Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Comprehensive Review of Procedures and Outcomes

Article Sidebar

PDF
Published: Jun 13, 2025
Keywords:
Laparoscopic sleeve gastrectomy Bariatric surgery

Main Article Content

Ronnayong Thomtong
Araya Khaimook

Abstract

Background: Nowadays, the incidence of obesity is increasing. Surgical treatment for obesity is highly effective. Laparoscopic sleeve gastrectomy (LSG) is the standard treatment. This study collected data on the treatment of patients with LSG to provide guidelines and develop the potential treatment for obese patients in Thailand.


Objectives: The purpose was to study the results of LSG for morbid obesity and the results of weight loss after surgery.


Methodology: A retrospective cohort study from the medical records of patients who underwent LSG was performed from October 2022 to September 2023. The collected data including patient’s characteristics, surgical outcomes, hospital stays, and surgical complications were recorded and analyzed by analytic statistics.


Results: A total of LSG of 21 patients were enrolled during the period. The mean age was 35.43 ± 8.18 years. The mean body weight was 108.22 ± 13.89 kilograms. The mean Body Mass Index (BMI) was 40.9 ± 5.65 kg/m2. The surgical outcomes found that the average BMI tends to decrease and the percent of excess weight loss tends to increase after a longer follow-up. No intraoperative and postoperative complications were found.


Conclusions: LSG is safe and effective to serve as a definitive treatment of morbid obesity.

Article Details

How to Cite
1.
Thomtong R, Khaimook A. Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Comprehensive Review of Procedures and Outcomes. 12RM.J. [internet]. 2025 Jun. 13 [cited 2026 Feb. 27];35(2):18-26. available from: https://he02.tci-thaijo.org/index.php/12thrmj/article/view/275961
Issue
Vol. 35 No. 2 (2024): May-August
Section
Review articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

Aekplakorn W, Mo-suwan L. Prevalence of obesity in Thailand. Obes Rev.

;10(6):589–92.

Jitnarin N, Kosulwat V, Rojroongwasinkul N, Boonpraderm A, Haddock CK, Poston WS. Prevalence of overweight and obesity in Thai population: results of the National Thai Food Consumption Survey. Eat weight Disord. 2011;16(4):2-9.

Viratanapanu I, Romyen C, Chaivanijchaya K, Sornphiphatphong S, Kattipatanapong W, Techagumpuch A, et al. Cost-Effectiveness Evaluation of Bariatric Surgery for Morbidly Obese with Diabetes Patients in Thailand. J Obes. 2019;5383478.

Ali M, El Chaar M, Ghiassi S, Rogers AM; American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. American Society for Metabolic and Bariatic Surgery updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2017;13(10):1652–7.

Sucandy I, Antanavicius G, Bonanni F Jr. Outcome analysis of early laparoscopic sleeve gastrectomy experience. JSLS. 2013;17(4):602–6.

Stroh C, Köckerling F, Volker L, Frank B, Stefanie W, Christian K, et al. Results of More Than 11,800 Sleeve Gastrectomies: Data Analysis of the German Bariatric Surgery Registry. Ann Surg. 2016;263(5):949–55.

Hans PK, Guan W, Lin S, Liang H. Long-term outcome of laparoscopic sleeve gastrectomy from a single center in mainland China. Asian J Surg. 2018;41(3):285–90.

Trastulli S, Desiderio J, Guarino S, Cirocchi R, Scalercio V, Noya G, et al. Laparoscopic sleeve gastrectomy compared with other bariatric surgical procedures: a systematic review of randomized trials. Surg Obes Relat Dis. 2013;9(5):816–29.

Kim J, Azagury D, Eisenberg D, DeMaria E, Campos GM; American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS position statement on prevention, detection, and treatment of gastrointestinal leak after gastric bypass and sleeve gastrectomy, including the roles of imaging, surgical exploration, and nonoperative management. Surg Obes Relat Dis. 2015;11(4):739–48.

Peterli R, Borbély Y, Kern B, Gass M, Peters T, Thurnheer M, et al. Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS): A prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Ann Surg. 2013;258(5):690–4.

Melissas J, Koukouraki S, Askoxylakis J, Stathaki M, Daskalakis M, Perisinakis K, et al. Sleeve gastrectomy — a restrictive procedure?. Obes Surg. 2007;17(1):57–62.

Brethauer SA. Sleeve Gastrectomy. Surg Clin North Am. 2011;91(6):1265–79.

Shoar S, Saber AA. Long-term and midterm outcomes of laparoscopic sleeve gastrectomy versus Roux-en-Y gastric bypass: a systematic review and meta-analysis of comparative studies. Surg Obes Relat Dis. 2017;13(2):170–80.

Langer FB, Bohdjalian A, Felberbauer FX, Fleischmann E, Reza Hoda MA, Ludvik B, et al. Does gastric dilatation limit the success of sleeve gastrectomy as a sole operation for morbid obesity? Obes Surg. 2006;16(2):166–71

Moon HS, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15(10):1469–75.

Baltasar A, Serra C, Pérez N, Bou R, Bengochea M, Ferri L. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15(8):1124–8.

Mognol P, Chosidow D, Marmuse JP. Laparoscopic sleeve gastrectomy as an initial bariatric operation for high-risk patients: initial results in 10 patients. Obes Surg. 2005;15(7):1030–3.