Long-Term Results of Laparoscopic Sleeve Gastrectomy for Morbid Obesity: 5 to 8-Year Results

Overview

Journal Obes Surg

Date 2016 May 15

PMID 27178407

Citations 34

Authors

Ralph P M Gadiot

L Ulas Biter

Stefanie van Mil

Hans F Zengerink

J Apers

Guido H H Mannaerts

Affiliations

Soon will be listed here.

Abstract

Introduction: Although long-term results of sleeve gastrectomy (LSG) remain scarce in the literature, its popularity as a stand-alone procedure has accounted for a global increase in LSG performance. In this retrospective study, the authors present 5 to 8-year follow-up results in terms of weight loss, failure/revision rate, and comorbidity resolution from a single center.

Materials And Methods: A prospectively maintained database was reviewed for patients who underwent LSG between 2007 and 2010. Data analysis on weight loss, comorbid conditions, revision surgery, and mortality was conducted.

Results: Median percentage excess BMI loss (%EBMIL) was 59.0, and 53.9 %, and median percentage total weight loss (%TWL) was 25.1, and 22.9 % at 5 and 8 years, respectively. Revision to gastric bypass due to insufficient weight loss or gastroesophageal reflux disease (GERD) was performed in 42 patients (15.2 %). Resolution of comorbid condition was achieved in 91 % of patients with obstructive sleep apnea syndrome (OSAS), 68 % of patients with type 2 diabetes (T2DM), 53 % of patients with hypertension, and 25 % of patients with dyslipedemia. Loss to follow-up rate was 45 % at 5 years, 28 % at 6 years, 23 % at 7 years, and 13 % at 8 years.

Conclusion: This study adds to the currently available data confirming the LSG to be a safe and effective procedure at long term. Data from high-volume studies are needed to establish the definite role of the LSG in the spectrum of bariatric procedures.

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References

Deitel M, Gagner M, Erickson A, Crosby R . Third International Summit: Current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011; 7(6):749-59. DOI: 10.1016/j.soard.2011.07.017. View

Christou N, Look D, Maclean L . Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg. 2006; 244(5):734-40. PMC: 1856611. DOI: 10.1097/01.sla.0000217592.04061.d5. View

DHondt M, Vanneste S, Pottel H, Devriendt D, Van Rooy F, Vansteenkiste F . Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc. 2011; 25(8):2498-504. DOI: 10.1007/s00464-011-1572-x. View

Tucker O, Szomstein S, Rosenthal R . Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. J Gastrointest Surg. 2008; 12(4):662-7. DOI: 10.1007/s11605-008-0480-4. View

Marceau , Biron , St Georges R , Duclos , POTVIN , Bourque . Biliopancreatic Diversion with Gastrectomy as Surgical Treatment of Morbid Obesity. Obes Surg. 1991; 1(4):381-387. DOI: 10.1381/096089291765560764. View

Buchwald H, Oien D . Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013; 23(4):427-36. DOI: 10.1007/s11695-012-0864-0. View

Sarela A, Dexter S, OKane M, Menon A, McMahon M . Long-term follow-up after laparoscopic sleeve gastrectomy: 8-9-year results. Surg Obes Relat Dis. 2011; 8(6):679-84. DOI: 10.1016/j.soard.2011.06.020. View

Mannaerts G, van Mil S, Stepaniak P, Dunkelgrun M, de Quelerij M, Verbrugge S . Results of Implementing an Enhanced Recovery After Bariatric Surgery (ERABS) Protocol. Obes Surg. 2015; 26(2):303-12. DOI: 10.1007/s11695-015-1742-3. View

Alvarenga E, Lo Menzo E, Szomstein S, Rosenthal R . Safety and efficacy of 1020 consecutive laparoscopic sleeve gastrectomies performed as a primary treatment modality for morbid obesity. A single-center experience from the metabolic and bariatric surgical accreditation quality and improvement program. Surg Endosc. 2015; 30(7):2673-8. DOI: 10.1007/s00464-015-4548-4. View

10.

Deitel M, Crosby R, Gagner M . The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25-27, 2007. Obes Surg. 2008; 18(5):487-96. DOI: 10.1007/s11695-008-9471-5. View

11.

Rawlins L, Rawlins M, Brown C, Schumacher D . Sleeve gastrectomy: 5-year outcomes of a single institution. Surg Obes Relat Dis. 2012; 9(1):21-5. DOI: 10.1016/j.soard.2012.08.014. View

12.

Himpens J, Dobbeleir J, Peeters G . Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010; 252(2):319-24. DOI: 10.1097/SLA.0b013e3181e90b31. View

13.

Gadiot R, Biter L, Zengerink H, de Vos tot Nederveen Cappel R, Elte J, Cabezas M . Laparoscopic sleeve gastrectomy with an extensive posterior mobilization: technique and preliminary results. Obes Surg. 2011; 22(2):320-9. DOI: 10.1007/s11695-011-0488-9. View

14.

Reinhold R . Critical analysis of long term weight loss following gastric bypass. Surg Gynecol Obstet. 1982; 155(3):385-94. View

15.

Milone L, Strong V, Gagner M . Laparoscopic sleeve gastrectomy is superior to endoscopic intragastric balloon as a first stage procedure for super-obese patients (BMI > or =50). Obes Surg. 2005; 15(5):612-7. DOI: 10.1381/0960892053923833. View

16.

Gagner M, Deitel M, Kalberer T, Erickson A, Crosby R . The Second International Consensus Summit for Sleeve Gastrectomy, March 19-21, 2009. Surg Obes Relat Dis. 2009; 5(4):476-85. DOI: 10.1016/j.soard.2009.06.001. View

17.

Himpens J, Dapri G, Cadiere G . A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006; 16(11):1450-6. DOI: 10.1381/096089206778869933. View

18.

Fridman A, Moon R, Cozacov Y, Ampudia C, Lo Menzo E, Szomstein S . Procedure-related morbidity in bariatric surgery: a retrospective short- and mid-term follow-up of a single institution of the American College of Surgeons Bariatric Surgery Centers of Excellence. J Am Coll Surg. 2013; 217(4):614-20. DOI: 10.1016/j.jamcollsurg.2013.05.013. View

19.

Diamantis T, Apostolou K, Alexandrou A, Griniatsos J, Felekouras E, Tsigris C . Review of long-term weight loss results after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2014; 10(1):177-83. DOI: 10.1016/j.soard.2013.11.007. View

20.

Bohdjalian A, Langer F, Shakeri-Leidenmuhler S, Gfrerer L, Ludvik B, Zacherl J . Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010; 20(5):535-40. DOI: 10.1007/s11695-009-0066-6. View