Treatment of super super morbid obesity by sleeve gastrectomy

interest of work > The longitudinal or "sleeve" gastrectomy was recently introduced into the therapeutic arsenal of the bariatric surgeon. It is a restrictive procedure that reduces stomach capacity by 75%. We present here a preliminary experience with four patients. Methods > Four patients with super super obesity (body moss index (BMI) > 60 kg/m(2)) underwent longitudinal or "sleeve" gastrectomy Their average preoperative weight was 173 kg (range: 147-190 kg) and mean BMI 65 kg/m(2) (range: 61-67 kg/m(2)). Results > The average post-operative follow-up was 6 months (range: 2-12 months). Average weight loss at 6 months was 40 kg (range: 2060 kg) and overage decrease in BMI at 6 months 16.3 kg/m(2) (range: 6-23 kg/m(2)). We noted a postsurgical complication in only one patient (subdiaphragmatic abscess treated with drainage). Perspectives > These preliminary results suggest that the sleeve gastrectomy is associated with few perioperative complications and offers rapidly effective treatment for super super morbid obesity Long-term results require further investigation.