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Article
Preliminary Experience of Sleeve Gastrectomy

Author: Muthanna A.Al-Sharbaty ,Yasser F.Zidan ,Samir I. Al-Saffar , Israa I.Mohammed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 3 Pages: 350-353
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Laparoscopic Sleeve gastrectomy (LSG) is the most common restrictive procedure performed worldwide for treatment of morbid obesity.OBJECTIVE: To assess the safety, effectiveness and complications of LSG performed for Iraqi patients and shows early experience of LSG.METHODS: Prospective clinical case series study conducted in Al-Jumhoori Teaching Hospital and involved 70 patients (57 females and 13 males);their age (19-59 average 37 years) underwent LSG(6 open ,64 laparoscopically with one conversion);51 patients finish 1 year follow up .RESULTS: The initial body weight 70-195(122Kg); BMI 31.8-65.9 (50.16Kg/m2); two patients with diabetes mellitus and BMI less than 35Kg/m2 involved.The average weight loss assessed and found to be (13.85, 32.8, 40.8 and 48.3 Kg) in 1st, 3rd, 6th and 12th month interval; The BMI reduced from 50.16 to 35.43 and 29.52 at 6th and 12th months.We recorded 1 mortality after 10 days (massive pulmonary embolism), 1 case converted to open and minigastric bypass due to narrowing of the sleeve part.The associated comorbidities improved after weight loss, and the quality of life improved in 88% of patients depending on bariatric analysis and reporting outcome systems (BAROS).CONCLUSION: Sleeve gastrectomy is relatively safe and effective procedure to decrease weight for morbid obesity and it improves the quality of life, but all bariatric procedures needs good health resources and settled countries which were not present in Iraq for the time being.


Article
Early Experience of Metabolic Surgery

Author: Muthanna A.Al-Sharbaty,Yasser F.Zidan ,Samir I. Al-Saffar , Israa I.Mohammed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2016 Volume: 15 Issue: 2 Pages: 169-173
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Laparoscopic sleeve gastrectomy LSG is known to be a highly effective treatment for morbid obesity and many related conditions including type 2 diabetes mellitus (T2DM) and the metabolic syndrome.OBJECTIVE: To assess the effectiveness of (LSG) on glucose homeostasis in morbidly obese diabetic patients and it shows early experience of metabolic surgery.METHODS: Prospective clinical case series study conducted in Al-Jumhoori Teaching Hospital and involved 20 patients (17 females and 3 males); their age (22-54 average 37 years) underwent LSG and the level of glucose evaluated at different times by measuring fasting blood glucose level, glycosylated hemoglobin (HbA1C).RESULTS: The initial body weight 70-142(110Kg); BMI 31.8-53.9 (45.16Kg/m2); two patients with diabetes mellitus and BMI less than 35Kg/m2 involved.The mean level of fasting blood glucose assessed and found to be (202,165,130,107,96 mg/dl) in preoperative ,one-day postoperative,10 days, three and six-months interval; while the level of HbA1C were( 10.2,9,7.2,6.1) in the preoperative ,10 days,3 and 6 months interval respectively.CONCLUSION: LSG is an effective procedure to decrease weight for morbid obesity and it resolve T2DM in 90% while improvement of T2DM occurred in 10 % so LSG is an effective procedure to treat T2DM and the level of glucose declined significantly started from early postoperative and continued till 6 months. .

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