Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity: A prospective study
Open Access
- 1 January 2017
- journal article
- Published by Baishideng Publishing Group Inc. in World Journal of Gastrointestinal Surgery
- Vol. 9 (4), 109-117
- https://doi.org/10.4240/wjgs.v9.i4.109
Abstract
To prospectively evaluate the postoperative morbi-mortality and weight loss evolution of patients who underwent a laparoscopic sleeve gastrectomy (LSG) as a primary bariatric procedure during 5 years of follow-up. Since 2006, data from patients undergoing a highly restrictive primary LSG have been prospectively registered in a database and analysed. Preoperative co-morbid conditions, operating time, hospital stay, early and late complications rate and evolution of weight loss after 5 years of follow-up were analysed. A total of 156 patients were included, 74.3% of whom were women. The mean age was 43.2 ± 13.1 years and the mean body mass index (BMI) was 41.5 ± 7.9 kg/m2. Seventy patients (44.8%) presented a BMI under 40 kg/m2. The mortality rate was 0%. The leakage rate was 1.2%, and the total 30-d morbidity rate was 5.1% (8/156). With a mean follow-up of 32.7 ± 28.5 (range 6-112) mo, the mean percent of excess of weight loss (%EWL) was 82.0 ± 18.8 at 1 year, 76.7 ± 21.3 at 3 years and 60.3 ± 28.9 at 5 years. The mean percent of excess of BMI loss (%EBMIL) was 94.9 ± 22.4 at 1 year, 89.4 ± 27.4 at 3 years and 74.8 ± 29.4 at 5 years. Patients with preoperative BMI less than 40 kg/m2 achieved greater weight loss than did the overall study population. Diabetes remitted in 75% of the patients and HTA improved in 71.7%. CPAP masks were withdrawn in all patients with obstructive sleep apnoea. LSG built with a narrow 34 F bougie and starting 3 cm from the pylorus proved to be safe and highly effective in terms of weight loss as a stand-alone procedure, particularly in patients with a preoperative BMI lower than 40 kg/m2.Keywords
This publication has 45 references indexed in Scilit:
- Comparative assessment of gastric emptying in obese patients before and after laparoscopic sleeve gastrectomy using radionuclide scintigraphyNuclear Medicine Communications, 2015
- Laparoscopic sleeve gastrectomy: More than a restrictive bariatric surgery procedure?World Journal of Gastroenterology, 2015
- Updated position statement on sleeve gastrectomy as a bariatric procedureSurgery for Obesity and Related Diseases, 2012
- International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 casesSurgery for Obesity and Related Diseases, 2012
- Third International Summit: current status of sleeve gastrectomySurgery for Obesity and Related Diseases, 2011
- Scintigraphic Evaluation of Gastric Emptying in Obese Patients Submitted to Sleeve Gastrectomy Compared to Normal SubjectsObesity Surgery, 2009
- Short- and Mid-term Outcomes of Sleeve Gastrectomy for Morbid Obesity: The Experience of the Spanish National RegistryObesity Surgery, 2009
- Sleeve Gastrectomy in a 10-year-old ChildObesity Surgery, 2008
- Laparoscopic Sleeve Gastrectomy: A Multi-purpose Bariatric OperationObesity Surgery, 2005
- Early Experience with Two-Stage Laparoscopic Roux-en-Y Gastric Bypass as an Alternative in the Super-Super Obese PatientObesity Surgery, 2003