Page 3 - World Journal of Laparoscopic Surgery

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10.5005/jp-journals-10033-1285
Laparoscopic Sleeve Gastrectomy—A Novel Surgical Tool for Weight Loss in morbidly Obese Patients
OriginaL articLe

Laparoscopic Sleeve Gastrectomy—A Novel

Surgical Tool for Weight Loss in morbidly Obese
Patients: A Prospective Cohort Study

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1 Shailesh Kumar, Md Abu M Ansari, Umakant Verma, Naveen Kumar
ABSTRACT interaction between the human genotype and the
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Introduction: Obesity has reached epidemic proportions environment. It has reached epidemic proportion
worldwide. India ranks 3rd after the United States and China. worldwide. The worldwide prevalence of obesity more
The health consequences range from increased risk of prema- than doubled between 1980 and 2014. There are over
ture death due to serious chronic illness like hypertension and 600 million adults are obese globally. According to WHO
diabetes mellitus (DM) which reduces the overall quality of life.
Laparoscopic sleeve gastrectomy (LSG) produces long-lasting Report 2014, about 13% of the world’s adult population
control of obesity as well as associated comorbidities. were obese of which 11% are men and 15% are women.
Materials and methods: A prospective cohort study was There is dramatic increases in the prevalence of both
conducted between the period of January 2015 and March overweight and obesity in Canada over the last 15 years,
2016. The criteria for selection were Body mass index (BMI) ≥ and the problem is particularly pronounced among
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40 kg/m or BMI ≥ 35 kg/m with comorbidities. All the patients children. The obesity rate has increased dramatically
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were screened by a multidisciplinary team. All the patients
were operated by the same surgeon to avoid any procedural in the last 15 years from 2 to 10% among boys and from
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biasness. Follow-up visit as per our study protocol were 2 to 9% among girls. Interestingly, there has been a
evaluated. 14 times increase of the number of bariatric surgeries in
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Results: Out of 60 patients operated for morbid obesity, the Canada in the last 2 years. According to the WHO’s
weight loss is substantial and statistically significant. Excess World Health Statistics Report 2012, globally one in six
weight loss (EWL) (in %) were 4.31, 8.14, 16.28, and 30.61% at adults is obese and nearly 2.8 million individuals die
subsequent visits at 1st, 2nd, 4th, and 12th week respectively.
Except for a few minor complications which were managed each year due to overweight or obesity.
conservatively, the procedure was uneventful. Obesity involves a complex interaction of metabolic,
Conclusion: Laparoscopic sleeve gastrectomy is simple, effec- genetic, psychological, and social issues and has become
tive, and reproducible surgical method to treat morbid obesity. the second leading cause of preventable death in developed
Keywords: Excess weight loss, Laparoscopic sleeve gastrec- countries after smoking. Body mass index (BMI) is a simple
tomy, Morbid obesity. index that is used to classify obesity in adult population.
How to cite this article: Kumar S, Ansari AM Md, Verma U, Body mass index is calculated by the following method:
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Kumar N. Laparoscopic Sleeve Gastrectomy—A Novel Surgical BMI = kg/m . Obesity is defined as BMI > 25 kg/m .
Tool for Weight Loss in morbidly Obese Patients: A Prospective Morbid obesity is defined as BMI > 40 kg/m or > 35 kg/m
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Cohort Study. World J Lap Surg 2016;9(3):107-113.
with associated comorbidities like diabetes mellitus (DM)
Source of support: Nil and hypertension.
Conflict of interest: None Obesity has reached an epidemic proportion in
India. India is currently facing double burden of disease
INTRODUCTION as malnutrition due to poverty now being rapidly
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replaced by obesity associated with affluence. Indus-
World Health Organization (WHO) defines obesity as trialization and urbanization are playing a big role in
a chronic multisystem disease resulting from complex
increased prevalence of obesity. The changing lifestyle
of the rural dwellers is an upcoming contributory factor
for the rising rates of obesity and associated metabolic
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1 Professor, Assistant Professor, Junior Resident, Senior
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Resident diseases, such as diabetes. Studies from different parts
of India have provided evidence of the rising prevalence
1-4 Department of Surgery, Dr. Ram Manohar Lohia Hospital and
Post Graduate Institute of Medical Education and Research of obesity. 5,7-9
New Delhi, India Mechanization of rural and urban areas is an impor-
Corresponding Author: Shailesh Kumar, Professor, Department tant cause of the increasing prevalence of obesity. For
of Surgery, Dr. Ram Manohar Lohia Hospital and Post Graduate example, two-wheeler sales have increased from 5,076,551
Institute of Medical Education and Research, New Delhi, India in 2002 to 8,418,626 in 2009. The figures state that there
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Phone: +919810477114, e-mail-shaileshkdr@gmail.com
is an increasing use of automobiles to commute, with
World Journal of Laparoscopic Surgery, September-December 2016;9(3):107-113 107