complications, reoperations, and nutrient deficiencies two years after sleeve gastrectomy并发症、手术和套筒胃切除术后营养不足两年.pdfVIP

Hindawi Publishing Corporation Journal of Obesity Volume 2012, Article ID 828737, 9 pages doi:10.1155/2012/828737 Clinical Study Complications, Reoperations, and Nutrient Deficiencies Two Years after Sleeve Gastrectomy Nicole Pech,1 Frank Meyer,2 Hans Lippert,2 Thomas Manger,1 and Christine Stroh1 1 Department of General, Abdominal and Pediatric, Surgery, Municipal Hospital, Straße des Friedens 122, 07548 Gera, Germany 2 Department of General, Abdominal and Vascular Surgery, University Hospital, Magdeburg, Germany Correspondence should be addressed to Christine Stroh, christine.stroh@wkg.srh.de Received 1 February 2012; Accepted 18 March 2012 Academic Editor: G. Silecchia Copyright © 2012 Nicole Pech et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. The aim of this study was to investigate patient outcomes and nutritional deficiencies following sleeve gastrectomy (SG) during a follow-up of two years. Methods. Over a period of 56 months, all consecutive patients who underwent SG were documented in this prospective, single-center, observational study. The study endpoints included operative time, complication rates, nutritional deficiencies and percentage of excess weight loss (%EWL). Results. From September 26, 2005 to May 28, 2009, 82 patients (female : male = 48 : 34) with a mean age of 43.3 years (range: 22–64) and a preoperative BMI of 52.5 kg/m2 (range: 36.8–77.0) underwent SG. Major complications were observed in 9.8% of the patients, with 1 death. During follow up 51.2% of patients were supplemented with iron, 36.6% with zinc, 37.8% with calcium, 26.8% with vitamin D, 46.3% with vitamin B