &

Candido Martnez-Blzquez & Amador Garca Ruiz de Gordejuela & Enric Ponsi &

Andres Snchez-Pernaute & Gregorio Vesperinas & Daniel Del Castillo &

Ernest Bombuy & Carlos Durn-Escribano & Luis Ortega &

Juan Carlos Ruiz de Adana & Javier Baltar & Ignacio Maruri &

Emilio Garca-Blzquez & Antonio Torres

Received: 3 December 2008 /Accepted: 1 June 2009 /Published online: 2 July 2009 # Springer Science + Business Media, LLC 2009

AbstractBackground Reports on laparoscopic sleeve gastrectomy (LSG) communicate very good short-term results on very high-risk morbid obese patients. However, mid- and long-term results are still unknown. A National Registry has been created in Spain to achieve information on the outcomes of this bariatric procedure.

Methods Data were obtained from 17 centers and collected in a database. Technical issues, preoperative comorbid conditions, hospital stay, early and late complications, and short- and mid-term weight loss were analyzed.

Results Five hundred forty patients were included; 76% were women. Mean BMI was 48.110. Mean age was44.111.8. Morbidity rate was 5.2% and mortality rate

Financial interest We certify that there is no organization or entity with a direct financial interest in the subject matter or materials discussed in the manuscript.

R. Snchez-Santos (*)

Servicio de Ciruga General y Digestiva, Complejo Hospitalario de Pontevedra, C/Mourente s/n,36021 Pontevedra, Spaine-mail: [email protected]

C. Masdevall : A. Garca Ruiz de Gordejuela Hospital Universitario de Bellvitge, Barcelona, Spain

A. BaltasarHospital Virgen de los Lirios, Alcoy, Spain

C. Martnez-Blzquez Hospital de Txagorritxu, Vitoria, Spain

E. PonsiClinica Delfos, Barcelona, Spain

A. Snchez-Pernaute Hospital Clinico San Carlos, Madrid, Spain

G. VesperinasHospital Universitario La Paz, Madrid, Spain

D. Del CastilloHospital Universitario de Reus, Reus, Spain

E. Bombuy Hospital de Matar, Matar, Spain

C. Durn-EscribanoHospital Virgen de la Paloma, Madrid, Spain

L. OrtegaHospital Clinico de Salamanca, Salamanca, Spain

1204 OBES SURG (2009) 19:12031210

0.36%. Complications presented more frequently in superobese patients (OR, 2.8 (1.186.65)), male (OR,2.98 (1.267.0)), and patients >55 years old (OR, 2.8(1.146.8)). Staple-line reinforcement was related to a lower complication rate (3.7 vs 8.8%; p=0.039). Mean hospital stay was 4.88.2 days. Mean follow-up was16.510.6 months (173)....