Sleeve Gastrectomy Among Males and Females Who Are Super-Super Obese (Body Mass Index ≥60 kg/m2)

Introduction: There are few publications regarding the surgical treatment of obesity among super-super obese (SSO) patients undergoing sleeve gastrectomy (SG). The aim of this study is to examine weight outcomes (6, 12, and 24 months), presurgical comorbidities, and perioperative outcomes in SSO men and women patients undergoing SG. Material and Methods: This is a retrospective study with 109 SSO patients who underwent SG at the University of Illinois Hospital and Health Sciences System between January 2008 and June 2015. Results: Out of 674 patients who underwent SG, 109 (16.2%) were SSO. There were no significant differences in perioperative outcomes (operative time, length of hospitalization, and complication rates). Women had a greater percent excess weight loss (%EWL) (p = 0.039) and percent total weight loss (%TWL) (p = 0.026) than men at 6 months. Whereas at 12 and 24 months follow-up, there were no significant differences in %EWL and %TWL between SSO men and women. Conclusions: There were no significant differences in perioperative outcomes between SSO women and men. Percent EWL and %TWL during the 6-month follow-up was significantly greater in women versus men, but by 12 and 24 months, there were no significant differences in %EWL and %TWL between the two groups.