Clinical ScienceLaparoscopic sleeve gastrectomy for morbid obesity: 5-year results
Section snippets
Materials and Methods
From January 2004 to July 2008, a total of 30 morbidly obese patients underwent laparoscopic sleeve gastrectomy at our department. The operations were performed either as the first part of a planned 2-stage weight reduction operative strategy for morbid obesity or as a stand-alone option for the definitive treatment of morbid obesity.
According to our protocol, patients underwent an extensive preoperative workup including blood tests, chest radiograph, abdominal ultrasound, echocardiography,
Results
Until July 2013, a total of 150 laparoscopic sleeve gastrectomy procedures have been performed. A total of 30 patients have completed 5 years of follow-up. Five patients have been excluded from the data analysis because they underwent a second-stage laparoscopic Roux-en-Y gastric bypass at various time points after the initial laparoscopic sleeve gastrectomy because of inadequate weight loss.
Patients' demographics and comorbidities are listed in Table 1. Sixty percent of the patients (15/25)
Comments
Sleeve gastrectomy was initially described in 1999 by Hess and Hess16 as part of biliopancreatic diversion with duodenal switch. In 2000, Regan et al17 reported its use as a first-stage operation for super obese patients before Roux-en-Y gastric bypass establishing the 2-stage approach for bariatric patients. In 2004, Almogy et al18 announced results for patients who underwent only laparoscopic sleeve gastrectomy with favorable results. This observation led to an exponential rise in the use of
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Cited by (42)
The new onset of GERD after sleeve gastrectomy: A systematic review
2022, Annals of Medicine and SurgeryCitation Excerpt :Numerous studies have been performed in the literature with controversial results on the onset of GERD after LSG. Albanopoulos et al., Alexandrou et al. and Althuwaini et al. [22,23] showed that LSG seemed to precipitate GERD symptoms, dissection near the angle of His, and drastic reduction in gastric capacity increased the chance that patients would maintain or develop new GERD symptoms. The studies by Arman et al., Borbely et al. and Braghetto et al. [26,30,32] found that LSG is associated with a significantly higher likelihood that acid-lowering medications are needed to control GERD symptoms 12 months after LSG compared with gastric bypass.
High-resolution impedance manometry and 24-hour multichannel intraluminal impedance with pH testing before and after sleeve gastrectomy: de novo reflux in a prospective series
2021, Surgery for Obesity and Related DiseasesASMBS Position Statement on medium- and long-term durability of weight loss and diabetic outcomes after conventional stapled bariatric procedures
2018, Surgery for Obesity and Related DiseasesLong term outcomes after bariatric and metabolic surgery
2018, Presse MedicaleMid to long term outcomes of Laparoscopic Sleeve Gastrectomy in Indian population: 3–7 year results – A retrospective cohort study
2017, International Journal of SurgeryCitation Excerpt :Table 4 summarizes the published literature regarding the same, with emphasis on excess weight loss and complications. In our study, mean %EWL at 1 year was 71.8% which declined to 61.7% at 5 years and 57.5% at 7 years which was consistent with published results of %EWL in range of 55–65% at 5 years and 45–75% at 7 years [13–16,19,20,23–27], and are satisfactory as per Reinhold's criteria [9]. To the best of the author's knowledge, this is the first study reporting the long-term outcomes of LSG in Indian population.
The authors declare no conflicts of interest.