The 'ideal BMI' to be achieved after RLSG was set at 22.5 kg.m-2, though there was still room to reduce further weight to reach the lower level of the normal BMI.
The mean of the percent excess weight loss (%EWL) was 22.08, 45.75, 59.64 and 66.42 kilograms at the period of three, six, twelve and twenty-four months respectively after the RLSG (Table-I).
Twenty-six (72.22%) patients developed remarkable (25-70%) reduction in appetite after RLSG, while the remaining patients also experienced less than 25% reduction in appetite.
Within twenty-four months of RLSG in our patients, the mean weight of 111.69 kg reduced to 76.11 kg.
All the above parameters prove the effectiveness of RLSG as an alternative procedure when LAGB does not suit anyway.15,16 Seven patients (19.44%) in our study failed to reduce or regained the weight (Fig.1), which is quite acceptable and comparable with other studies and can be improved with frequent follow-up and encouraging the patients to abstain themselves from sweets and continuing regular exercise.
They also had considerable reduction in appetite after RLSG.