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Review of long-term weight loss results after laparoscopic sleeve gastrectomy.
Surg Obes Relat Dis. 2014 Jan-Feb; 10(1):177-83.SO

Abstract

Sleeve gastrectomy (SG) has gained enormous popularity both as a first-stage procedure in high-risk super-obese patients and as a stand-alone procedure. The objective of this study was to evaluate the long-term weight loss results after SG published in the literature and compare them with the well-documented short-term and mid-term weight loss results. A detailed search in PubMed using the keywords "sleeve gastrectomy" and "long-term results" found 16 studies fulfilling the criteria of this study. A total of 492 patients were analyzed, with a follow-up of at least 5 years after laparoscopic sleeve gastrectomy (LSG) (373 at 5 years, 72 at 6 years, 13 at 7 years, and 34 at 8 or more years). Of the total number of patients, 71.1% were women (15 studies, n = 432 patients). Mean patient age was 45.1 years (15 studies, n = 432 patients). Mean preoperative body mass index in all 16 studies was 49.2 kg/m(2). The mean percentage excess weight loss (%EWL) was 62.3%, 53.8%, 43%, and 54.8% at 5, 6, 7, and 8 or more years after LSG, respectively. The overall mean %EWL (defined as the average %EWL at 5 or more years after LSG) was 59.3% (12 studies, n = 377 patients). The overall attrition rate was 31.2% (13 studies). LSG seems to maintain its well-documented weight loss outcome at 5 or more years postoperatively, with the overall mean %EWL at 5 or more years after LSG still remaining>50%. The existing data support the role of LSG in the treatment of morbid obesity.

Authors+Show Affiliations

First Surgical Department of the University of Athens, Laiko General Hospital, 17 Agiou Thoma St, 11527, Athens, Greece.First Surgical Department of the University of Athens, Laiko General Hospital, 17 Agiou Thoma St, 11527, Athens, Greece. Electronic address: konstantinos.apostolou@gmail.com.First Surgical Department of the University of Athens, Laiko General Hospital, 17 Agiou Thoma St, 11527, Athens, Greece.First Surgical Department of the University of Athens, Laiko General Hospital, 17 Agiou Thoma St, 11527, Athens, Greece.First Surgical Department of the University of Athens, Laiko General Hospital, 17 Agiou Thoma St, 11527, Athens, Greece.First Surgical Department of the University of Athens, Laiko General Hospital, 17 Agiou Thoma St, 11527, Athens, Greece.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

24507083

Citation

Diamantis, Theodoros, et al. "Review of Long-term Weight Loss Results After Laparoscopic Sleeve Gastrectomy." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 1, 2014, pp. 177-83.
Diamantis T, Apostolou KG, Alexandrou A, et al. Review of long-term weight loss results after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2014;10(1):177-83.
Diamantis, T., Apostolou, K. G., Alexandrou, A., Griniatsos, J., Felekouras, E., & Tsigris, C. (2014). Review of long-term weight loss results after laparoscopic sleeve gastrectomy. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(1), 177-83. https://doi.org/10.1016/j.soard.2013.11.007
Diamantis T, et al. Review of Long-term Weight Loss Results After Laparoscopic Sleeve Gastrectomy. Surg Obes Relat Dis. 2014 Jan-Feb;10(1):177-83. PubMed PMID: 24507083.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Review of long-term weight loss results after laparoscopic sleeve gastrectomy. AU - Diamantis,Theodoros, AU - Apostolou,Konstantinos G, AU - Alexandrou,Andreas, AU - Griniatsos,John, AU - Felekouras,Evangelos, AU - Tsigris,Christos, Y1 - 2013/11/21/ PY - 2013/07/08/received PY - 2013/11/10/revised PY - 2013/11/12/accepted PY - 2014/2/11/entrez PY - 2014/2/11/pubmed PY - 2014/10/25/medline KW - Bariatric procedure KW - Laparoscopic sleeve gastrectomy KW - Long-term outcomes SP - 177 EP - 83 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 10 IS - 1 N2 - Sleeve gastrectomy (SG) has gained enormous popularity both as a first-stage procedure in high-risk super-obese patients and as a stand-alone procedure. The objective of this study was to evaluate the long-term weight loss results after SG published in the literature and compare them with the well-documented short-term and mid-term weight loss results. A detailed search in PubMed using the keywords "sleeve gastrectomy" and "long-term results" found 16 studies fulfilling the criteria of this study. A total of 492 patients were analyzed, with a follow-up of at least 5 years after laparoscopic sleeve gastrectomy (LSG) (373 at 5 years, 72 at 6 years, 13 at 7 years, and 34 at 8 or more years). Of the total number of patients, 71.1% were women (15 studies, n = 432 patients). Mean patient age was 45.1 years (15 studies, n = 432 patients). Mean preoperative body mass index in all 16 studies was 49.2 kg/m(2). The mean percentage excess weight loss (%EWL) was 62.3%, 53.8%, 43%, and 54.8% at 5, 6, 7, and 8 or more years after LSG, respectively. The overall mean %EWL (defined as the average %EWL at 5 or more years after LSG) was 59.3% (12 studies, n = 377 patients). The overall attrition rate was 31.2% (13 studies). LSG seems to maintain its well-documented weight loss outcome at 5 or more years postoperatively, with the overall mean %EWL at 5 or more years after LSG still remaining>50%. The existing data support the role of LSG in the treatment of morbid obesity. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/24507083/Review_of_long_term_weight_loss_results_after_laparoscopic_sleeve_gastrectomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(13)00381-X DB - PRIME DP - Unbound Medicine ER -