Laparoscopic sleeve gastrectomy for morbid obesity - Case report

Morbid obesity is a major epidemiological and economic problem around the world. In Croatia 25% of men and 24% of women are obese, with BMI higher than 30 kg / m2 . Since the introduction of minimally invasive approaches in bariatric surgery, sleeve gastrectomy is performed laparoscopically. Laparoscopic sleeve gastrectomy is often performed as the first step in the treatment of morbid obesity. In super-obese individuals this procedure is often combined with biliopancreatic diversion. A 47-year-old female patient with BMI of 65 kg / m2 was hospitalized in our department. As associated morbidities she had arterial hypertension, depression and anemia. Before the hospitalization the patient attempted many times to lose weight with conservative methods, but with no success. Because of her superobesity we decided to perform laparoscopic sleeve gastrectomy. The patient was released eight days after the surgery. Her BMI was 59 kg / m2 and EWL was 11.9%. Two months after the surgery the patient has BMI 57 kg / m2 and EWL at 16.5.