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Long-term follow-up after laparoscopic sleeve gastrectomy: 8-9-year results.
Surg Obes Relat Dis. 2012 Nov-Dec; 8(6):679-84.SO

Abstract

BACKGROUND

Laparoscopic sleeve gastrectomy (LSG) has rapidly gained popularity as a definitive bariatric procedure despite the sparse long-term follow-up data. On the basis of extensive experience with the open Magenstrasse and Mill operation, we began practice of LSG in 2000. The objective of the present study was to analyze 8-9 years of our follow-up data for LSG at a university hospital in the United Kingdom.

METHODS

From January 2000 to December 2001, 20 patients underwent LSG. A 32F bougie was used for calibration in all cases.

RESULTS

The preoperative median body mass index was 45.8 kg/m(2) (range 35.8-63.7), and 9 patients (45%) were superobese (body mass index ≥ 50 kg/m(2)). For LSG as a definitive bariatric procedure, 8-9-year follow-up data were available for 13 patients. Of the remainder, 4 patients underwent revision surgery and 3 were lost to follow-up after 2 years. For the entire cohort, the median excess weight loss (EWL) was 73% (range 13-105%) at 1 year, 78% (range 22-98%) at 2 years, 73% (range 28-90%) at 3 years, and 68% (range 18-85%) at 8 or 9 years (P = .074). Of the 13 LSG-only patients with 8-9 years of follow-up, 11 (55% of the starting cohort) had >50% EWL at 8 or 9 years. No significant difference was found in the initial body mass index between the LSG-only patients with >50% EWL and others (45.9 kg/m(2), range 35.8-59.4 versus 45.7 kg/m(2), range 38.9-63.7, respectively; P = .70). The LSG-only patients with >50% EWL had a marginally significantly greater EWL at 1 year compared with the others (76%, range 48-103% versus 45%, range 13-99%, respectively; P = .058).

CONCLUSION

At 8-9 years of follow-up, 55% of patients had >50% EWL from LSG as a definitive bariatric procedure.

Authors+Show Affiliations

Department of Upper Gastrointestinal and Bariatric Surgery, St. James's University Hospital, Leeds, United Kingdom. a.sarela@leeds.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21890430

Citation

Sarela, Abeezar I., et al. "Long-term Follow-up After Laparoscopic Sleeve Gastrectomy: 8-9-year Results." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 8, no. 6, 2012, pp. 679-84.
Sarela AI, Dexter SP, O'Kane M, et al. Long-term follow-up after laparoscopic sleeve gastrectomy: 8-9-year results. Surg Obes Relat Dis. 2012;8(6):679-84.
Sarela, A. I., Dexter, S. P., O'Kane, M., Menon, A., & McMahon, M. J. (2012). Long-term follow-up after laparoscopic sleeve gastrectomy: 8-9-year results. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 8(6), 679-84. https://doi.org/10.1016/j.soard.2011.06.020
Sarela AI, et al. Long-term Follow-up After Laparoscopic Sleeve Gastrectomy: 8-9-year Results. Surg Obes Relat Dis. 2012 Nov-Dec;8(6):679-84. PubMed PMID: 21890430.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term follow-up after laparoscopic sleeve gastrectomy: 8-9-year results. AU - Sarela,Abeezar I, AU - Dexter,Simon P L, AU - O'Kane,Mary, AU - Menon,Ashok, AU - McMahon,Michael J, Y1 - 2011/07/20/ PY - 2011/03/12/received PY - 2011/06/23/revised PY - 2011/06/27/accepted PY - 2011/9/6/entrez PY - 2011/9/6/pubmed PY - 2013/4/27/medline SP - 679 EP - 84 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 8 IS - 6 N2 - BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has rapidly gained popularity as a definitive bariatric procedure despite the sparse long-term follow-up data. On the basis of extensive experience with the open Magenstrasse and Mill operation, we began practice of LSG in 2000. The objective of the present study was to analyze 8-9 years of our follow-up data for LSG at a university hospital in the United Kingdom. METHODS: From January 2000 to December 2001, 20 patients underwent LSG. A 32F bougie was used for calibration in all cases. RESULTS: The preoperative median body mass index was 45.8 kg/m(2) (range 35.8-63.7), and 9 patients (45%) were superobese (body mass index ≥ 50 kg/m(2)). For LSG as a definitive bariatric procedure, 8-9-year follow-up data were available for 13 patients. Of the remainder, 4 patients underwent revision surgery and 3 were lost to follow-up after 2 years. For the entire cohort, the median excess weight loss (EWL) was 73% (range 13-105%) at 1 year, 78% (range 22-98%) at 2 years, 73% (range 28-90%) at 3 years, and 68% (range 18-85%) at 8 or 9 years (P = .074). Of the 13 LSG-only patients with 8-9 years of follow-up, 11 (55% of the starting cohort) had >50% EWL at 8 or 9 years. No significant difference was found in the initial body mass index between the LSG-only patients with >50% EWL and others (45.9 kg/m(2), range 35.8-59.4 versus 45.7 kg/m(2), range 38.9-63.7, respectively; P = .70). The LSG-only patients with >50% EWL had a marginally significantly greater EWL at 1 year compared with the others (76%, range 48-103% versus 45%, range 13-99%, respectively; P = .058). CONCLUSION: At 8-9 years of follow-up, 55% of patients had >50% EWL from LSG as a definitive bariatric procedure. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/21890430/Long_term_follow_up_after_laparoscopic_sleeve_gastrectomy:_8_9_year_results_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(11)00579-X DB - PRIME DP - Unbound Medicine ER -