Yap Ralph Victor, Eleazar Patrick John, Roble Ii Vincent Matthew, Rosello Don Edward
Department of Surgery, Cebu Doctors' University Hospital, Cebu, PHL.
Department of Surgery, Section of Minimally Invasive Surgery, Cebu Doctors' University Hospital, Cebu, PHL.
Cureus. 2021 Oct 21;13(10):e18953. doi: 10.7759/cureus.18953. eCollection 2021 Oct.
Background The prevalence of obesity in the Philippines has increased more than three-fold over the last two decades. However, bariatric surgery has not been widely adopted yet in the country. Local data mainly on laparoscopic adjustable gastric banding (LAGB) and Roux-en-Y gastric bypass (RYGB) are limited as well. We report for the first time our experience with laparoscopic sleeve gastrectomy (LSG) and present the current local status of bariatric surgery in Cebu, Philippines. Patients and methods This is a retrospective study of all patients 18 years old and above who underwent LSG in a single, private, tertiary institution during the period 2009 - 2019. Our primary endpoint was weight loss after LSG. Secondary endpoint was postoperative complications. Results Thirty-three patients (mean age 40.9 ± 14.5 years) underwent LSG. Baseline weight and BMI were 112.6 ± 29 kg and 41.3 ± 8.6, respectively. The mean operative duration was 201 ± 72.9 minutes. The were no open conversions with minimal morbidity. Mean hospital stay was 3.7 ± 0.9 days. The postoperative mean weight and BMI after one year were 68.9 ± 17 kg and 26.6 ± 6, respectively. Overall, mean excess weight loss (EWL) was 61.9 ± 44.1 % at a median follow-up of 5.4 months. Significant weight loss was noted after the third month. Conclusion LSG is a safe and effective method in producing weight loss. It can be a definitive treatment option as local prevalence of obesity is increasing in the Philippines. However, access to and the practice of bariatric surgery remains limited in the country. A collaboration among private and government stakeholders is essential.
在过去二十年中，菲律宾肥胖症的患病率增长了三倍多。然而，该国尚未广泛采用减肥手术。关于腹腔镜可调节胃束带术（LAGB）和Roux-en-Y胃旁路术（RYGB）的本地数据也很有限。我们首次报告了我们进行腹腔镜袖状胃切除术（LSG）的经验，并介绍了菲律宾宿务减肥手术的当前本地情况。
这是一项对2009年至2019年期间在一家私立三级医疗机构接受LSG的所有18岁及以上患者的回顾性研究。我们的主要终点是LSG后的体重减轻。次要终点是术后并发症。
33名患者（平均年龄40.9±14.5岁）接受了LSG。基线体重和BMI分别为112.6±29千克和41.3±8.6。平均手术时间为201±72.9分钟。无开放转换病例，发病率极低。平均住院时间为3.7±0.9天。术后一年的平均体重和BMI分别为68.9±17千克和26.6±6。总体而言，在中位随访5.4个月时，平均超重减轻（EWL）为61.9±44.1%。第三个月后体重显著减轻。
LSG是一种安全有效的减肥方法。由于菲律宾肥胖症的本地患病率不断上升，它可以成为一种明确的治疗选择。然而，该国减肥手术的可及性和实施情况仍然有限。私立和政府利益相关者之间的合作至关重要。
