Article Text

PDF

Obesity
PMO-055 Quality of life following laparoscopic banded (silastic ring) sleeve gastrectomy
  1. L Pearless1,
  2. M Clarke2,
  3. M Booth1,2
  1. 1Surgical Weight Loss Solutions, Waitemata Specialist Centre
  2. 2Department of Surgery, North Shore Hospital, Auckland, New Zealand

Abstract

Introduction Placement of a silastic ring around a sleeve gastrectomy (SG) may minimise long-term dilatation and weight regain. This study assessed medium term quality of life outcomes.

Methods A questionnaire was sent to 46 patients that underwent surgery between November 2006 and February 2010. During the procedure the stomach was divided 3 cm proximal to the pylorus. Orogastric bougie diameter was 36 French (November 2006–June 2008) or 32 Fr (thereafter). A 6.5–7 cm diameter silastic ring was placed around the mid-portion of the SG.

Results Responses were received from 29 (63%) patients (25 female, 4 male) with a mean (range) age of 49 (33–65) years and mean pre-op BMI of 37.5 kg/m2. Mean (SD) weight loss and % excess weight loss at 3 years was 31.1 (10.8) kg and 90.6 (28.9)% respectively. 66% were satisfied with surgery (median Likert score=9) although 48% reported weight regain. Physical—97% reported food intolerances: meat (59%), solids (35%) and vegetables (17%). 21 (72%) patients reported vomiting: daily (14%), twice weekly (14%), weekly (29%) or less frequently (43%). 66% had reflux, with a median Visick of 2. Exercise capacity increased in 96% of patients. Emotional—28% described depression or anxiety affecting their work or other activities. Social—28% found physical health /emotional problems following surgery interfered with social activities. Compliance—59% had blood tests at least annually, 79% continued multivitamins and 41% required vitamin/mineral supplementation.

Conclusion Placement of a silastic ring around SG as a primary procedure should be avoided due to a high incidence of post-operative reflux, vomiting and food intolerance.

Competing interests None declared.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.